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The ankle joint is made up of 3 bones: the tibia, fibula, and talus. These bones can become damaged or fractured due to injury caused by motor vehicle accidents, falls, or during certain sports. Certain medical conditions such as osteoporosis can also weaken the bones, making ankle fractures more likely. Ankle fracture fixation can effectively repair multiple fractures or a single bone break.
Ankle fractures can cause severe pain, swelling, and the inability to rotate and move the joint. A minor fracture can often heal on its own without causing too much discomfort. However, major fractures or several fractured bones in the ankle can cause severe pain and will require ankle fracture fixation surgery. A major fracture can also cause the bones to move out of place, which will also be addressed during this procedure.
If the bone has fractured to the point that it is sticking out of the skin, open reduction surgery may also be required to move the bones back to its normal position. Otherwise, closed reduction will be done to move the bones back into its correct place without exposing the bone.
You will not feel any pain during the procedure as you will be placed under general anaesthesia. It can take approximately 2-3 hours, depending on the severity of the injury and how many bones have been fractured.
Ankle fracture fixation can be used to treat the following conditions:
You can also expect to attend physiotherapy sessions and follow-up appointments with your orthopaedist for the first few weeks or months to regain flexibility and strength in your ankle. The exact results of the surgery will also depend on how severe the injury was and how many bones were broken.
Results will vary from person to person, depending on the treatment area, severity of the issue, and your overall health. Your orthopaedist can give you a better idea of what to expect based on your individual needs and circumstances.
Ankle fracture fixation procedures are usually done in a single procedure. However, you will likely be required to attend physiotherapy sessions afterwards. The exact duration depends on the complexity of your injury, medical history, and age.
Dr Puah KL is our Senior Consultant Orthopaedic Surgeon at Artisan Sports & Orthopaedic Surgery. He used to serve the sports service of Singapore General Hospital - the highest volume trauma centre for orthopaedics in Singapore.