Recovery Timeline After Ankle Dislocation Surgery: What to Expect - Orthopedics

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Ankle bone dislocation?


A few days ago, I dislocated my ankle due to a motorcycle accident.
Following the doctor's advice, I underwent surgery and had two metal screws inserted.
How long will it take before I can walk without crutches? Is it the same as a comminuted fracture, which requires six months before not needing crutches? Thank you.

Xiao Yu, 20~29 year old female. Ask Date: 2016/01/19

Dr. Shi Guozheng reply Orthopedics


First, it is important to clarify which side of the ankle bone is fractured.
The inner side of the ankle is called the medial malleolus, while the outer side is the distal end of the fibula, referred to as the lateral malleolus.
When you mention displacement, are you referring to a displaced fracture? If so, after surgery, it typically takes about three months for healing, at which point crutches may no longer be necessary.
Sometimes, it can be as early as six weeks to two months.

Reply Date: 2016/01/19

More Info


Recovering from ankle dislocation surgery can be a challenging process, and understanding the timeline and what to expect can help ease your concerns. After your surgery, where two screws were placed to stabilize the bones, the recovery timeline can vary based on several factors, including the severity of the dislocation, the specific surgical technique used, and your overall health and adherence to rehabilitation protocols.


Initial Recovery Phase (0-2 Weeks Post-Surgery)
In the first two weeks following your surgery, your ankle will likely be immobilized in a cast or a splint to allow for initial healing. During this time, it is crucial to keep your foot elevated to reduce swelling and pain. You will be advised to use crutches to avoid putting weight on the affected ankle. It is essential to follow your doctor's instructions regarding weight-bearing activities, as putting weight on the ankle too soon can lead to complications.


Early Rehabilitation Phase (2-6 Weeks Post-Surgery)
After about two weeks, you may have a follow-up appointment where your doctor will assess the healing process. If everything looks good, they may allow you to start partial weight-bearing activities, often with the aid of crutches or a walking boot. This phase is critical for regaining mobility and strength in the ankle. Physical therapy may begin during this time, focusing on gentle range-of-motion exercises to prevent stiffness.


Intermediate Recovery Phase (6-12 Weeks Post-Surgery)
By six weeks post-surgery, many patients can transition to full weight-bearing activities, depending on their healing progress. You may be able to start walking without crutches, but this will depend on your comfort level and your doctor's recommendations. Physical therapy will become more intensive, focusing on strengthening exercises and balance training to prepare you for returning to normal activities.


Advanced Recovery Phase (3-6 Months Post-Surgery)
Around three months after surgery, most patients can walk without crutches and may begin to engage in low-impact activities. However, high-impact sports or activities that put significant stress on the ankle may still be restricted. Your physical therapist will guide you through exercises that help improve strength, flexibility, and stability in the ankle.


Full Recovery (6 Months and Beyond)
Full recovery from ankle dislocation surgery can take anywhere from three to six months, depending on the complexity of the injury and your adherence to rehabilitation. By this time, many patients can return to their normal activities, including sports, but it is essential to listen to your body and not rush the process. Some individuals may experience lingering stiffness or discomfort, which can be managed with continued physical therapy and exercises.


Conclusion
In summary, while the recovery timeline can vary, you can generally expect to start walking without crutches within six to twelve weeks post-surgery, depending on your healing progress. It is crucial to follow your surgeon's advice and engage in physical therapy to ensure a successful recovery. If you have any concerns about your recovery or experience unusual pain or swelling, do not hesitate to contact your healthcare provider for guidance. Remember, patience and adherence to your rehabilitation plan are key to a successful recovery.

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