The severity of a broken ankle can range from a break in one bone, which may not stop patients from walking to breaks in many bones that force the ankle out of place. In certain cases, ligaments are also damaged when an ankle is fractured, which contributes to the lack of stability.
Ankle ORIF (ankle fracture open reduction and internal fixation) is a kind of surgery used to stabilize and heal a fractured bone in the ankle. It is performed on one or more of the 3 bones that make up the ankle joint:
- Tibia (shinbone)
- Talus (a bone in the foot)
- Fibula (smaller leg bone)
Ankle ORIF is typically not a first-line treatment choice for fractured ankles. For less severe fractures, health providers will likely recommend more conservative treatments, like over-the counter pain medicines, braces, or casts and physical therapy. In some cases, and orthopedic surgeon may try to reposition the fractured bone using manual manipulation through the skin, followed by total immobilization of the ankle in a plaster cast for some weeks. This all can be done with the help of orthopedic implants.
An ankle fracture is considered serious if the ankle becomes totally unstable because of the injury. Patients may be good applicants for ankle ORIF if:
- The ankle bones are significantly misaligned
- The bones have broken into multiple parts
- The broken bones have punctured the skin
During an open reduction surgery, an orthopedic surgeon repositions the broken bones back into place to help the healing procedure. The surgeon may require making many incisions to reach the bones that need repairing. Internal fixation refers to the method of reconnecting the bones, which could involve rods, screws, plates, wires or nails. Patients are given general anesthesia to sedate them during the whole surgery.
What to Expect After Ankle ORIF
Following ankle ORIF surgery, patients may require several months to totally heal, and they should not accept any weight until the cast is removed. The typical follow-up as well as recovery schedule following ankle ORIF is as follows:
10 days to 2 weeks– The stitches are removed, and the ankle is positioned in a short leg cast. The ankle remains immobilized and can’t bear any weight.
2 weeks– Return to the orthopedic surgeon for a checkup, which may include a new cast and X-rays, if require.
8 weeks post-operation– The cast is removed, and patients typically receive a removable air cast or brace that can be placed inside the shoe. Patients are usually able to accept weight on the ankle at this point, but a cane or crutches might still be used if they are experiencing pain.
Throughout the period of recovery, patients should perform daily range of motion exercises and visit their physical therapist for the prescribed degree of treatment. Good ankle exercises to restore mobility and strength include:
- Ankle rolls
- Ankle flexion/extension
- Resisted ankle flexion/extension
Patients who require their orthopedic surgeon’s advice on and their physical therapy team have the best chances for a speedy and full recovery, and they should consult with their surgeon prior starting any exercise regimen.
Siora Surgical well known and establish trauma implants manufacturers in India. The company produce different rage of product such as Small Fragment Locking Implants, Hip Prosthesis, Interlocking Nails, Bone Screws, Locking Plates, Trauma Bone Plates, AFN Nailing System, Cannulated Screws.