Understanding Ankle Fractures
Your ankle is a tight-knit team of bones (tibia, fibula, talus) and ligaments. A fracture happens when one or more bones crack or break—often from slips, sports injuries, or accidents.
Common fracture patterns
Lateral malleolus (outer ankle)
Medial malleolus (inner ankle)
Bimalleolar / Trimalleolar (two or three breaks—usually less stable)
When Is Surgery Recommended?
Surgery (often called ORIF – Open Reduction and Internal Fixation) is typically advised if: Bones are displaced (not lined up), The ankle joint is unstable, Multiple bones are fractured, Ligaments are torn badly along with the fracture. Stable, non-displaced fractures may heal well with a cast or boot—no surgery needed.
What Happens During Ankle Fracture Surgery?
Here’s the play-by-play:
1. Anaesthesia – You’ll be asleep or numb from the waist down.
2. Realignment – The surgeon puts the bones back where they belong.
3. Fixation – Plates, screws, or pins hold everything steady.
4. Closure – The incision is closed and the ankle is splinted.
Surgery usually takes 1–2 hours, and many patients go home the same or next day.
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