Doctor insights on:
How Long Does It Take For A Trimalleolar Fracture Without Surgery To Heal
6-8 weeks: Bone in a healthy person normally takes 6-8 weeks to heel. Having said that, trimalleolar fractures have the potential of being very debilitating. Along with the broken bones, you probably damaged the soft tissue between the 2 leg bones called the syndesmosis. Soft tissue can take up to 3 months to heel. Given the possible instability of this injury, surgery is sometimes the best option. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
How long (roughly) does the pain last after orif ankle surgery (trimalleolar fracture)? A few weeks?
Weeks: The initial pain should improve within a few weeks but soreness and swelling may be present for several months. Keep pressure off of your foot/ankle and elevate when possible. Ice is usually helpful. ...Read more
I had trimalleolar fracture 10weeks ago and I now 2weeks ago my fibula moved for 3cm, 1doctor said that I need surgery, other said to wait. What to do?
3 cm???: 3 cm is a lot of displacement... 3 mm could wait, but 3 cm would be better if fixed. ...Read more
What are the pros and cons for getting the hardware removed from a trimalleolar fracture with dislocation surgery?
Need Orthopedist: Trimalleolar fracture is fx of medial and lateral bone sticking out at both side of ankle and piece of calcaneus (heel) bone. Once the bones completely heal, one can elect to leave the hardware in for years, or remove it. If one has an experienced orthopedist that set the fractures, or hardware causing pain, remove it. Can get second opinion, but that ortho will likely refer back to do it. ...Read more
Good: This depends on a lot of factors including how large the posterior fragment is and if it was reduced, how the syndesmosis is fixated, and if there is any other additional injuries other than the bone like an osteochondral fracture. ...Read more
ORIF: Open reduction internal fixation which means making incisions, putting the bones back in the proper position and holding the bones in the proper position with metal plates and screws. ...Read more
Most likely not: Unless you have problem in knee before or during the injury which the fracture. ...Read more
I had a trimalleolar fracture of my ankle 5 years ago that healed without surgery. I have always had pain, but recently its gotten much worse. Why?
Would surgery be required for a mildly displaced trimalleolar fracture? And what is the typical recovery time to walk and then return to sport use?
Surgery likely: Most trimalleolar fractures are unstable, meaning they involve significant ligament injury & the bones will not heal in the correct position without surgery. Make sure you are following up with an ortho surgeon skilled in the management of these fractures. Total recovery time 6-12 months. If I can be of help, then join my care team and virtual practice at www. Healthtap. Com/dr-ClarkeHolmes ...Read more
Doctor, Recovering from a trimalleolar fracture (Surgery- Aug 9) 2 weeks into PT. What you would expect a good ROM now? 2 months? 6 months?
A gradual increase-: -@ each milestone U mentioned. U most likely will not have normal ROM, but with hard work & this means @ home also with an HEP. B sure U get 1 from Ur PT. This also depends on the severity of the Fx, as well as the stability of the fixation & alignment. ...Read more
Many months: Even after the fracture is healed and you are able to walk, your skin, tendons, muscles and ligaments continue the healing process for up to a year. It is not unusual for your ankle to stay swollen for a number of months after the surgery. The bones themselves should be healed within 6-8 weeks, on average. ...Read more
Depends: This depends on several factors, including the severity of the fracture, whether it was open, whether surgery was done and if so, the type of surgery, and also associated medical conditions such as diabetes or smoking. A healthy patient should be well on the way to healing within 6 - 8 weeks, however the subsequent rehab which is required can take 1 - 3 months. ...Read more
What therapy is involved with recovery of a trimalleolar fracture with dislocation surgery? Am I going to be able to ride my horse again?
Ankle and horses: It would be presumptuous and rash of me to tell you that absolutely you will ride again. However I strongly suspect you will. Physical therapy will involve regaining range of motion in your ankle and foot and also strengthening of that entire leg. You may actually find initially that riding will be easier than walking. Please let the fracture heal first though. Good luck ...Read more
Sev break 3 years ago. Eversion trimalleolar fracture ligaments torn. Usually just deal with pain but recently incr. Should see dr or is this normal?
See ORS: May sound odd to you but 3 years after bimalleolar or trimallelar ankle orif some patients may complain of occassional stiffness and weather - related 'soreness ' but persistent pain is not normal. See your ors and see if you have: developed any arthritis;have painful hardware, etc. Best of luck! ...Read more
Some arthritis in: Ankle joint trumatic in type, some sewelling also in both side of the anklejoint. ...Read more
Ankle joint fracture: A trimalleolar fracture means that the 3 corners (maleolli) that make up your ankle joint (tibia and fibula) are involved with the break. It usually results from high energy injuries and because the multiple parts are broken, the joint is unstable and typically requires surgery to restore the articular surface and stability of the ankle. ...Read more
Trimal fracture: A trimaleollar fracture is when you fracture you're fibula and you fracture the tibia in two parts. Along the back of the ankle as well as along the inside part of your ankle. Depending on severity might need to be surgically repaired. ...Read more
Very: This one is among the severest of fractures; and the 'hardware' is placed to stabilize the joint so it can help the joint heal. ...Read more
It will help to: Position of the bone correctly so it will heal correctly. ...Read more
It was a trimalleolar fracture. Before I go see my doctor and waste his time is this normal, what to expect?
See below: I am not sure what your question is ...Read more
I had trimalleolar ankle fracture and am now walking in an aircast, but the pain is quite bad. Do I need pt? My dr. Said I did not, but I think I do.
I feel a screw protruding slightly from the bottom of a plate inserted to repair a trimalleolar fracture. Is it possible to have that one screw removed or must all the hardware come out?
Sometimes: It could just be the one screw removed but it would all depend on the plate configuration. See your orthopedist. ...Read more
I suffered a trimalleolar fracture in April I had hardware put in, screws broke and the doctor says it will be fine but I have a lot of pain and swell?
Second Opinion.: The surgery was 5 months ago. A lot of pain and swelling means that something could be amiss. At this point in time some swelling is acceptable and consistent with appropriate healing, but pain should not be to an exaggerated level. It could be the time for a second opinion. ...Read more
4 month S/P ORIF Trimalleolar fracture of ankle. I have moderate swelling and sharp pain in location of 2 screws. Do the screw need to be removed?
Painful hardware: Any time there is foreign material, including well intentioned screws used to repair fractures, and the hardware is symptomatic, that hardware should be considered for removal. Metals serve no purpose once bones have healed. This is assuming that bony healing has actually occurred, which is not always the case. See your orthopedic surgeon for his recommendations. ...Read more
I had a trimalleolar ankle fracture and am 6 weeks post operation. Will I be able to walk normally after some time or will I limp?
A little hard work: With surgical repair of a trimalleilar fracture you should be able to walk without a limp within 3-4 months. Full recover is reached faster with physical therapy. The faster you can regain full range of motion and rebuild strength the faster you'll get there. Good luck with your rehab. ...Read more
I have a trimalleolar fracture and it has been fixed with ORIF. I'm having pain inside my cast at the ankle. At 4wks post op my cast is quite loose. N?
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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