A 31-year-old member asked:
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why do i need metal screws for a broken ankle bimaleolar fracture?

2 doctor answers
Dr. Arnold Beresh
40 years experience Podiatry
Healing: They are used to hold the bones together to achieve healing.
Answered on Feb 17, 2013
1
1 thank
Dr. Eric Bluman
22 years experience Orthopedic Foot and Ankle Surgery
Dr Beresh is correct: The reason hardware is used is these fractures are unstable. When both malleoli are fractured the ankle stability needs to be reestablished surgically. It can be hard to maintain the bones in the correct alignment with a cast alone. When it is possible it requires that you remain in the cast for an extended period and this can result in joint stiffness.
Answered on Nov 22, 2012

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A 24-year-old female asked:
Dr. Ernest Isaacson
20 years experience Podiatry
Walking: Bones should be healed by now. As long as the x-ray looks good and pain is minimal it is likely time to start a physical therapy regimen and walking.
3
3 thanks
A member asked:
Dr. Kristine Nemes
17 years experience Podiatry
Do not cause crush: While screws and plates do not cause a crush injury in the same area, they certainly do weaken the bone where they are. The plate takes some of the l ... Read More
1
1 thank
A female asked:
Dr. Thomas Deberardino
31 years experience Orthopedic Surgery
Keep in 9-12 months: Generally speaking hardware does not routinely need to be removed. BUT, when it remains significantly symptomatic and with proof of solid fracture hea ... Read More
1
1 thank
A 18-year-old female asked:
Dr. Christopher Ferguson
18 years experience Orthopedic Surgery
Hardware removal: Orthopedic plates and screws are removed for a number of reasons. Infection, loose hardware, and pain are common reasons for hardware removal.

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