What is a ser IV ankle fracture?
The fourth stage of the supination-external rotation (SER 4)1 type of ankle fracture consisting of a fibular fracture at the level of the syndesmosis and a medial malleolar fracture or a rupture of the deltoid ligament, is unstable. It is usually treated operatively.
How serious is a trimalleolar fracture?
A trimalleolar fracture is a serious injury that can affect your quality of life and cause long term problems: You’ll need ankle surgery to repair your trimalleolar fracture. You’ll be in a cast or a brace or brace while your ankle heals. It can take months to recover from a trimalleolar fracture.
How long is recovery for trimalleolar fracture?
Recovery timeline after surgery
9 to 12 weeks: You can return to driving. 2 to 4 months: Some limping is normal. 3 to 4 months: You can typically return to normal activities, excluding sports. 4 to 6 months: You can typically return to sports activities.
What is a ser fracture?
2. The sequence of injury in a SER fracture is anterior tibiofibular ligament disruption (SER-I), oblique fibula fracture (SER-II), rupture of posterior tibiofibular ligament or posterior malleolus fracture (SER-III) followed by deltoid ligament rupture or medial malleolus fracture (SER-IV).
What are the different types of ankle fractures?
Different types of ankle fractures
- Fibula Only Fracture (lateral malleolus fracture) The base of the fibula (the lateral malleolus) forms the bony lump on the outside of your ankle.
- Bimalleolar Ankle Fracture.
- Trimalleolar Fractures.
- Tibia Only Fracture (pilon fracture)
- Maisonneuve Fracture.
Does lateral malleolus fracture need surgery?
Most lateral malleolus fractures don’t require surgery. However, you will want to take steps to reduce pain and swelling in the ankle. Treatment usually involves rest, ice, and elevation. Ankle supports can also help.
Will my ankle ever be the same after a break?
If it’s a low-to-medium grade ligament injury or a stable bone fracture, then it’s highly likely that the ankle will be similar to before. With more severe ligaments and unstable fractures, there is always some difference in flexibility and appearance.
How long does non weight bearing last after trimalleolar fracture?
Surgery is needed to “set” the bones after a bi or trimalleolar fracture occurs. A period of non-weight bearing that lasts 2-4 months will be required to allow the bones to heal properly. Bearing weight too early on the involved leg can lead to a premature onset of arthritis in the ankle/foot complex.
Do I need a cast for a lateral malleolus fracture?
A lateral malleolus fracture can be managed with self-care by elevation, rest, ice, and anti-inflammatory medications. Non-surgical treatment when the ankle is stable can consist of several supportive elements. While it heals, support may be rendered by wearing a high-top tennis shoe, or a short leg cast.
Can you walk with a fractured ankle?
Typically, a minor ankle fracture won’t prevent you from walking. You might even be able to walk right after the injury. If you have a serious break, you’ll need to avoid walking for a few months. As your ankle gets better, you can slowly return to your usual activities.
Will my ankle ever be the same after a fracture?
Can I walk with a lateral malleolus fracture?
While it heals, support may be rendered by wearing a high-top tennis shoe, or a short leg cast. Some doctors allow patients to immediately walk on the affected leg. Some may recommend holding out for six weeks. If the ankle is unstable or the bones are out of place, the fracture may need to be treated with surgery.
How long does it take to recover from a lateral malleolus fracture?
This normally takes approximately 6 weeks to heal. Pain and Swelling: The swelling is often worse at the end of the day and elevating it will help. Pain and swelling can be ongoing for 3-6 months.
How long is rehab for a broken ankle?
Physical Therapy Following Ankle Fractures
Once ready, balance and proprioceptive exercises are initiated at 4-6 weeks. Gradual return to normal activities usually begins around the 6-8 week mark and full return to activities is typically allowed in the 3-6 month range.
How do I transition from walking boot to shoe?
Day 1 – Wear a good running shoe for 1-2 hours then return to your CAM Boot for the rest of the day. 2. Day 2 – Wear the shoe for 2-3 hours then return to your CAM Boot for the rest of the day.
What is a Trimalleolar equivalent fracture?
A trimalleolar fracture occurs when the three malleoli bones that make up the ankle break at the same time. The malleoli are specific parts of the tibia and fibula that form the ankle.
How common is a lateral malleolus fracture?
Conclusion: This study shows an incidence of 168.7/100,000/year spanning a decade. The most common fracture type in all age groups was a fracture of the lateral malleolus representing 55% of all fractures. The predominant mode of injury was falls (61%) followed by sports (22%).
Does a fractured ankle need a cast?
A broken bone must be immobilized so that it can heal. In most cases, this requires a special boot or a cast.
How soon can I walk after ankle fracture?
It takes around six to 10 weeks to recover from a broken ankle. During this time, you will probably need to wear a cast or boot. Most people are able to walk normally again and resume their daily activities by around three months.
What is the fastest way to heal a broken ankle?
Rest: Rest is key. Staying off your injury will help you heal faster. You will likely wear a cast to help keep the foot and ankle immobilized. Ice: Ice the area for 20 minutes at a time to help with swelling and inflammation.
What to expect after walking boot comes off?
After weeks of wearing a cast, your foot is likely to feel a little strange when it comes off. Apart from looking a bit pale and wrinkled, your foot may also be swollen and a bit stiff. But once the cast is off, your foot will feel lighter and easier to manoeuvre.
When can I start walking after ankle fracture?
Most of the time, this will be at least 6 to 10 weeks. Putting weight on your ankle too soon may mean the bones do not heal properly. You may need to have your duties at work changed if your job requires walking, standing, or climbing stairs. At a certain point, you will be switched to a weight-bearing cast or splint.
What is the most serious ankle break?
Trimalleolar Fractures
These are the most severe of ankle fractures and have a poor prognosis. With these fractures, the back of the tibia / shinbone is also broken off. As with bimalleolar ankle fractures, they are the result of an extremely high-energy impact.
How long do you wear a boot with a fractured ankle?
How long do you have to wear a boot for a broken ankle? You’ll probably wear a cast or walking boot for around six to10 weeks after an ankle break or fracture. After this, you’ll probably continue to wear a boot for another few weeks to support your ankle as you start to weight your injured ankle again.
Can you wear a boot for a fractured ankle?
Such fractures can be treated simply with a period of immobilization. Once the initial swelling improves over the first several days, either a cast or a fracture boot can be applied to the ankle to properly protect and immobilize it. Both a cast and a boot can provide adequate protection to the ankle.