#BIMALLEOLAR ANKLE FRACTURE SURGERY FULL#
The therapist can educate the patient on ways to transition from non-weight bearing to full weight bearing and answer any questions about the different sensations that will occur when the foot is placed on the ground for the first time following surgery. While patients are usually hesitant to put weight on the involved leg, a physical therapist can help with the transition. Normally, the patient is approved to transition to full weight bearing the end of the 3 rd or 4 th month. The atrophy is almost inevitable and will be one of the main reasons that the total time for rehabilitation following this type of fracture can last longer than one year! The patient can perform limited core, hip and knee exercises in an attempt to prevent excessive atrophy due to the non-weight bearing status. The initial treatment is geared towards reducing swelling and pain and restoring the passive motion of any body part that is not in a cast. Most surgeons wait 2-4 weeks to start a formal physical therapy routine (but it begin immediately). Physical Therapy for Bimalleolar and Trimalleolar Fractures It can also increase the risk of infection and delay healing after surgery. Severe swelling makes the surgery more difficult to perform. Surgery is frequently delayed days or weeks if there is too much swelling. This swelling can be serious, and may even cause blisters (called fracture blisters) to form on the skin. Any misalignment of the bones could predispose the patient to an early onset of osteoarthritis in the joints of the ankle/foot complex.īimalleolar and Trimalleolar Fractures can be accompanied by significant swelling throughout the ankle/foot complex. The repaired ankle will be incapable of bearing any weight for a long period of time and doing so could shift the placement of the repaired bones. Following surgery the patient will be completely non-weight bearing for a period of 2-3 months. It involves re-positioning the bones to their normal anatomical alignment and holding them in place with screws and plates. Surgery is required to “fix” these fracture sites. The ankle should be stabilized, and the person should be transported to the emergency room.
The treatment for a bi or trimalleolar fracture begins immediately.
Treating Bimalleolar and Trimalleolar Fractures If two of these are involved in a fractured ankle, then it is labeled a bimalleolar fracture and if all three are involved then the diagnosis becomes a trimalleolar fracture. The Tibia has the medial and posterior malleoli and the fibula has the lateral malleoli. There are two very noticeable malleoli and a third that is not recognizable without the use of an x-ray. This is an area that acts as an anchoring location for the ligaments that are the static stabilizing structures of the ankle/foot complex. These bony projections are used by tendons to create a pulley effect, enabling them to generate the greater force required to move and control the ankle/foot complex. On the distal end of the Tibia and Fibula a “lump” of bone develops into a malleolus or malleoli (singular). The Difference Between Bimalleolar and Trimalleolar Fractures
A formal physical therapy program over long period of time is vital to recovery. A bi or trimalleolar fracture is extremely severe and will incapacitate a person for an extended period of time. The type and severity of fracture will determine both treatment and length of recovery. While high impact sports accidents can cause ankle fractures, so can simple falls. Fracturing any bone can be painful and take time for recovery, but fracturing an ankle is particularly challenging.
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