Should You Use Ankle Braces After Ankle Fracture Surgery? - Orthopedics

More Info

---

After undergoing surgery for an ankle fracture, the decision to use ankle braces or other supportive devices is crucial for a successful recovery. Given your situation, where you had a closed fracture of the lateral malleolus and have recently had your stitches removed, it is understandable to have questions about the need for additional support as you begin to bear weight on your injured ankle.


Importance of Ankle Braces Post-Surgery
1. Support and Stability: Ankle braces, such as air-cast boots or ankle sleeves, provide essential support to the ankle joint. After surgery, the surrounding tissues, including ligaments and tendons, may still be healing. A brace can help stabilize the ankle, preventing excessive movement that could lead to complications or re-injury.

2. Pain Management: Wearing a brace can help alleviate pain by limiting the range of motion and providing compression, which can reduce swelling. This is particularly important as you start to put weight on your ankle. If you experience pain while walking, a brace can help manage that discomfort.

3. Encouragement of Proper Healing: The use of a brace can promote proper alignment and healing of the fractured bone. It helps ensure that the ankle is not subjected to undue stress during the early stages of recovery, which is critical for optimal healing.

4. Gradual Return to Activity: As you mentioned, your doctor has advised you to start putting weight on your ankle based on your pain tolerance. A brace can provide you with the confidence to gradually increase your activity level without fear of re-injury. It allows you to test your limits safely.


Recommendations for Your Situation
Given that you are pregnant and using a wheelchair or walker, it is wise to be cautious. Here are some recommendations:
- Consult Your Surgeon: Since you have already had a follow-up appointment, it would be beneficial to contact your surgeon's office to discuss the use of a brace. They can provide personalized advice based on your specific surgery and recovery progress.

- Consider a Walking Boot: An air-cast walking boot is often recommended after ankle surgery. It allows for some mobility while providing the necessary support and protection. This type of boot can be adjusted for comfort and can accommodate swelling.

- Use of Crutches or a Walker: While you are transitioning to weight-bearing, continue using crutches or a walker to offload weight from your ankle. This will help you maintain balance and stability as you adjust to walking again.

- Monitor Pain and Swelling: Pay close attention to how your ankle responds as you begin to bear weight. If you experience increased pain or swelling, it may indicate that you need more support or that you are progressing too quickly.

- Physical Therapy: Once your doctor gives you the green light, consider engaging in physical therapy. A physical therapist can guide you through exercises that will strengthen your ankle and improve your range of motion while ensuring that you do not overexert yourself.


Conclusion
In summary, using an ankle brace or supportive device after ankle fracture surgery is generally advisable, especially as you begin to bear weight on your injured ankle. It provides stability, aids in pain management, and promotes proper healing. Always consult with your healthcare provider to tailor the approach to your specific needs, especially considering your pregnancy. Taking these precautions will help ensure a smoother recovery and a return to your regular activities.