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Ankle Fractures

Understanding Ankle Fractures and Surgical Recovery

An ankle fracture is a break in one or more of the bones that make up the ankle joint: the tibia (shinbone), the fibula (outer leg bone), and the talus (the bone your leg sits on). While some minor fractures can be treated with a cast, many require surgery to ensure the bones and joint heals in the correct position.

How Do Ankle Fractures Happen?

Most fractures occur when the ankle is twisted, turned, or rolled beyond its natural range of motion. Common causes include:

  • Falls or trips.
  • Sports injuries involving high-impact or sudden changes in direction.
  • Motor vehicle accidents.

When is Surgery Necessary?

Surgery is usually recommended if the fracture is "displaced," meaning the bone fragments have moved out of alignment. If the bones do not heal in a proper position, it can lead to long-term pain, limitations, instability and early ankle arthritis.

Signs you may need an evaluation for surgery:

  • Obvious deformity or misalignment of the ankle.
  • Inability to bear weight on the leg.
  • Severe swelling and bruising that appears quickly.

Surgical Treatment: ORIF

The most common surgery for an ankle fracture is Open Reduction and Internal Fixation (ORIF).

  • Open Reduction: The surgeon makes an incision to access the bones and manually moves the pieces back into their correct anatomical position.
  • Internal Fixation: To hold the bones in place while they heal, the surgeon attaches specialized plates and screws to the bone(s).

The Recovery Process

Healing a broken bone takes time. Most patients follow a structured recovery timeline:

  • Non-Weight Bearing (Weeks 0-6): You will likely be in a splint or cast and use crutches or a knee scooter. It is vital not to put any weight on the ankle during this phase.
  • Transition to Walking (Weeks 6-10): Once X-rays show the bone is stable and coming together, you may begin "protected weight-bearing" in a walker boot.
  • Physical Therapy: This is a crucial step to regain the range of motion and strength lost during immobilization.

Long-Term Outlook

Patients can expect to return to their normal daily activities and exercises within 3 to 4 months, though it can take up to a year to regain full athletic strength.

Schedule an appointment with Dr Sandhu today to discuss your options!

2120 N. MacArthur Blvd
Irving, TX 75061
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