Ankle/ Foot Fractures

What is An Ankle/Foot Fracture?

Ankle and foot fractures are common injuries that could result from a range of mechanisms, such as twisting injuries, mechanical falls, to high-energy traumas. Fractures are described as disruption or “breaks” in a bone and have a variety of subtypes ranging from open, closed, incomplete, displaced, non-displaced, and comminuted. Treatment of ankle and foot fractures aims to restore joint alignment and stability to reduce the risk of post-traumatic arthritis

    • High/Low energy Trauma

    • Mechanical Falls

    • Rotational Injuries

    • Direct/Indirect Impact injury

    • Overuse (insufficiency fracture)

    Influencing factors: Medical. comorbidities, smoking, shoe-gear, lifestyle, nutrition, age, nutrition, repetitive stress

  • Symptoms may begin as a mild ache or stiffness in the back of the leg or above the heel after activity. Overtime this pain may increase and occur during/after running, jumping, stair climbing or sprinting.

  • Conservative Treatment

    Indications

    1. Stable fracture types

    2. Patient unfit for or refusing surgery

    3. Poor soft tissue conditions  

    Conservative treatment methods

    1. Immobilization ex cast, splint, Boot

    2. Closed reduction and casting/splinting

    3. Proper pain control

    4. Rest, Ice, Compression, Elevation

    Operative Treatment:

    Recommended for : fracture-dislocations unable to be closed reduced, neuro-vascular status is compromised, displaced fractures, unstable fracture types, open fractures, fractures involving joints.

    • Open reduction and internal fixation

    • Closed reduction percutaneous fixation

    • Minimally invasive fracture fixation

    • External fixation

    • Intramedullary nailing

    • Bone grafting

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