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Bimalleolar fracture treatment3/2/2024 ![]() Progress to the Surrey Stages to Strengthen Ankle Start to work on strengthening when swelling improves and range of motion is near normal You must use the aircast boot to stand and walk You may need to wear a DVT stocking to help keep your swelling under control Please remember that the more time spent standing or walking, the more swollen your ankle and foot will be and the worse your healing will be. Instructions once into a removable splint:Ĭontinue to elevate leg to level of heart Unless you are already on a blood thinner (for a medical condition) you will be given blood thinners. Please remember that the more time spent standing or walking, the more swollen your ankle and foot will be and the worse your healing will beįollow the weight bearing instructions you are given If you are going back to work on light duties, you must also consider how you will travel to work, If you work on your feet all day, do a manual job, or are required to wear dress shoes you may need 8-10 weeks before you are back at work. If your employer can be flexible with your activity at work you may be able to do some lighter duties or reduced hours from 2-3 weeks onward. Many people are able to work from home and so if your injury is more significant and you can avoid commuting for a period, you will find that your foot and ankle does better. If the fracture was less significant and you are able to walk on the injured foot and ankle you may find you can go back to work quite soon. If the fracture was fairly significant you may require a period of rest and the first two weeks of healing are critical for reducing swelling and so you may need to have this time off work. The time you require off from work depends on what type of job you do and also how minor your injury was. The symptoms of a pulmonary embolism are breathless & chest pain- Call 911 If the blood clot were to move to the lungs you would have a pulmonary embolism which is a medical emergency If you were to have any of the above symptoms you would have to have a scan to look for a blood clot and then be treated with blood thinners The leg (above the dressing/foot) would become hard, heavy, swollen, painful and/or red If you were to develop a DVT you would likely have some symptoms and so it is very helpful if know what to look for: You will be given blood thinners for the first two weeks when you at your least active if you are immobilised in a plaster. Finally elevating your leg to the level of your heart will minimise the amount of swelling you have which will also help to prevent a DVT. Keeping yourself hydrated is also helpful to prevent a DVT. You can help prevent a blood clot by keeping your knee moving. A blood clot occurs after breaking the ankle and foot because the foot is painful and patients find moving the leg difficult and also because patients are placed into plaster or a splint. Normally the implant is a metal plate and screws but many other implants are becoming available.Ī DVT is a Deep Vein Thrombosis or a blood clot in the leg. Internal fixation means the surgeon will then hold the bones back together while they heal with an implant. Reduction means the surgeon will align the bones back together (as perfectly as possible). ![]() Open means a surgical incision so the surgeon can access the broken bone. ORIF stands for Open Reduction Internal Fixation. Most unstable injuries to the bones of the foot and ankle require surgery. If the broken bones can be held in the right position you may have the option of being treated in plaster but you will also need to be on crutches not putting any weight through the leg until the bones heal. If you have an unstable injury it is much more likely than you will need surgery and you must prepare yourself for a longer recovery. Stable injuries often need time in a splint or even plaster, crutches, and physiotherapy. If you have had a stable injury this means that the injury should heal with the structures in your foot being able to function again. Broken bones in the foot and ankle can range in severity from very mild to a severe disruption and fracture.
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