Closed Fibula Fractures: Care and Recovery Tips - Orthopedics

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Closed fracture of the right fibula at the lateral malleolus?


Hello Doctor, my mother fell on June 26 while walking and went to the emergency room.
The doctor diagnosed her with a closed fracture of the right fibula at the lateral malleolus, with the bone broken less than 5mm.
Surgery is not required, but she needs to wear a cast for 2-3 months, and she cannot put weight on her right foot.
Before leaving the emergency room, the hospital applied a temporary cast, and she will need to use crutches to walk.
Since my mother had a torn fracture of the distal fibula in her left foot six months ago, the previous doctor advised her to wear an inflatable walking boot.
I would like to ask the doctor: (1) Can she wear an inflatable walking boot for the current closed fracture of the right fibula at the lateral malleolus? (2) Should she wear it all day except when cleaning or showering? (3) Are there any other special precautions she should take? (4) How long until her next follow-up appointment?

Ding Ding, 30~39 year old female. Ask Date: 2022/06/28

Dr. Chen Bochen reply Orthopedics


Hello, 1.
If the fracture displacement is not severe, an inflatable cast shoe can be used for protection.
2.
It should be worn as much as possible; it can be temporarily removed for bathing, and can be loosened but not removed while sleeping.
4.
Generally, the first follow-up appointment is about 2 weeks later, or sooner if there is unusual pain.

Reply Date: 2022/06/28

More Info


Understanding closed fibula fractures, particularly in the context of your mother's recent injury, involves recognizing the nature of the fracture, the necessary care, and the recovery process. A closed fibula fracture, specifically a lateral malleolus fracture, means that the fibula bone near the ankle has been fractured without breaking the skin. This type of injury often requires immobilization to allow for proper healing.

1. Can she wear an inflatable walking boot?
Yes, your mother can wear an inflatable walking boot, commonly known as a pneumatic walking boot, as long as her doctor approves it. These boots provide support and stability while allowing for some mobility. They can be particularly beneficial for patients recovering from a fibula fracture, as they help to protect the injured area while allowing for a degree of comfort and adjustability. However, the decision to use a walking boot should be based on her specific condition and the doctor's recommendations.

2. How long should she wear it?
It is generally recommended that your mother wear the inflatable boot throughout the day, except during activities such as bathing or cleaning the area. The boot should be worn as much as possible to ensure that the fracture site remains stable and protected. Consistent use helps prevent further injury and supports the healing process. If she experiences discomfort or has specific concerns, she should consult her healthcare provider for personalized advice.

3. Other considerations?
There are several important factors to keep in mind during her recovery:
- Weight-bearing restrictions: Since her doctor has advised against putting weight on the affected leg, it's crucial that she uses crutches or a walker to avoid any pressure on the injured ankle.

- Monitoring for complications: Watch for signs of complications such as increased swelling, severe pain, or changes in skin color around the injury. If any of these symptoms occur, she should seek medical attention promptly.

- Physical therapy: Once the initial healing phase is complete, her doctor may recommend physical therapy to help regain strength and mobility in her ankle. This can include exercises to improve range of motion and strengthen the surrounding muscles.

- Follow-up appointments: Regular follow-up appointments with her healthcare provider are essential to monitor the healing process. The doctor will likely perform X-rays to assess the fracture's healing and determine when it's safe to gradually resume normal activities.

4. When should she return for a follow-up?
Typically, follow-up appointments are scheduled every 4 to 6 weeks after the initial injury, but this can vary based on the severity of the fracture and the doctor's assessment. Your mother should adhere to the schedule provided by her healthcare provider and attend all follow-up visits to ensure proper healing.

In summary, managing a closed fibula fracture involves careful adherence to medical advice, including the use of supportive footwear, weight-bearing restrictions, and regular follow-up care. With proper attention and care, your mother can expect a gradual recovery, but it is essential to remain vigilant for any signs of complications and to communicate openly with her healthcare team throughout the process.

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