Treatment and Recovery for Left Ankle Fractures - Orthopedics

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Fracture of the left medial malleolus?


Hello, I fractured my left ankle on April 12.
The X-ray taken on May 2 can be found at https://lurl.cc/WYawY and the X-ray taken on May 18 is at https://lurl.cc/mpXbR1.
I have a few questions:
1.
Can I undergo conservative treatment? There is some displacement.
2.
Will I be able to walk normally? Does this area have weight-bearing capability?
3.
Can I sleep on my side?
4.
Is there a possibility of developing bone spurs?
5.
How long until I can stop using crutches?
I apologize for the many questions, and I appreciate your answers.

STEVE, 30~39 year old female. Ask Date: 2024/05/24

Dr. Shi Guozheng reply Orthopedics


1.
Conservative treatment may potentially lead to the occurrence of arthritis in the future, but the probability is uncertain.

2.
Normal walking can only resume after healing, as there may be friction on the side.

3.
It is possible.

4.
There is a possibility.

5.
It is best to return to the original hospital for a follow-up appointment in three months for the physician to assess, and possibly perform a CT scan for clearer three-dimensional imaging.

Reply Date: 2024/05/24

More Info


Hello! Thank you for your questions regarding your left ankle fracture. Let's address each of your concerns based on the information provided and general medical knowledge about ankle fractures.

1. Conservative Treatment: Whether conservative treatment is appropriate for your ankle fracture largely depends on the degree of displacement and the specific characteristics of the fracture. If the fracture is minimally displaced and stable, conservative treatment, which typically involves immobilization in a cast or boot, may be sufficient. However, if there is significant displacement or instability, surgical intervention might be necessary to realign the bones properly. It’s essential to follow up with your orthopedic surgeon to evaluate the X-rays and determine the best course of action.

2. Walking and Weight Bearing: After an ankle fracture, the ability to walk and bear weight on the affected limb depends on the type and severity of the fracture. Generally, if the fracture is stable and the doctor allows it, you may begin partial weight-bearing as soon as you can tolerate it, often with the aid of crutches or a walker. Full weight-bearing typically occurs after the fracture has healed sufficiently, which can take several weeks to months. Your doctor will provide guidance on when you can start walking normally based on your healing progress.

3. Sleeping Position: Side sleeping can be challenging after an ankle fracture, especially if the affected ankle is still swollen or painful. It’s usually recommended to sleep with the injured leg elevated to reduce swelling. If you prefer to sleep on your side, consider using pillows to support the injured ankle and keep it in a comfortable position. Always consult your doctor for personalized advice based on your recovery stage.

4. Bone Spurs: The development of bone spurs (osteophytes) can occur after a fracture due to the body’s natural healing process, especially if there is joint instability or if the fracture involves the joint surface. However, not all fractures lead to bone spurs, and many people heal without developing them. Regular follow-up with your healthcare provider can help monitor for any complications.

5. Using Crutches: The timeline for discontinuing crutches varies significantly among individuals and depends on the fracture's healing process. Typically, patients may start to transition off crutches within 6 to 12 weeks, but this can vary based on the fracture's severity, your overall health, and adherence to rehabilitation exercises. Your orthopedic surgeon will assess your healing progress and provide specific recommendations on when it’s safe to stop using crutches.

In summary, your recovery from an ankle fracture involves careful monitoring and adherence to your doctor's recommendations. Regular follow-ups, imaging studies, and possibly physical therapy will be crucial in ensuring a successful recovery. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice. Wishing you a smooth and speedy recovery!

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