Post-Surgery Care for Ankle Ligament and Bone Injuries - Orthopedics

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Fracture of the bone above the left ankle joint with ligament tear?


Hello, doctor! I would like to ask you about my condition.
I have a sports injury that caused the bone above the joint on the outer side of my left foot to separate, along with a ligament tear.
After observing for six weeks, the doctor decided to perform a screw fixation surgery.
The surgery was completed on April 17th at around 5 PM.
Three days later, the pain was not as severe.
However, I have noticed some movement in my left foot and have stepped on the ground.
Could this movement or weight-bearing cause the screws that were just inserted to shift or come loose?

Liu Xiaojie, 10~19 year old female. Ask Date: 2022/05/23

Dr. Chen Bochen reply Orthopedics


Hello, generally after this surgery, you should avoid putting weight on the foot for 4-6 weeks.
However, occasionally putting weight on it once or twice should not cause it to loosen, but it is best to avoid doing so as much as possible.

Reply Date: 2022/05/23

More Info


Post-surgery care for ankle ligament and bone injuries is crucial for a successful recovery. After undergoing surgery to repair a torn ligament and stabilize a bone fracture, such as the one you described, there are several important considerations to keep in mind.

First and foremost, it’s essential to follow your surgeon's post-operative instructions closely. These instructions typically include guidelines on weight-bearing, mobility, and pain management. In your case, since you had surgery on April 17 and are experiencing some discomfort but have noticed a reduction in pain after three days, it’s a positive sign that your body is beginning to heal. However, it’s crucial to be cautious about any movements that could jeopardize the surgical repair.

Regarding your concern about the screws that were placed during surgery, it’s important to understand that these screws are designed to stabilize the bone and provide support as it heals. While it’s normal to have some movement in the ankle as you begin to regain mobility, excessive movement or weight-bearing too soon can indeed pose a risk. If you are feeling significant instability or if you are putting weight on the foot before being cleared to do so by your doctor, there is a possibility that the screws could shift or become loose. This could lead to complications such as delayed healing or the need for additional surgery.

To minimize the risk of complications, here are some general recommendations for post-surgery care:
1. Rest and Elevation: Keep your foot elevated as much as possible to reduce swelling. Rest is crucial in the early stages of recovery.

2. Ice Therapy: Applying ice to the affected area can help manage swelling and pain. Use ice packs for 15-20 minutes at a time, several times a day.

3. Follow Weight-Bearing Guidelines: Adhere strictly to your surgeon's recommendations regarding weight-bearing. If you have been advised to avoid putting weight on the foot, use crutches or a walker until you receive clearance.

4. Physical Therapy: Once your doctor gives the go-ahead, engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that promote healing and restore strength and flexibility to your ankle.

5. Monitor for Complications: Keep an eye out for signs of complications, such as increased swelling, redness, warmth, or discharge from the surgical site. If you experience severe pain or instability, contact your healthcare provider immediately.

6. Pain Management: Take prescribed pain medications as directed. If you have concerns about pain management or if the pain worsens, consult your doctor.

7. Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. These visits are essential for monitoring your recovery and making any necessary adjustments to your treatment plan.

In summary, while it’s encouraging that your pain has decreased, it’s vital to be cautious with your movements. Avoid any activities that could jeopardize the stability of the screws or the healing process. If you have any doubts or experience unusual symptoms, don’t hesitate to reach out to your healthcare provider for guidance. Your recovery is a process, and taking the right steps now will help ensure a successful outcome in the long run.

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