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Doctor insights on: Oblique Fracture Of The Distal Fibula

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ORIF or not? X-ray: oblique fracture in distal fibula to outer corner of mortise joint w less than 3 mm displacement no effusion mortise seems intact

ORIF or not? X-ray: oblique fracture in distal fibula to outer corner of mortise joint w less than 3 mm displacement no effusion mortise seems intact

Depends: If it is really an isolated fibula fracture, they usually do not need surgery. Sometimes, however, the fibula fracture will be associated wth a complete tear of the deltoid ligament on the inside of the ankle. In that case, the talus will sometimes start to drift laterally and surgery is required to prevent post traumatic arthritis and instability in the ankle. Follow up with orthopedic surgeon ...Read more

Dr. Oscar Novick
792 Doctors shared insights

Fracture (Definition)

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


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I found out yesterday that I have an oblique fracture of the 4th toe. I am elevating and icing it. How long should I expect this intensity of pain?

I found out yesterday that I have an oblique fracture of the 4th toe. I am elevating and icing it. How long should I expect this intensity of pain?

Depends on your body: Bone takes approximately 6-8 weeks to heal in the average healthy individual. But as mentioned in other responses, the worst of the pain should subside before then. Rest, ice, proper compression and elevation should all help reduce your pain level. I would recommend speaking to your healthcare provider regarding anti-inflammatory or pain medication if the pain is severe. ...Read more

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I have a displaced oblique fracture at the base of my little toe. It can't be strapped and I have difficulty and pain when walking. Would crutches h?

I have a displaced oblique fracture at the base of my little toe. It can't be strapped and I have difficulty and pain when walking. Would crutches h?

Crutches: Would help a good deal but you must KNOW HOW to use them. Improperly used they can be unsafe or aggravate the issue.
In most Pharmacies there will be proper training if you ask for it.......

Hope this is helpful
Dr Z ...Read more

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I have an oblique fracture of my right ankle. How do I go about taking care of my left foot? I am in crutches until I get a cast.

I have an oblique fracture of my right ankle. How do I go about taking care of my left foot? I am in crutches until I get a cast.

Fracture: As the left foot will do your weight bearing make sure you wear a good shoe with a non slip sole and exercise reasonable care. Trying to hurry with crutches is a big no no - give yourself extra time to get somewhere. Good luck. ...Read more

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Was on cast nov 17, until dec 17 for a oblique fracture on tibia. Started running a month ago and my ankle still hurts as of this day. No therapy was required. After running for 15 minutes it hurts.

Was on cast nov 17, until dec 17 for a oblique fracture on tibia. Started running a month ago and my ankle still hurts as of this day. No therapy was required. After running for 15 minutes it hurts.

See your surgeon: Again best option is to see your treating orthopedist... Your fracture undoubtedly healed but during casting and 'boot' or cam walker use your ankle was immobilized. You may be having pain because of ankle stiffness or because you began running too quickly or aggressively on bone that is not ready for it (disuse osteopenia can develop even in young adults after tibia fractures). See your ors. Gl! ...Read more

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Does distal fibula fracture have good blood supply?

Does distal fibula fracture have good blood supply?

Distal fibula: Yes. Generally the distal fibula has a good blood supply and heals reliably well. Metabolic problems and lack of immobilization can lead to non-union of a distal fibula fracture. ...Read more

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Distal fibula fracture - is it possible to have an amputation?

Distal fibula fracture - is it possible to have an amputation?

Not usually: The fibula is the smaller bone in the lower leg. Fractures may require casting or surgery. There would have to be other injuries to result in the need for such a drastic procedure. ...Read more

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Distal fibula fracture - is it recommended to have an amputation?

Distal fibula fracture - is it recommended to have an amputation?

Nope.: Distal fibula and lateral ankle fractures usually repond well to immobilization and time. Displaced fractures may require open reduction and fixation. If there is an associated loss of soft tissue coverage, nerve damage with loss of sensation or complications with the circulation or infection, then an amputation may need to be considered. ...Read more

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Is it possible to have any amputation for distal fibula fracture?

Is it possible to have any amputation for distal fibula fracture?

Very unlikely: A fibula fracture would not warrant an amputation unless you have some reason that the surgical wound fails to heal and it gets a very bad infection. If you're diabetic or have very bad vascular disease, this may lead to a delayed amputation, but this is very unlikely. ...Read more

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How long does pain from a distal fibula fracture last?

How long does pain from a distal fibula fracture last?

Depends: Healing typically takes 6-8 weeks, but some pain may persist for longer or permanently. ...Read more

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What does "minimally displaced distal fibula fracture Weber B" mean?

It tells a lot: It means the outside of the ankle bone (fibula) is broken at the level of the ankle joint, and can extend outward and sometimes upward. The other side of the ankle can sometimes be sprained or have a fracture. The Danis Weber classifications help guide treatment. Type A fractures might do well with a cast or walking boot. Type B fractures might nonweightbearing or surgery. Type C needs surgery. ...Read more

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Recovery time and precautions following distal fibula fracture and orif.?

Recovery time and precautions following distal fibula fracture and orif.?

Depends: On the fracture type, how well the surgery went, what the doc saw intraoperatively....Hence, all these questions should be discussed with your surgeon. ...Read more

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I have a distal fibula fracture non displaced and I was wondering how long I would be in a cast and what is the recovery time?

I have a distal fibula fracture non displaced and I was wondering how long I would be in a cast and what is the recovery time?

I always wonder: Whyi when you are put in the cast that is not discussed? Bone takes approx 6-8 weeks to heal. Xrays and clinical findings are taken into account so it does not mean you are in the cast the entire time. ...Read more

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How uncommon is a delayed union of a non displaced distal fibula webr b fracture approx how many in 1000 people would have delayed union?

Delayed union: Hard to predict unless you are a smoker or other health factors involved. How was fra true treated? In cast? Non weight bearing? All play a role in healing. ...Read more

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Nondisplaced distal fibula fracture. Been in cast for 2 weeks. New cast tomorrow. Can I take this cast off for tonight to wash?

Don't remove: It is best to not remove the cast put on by the doctor. They can wipe you leg down when they change out you cast. If you truly have a non displaced fibular fracture, you may be eligible for a fracture boot. These can be removed for showers or bathing. Check with your treating provider. ...Read more

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Would it be better if non displaced weber b distal fibula fractures with soft tissue and partial aftl and deltoidligament tears be treated operatively?

Would it be better if non displaced weber b distal fibula fractures with soft tissue and partial aftl and deltoidligament tears be treated operatively?

Depends on stability: Nondisplaced weber b fractures can often be treated nonsurgically. The decision to operate on these depends on the stability of the deltoid ligament. An orthopaedic surgeon can evaluate your xrays and perform a stress xray of your ankle to test for this and help you make decisions regarding surgery. Surgery does not heal the ankle faster, just with the bones in a better position when necessary. ...Read more

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I have oblique distal fracture of the fibula; week 11 and still not healed. My dr bone stimulator at 90 day mark because insurance won't cover before.

I have oblique distal fracture of the fibula; week 11 and still not healed. My dr bone stimulator at 90 day mark because insurance won't cover before.

Surgery discussed?: Unless there is something else significant in your history or you are wanting to avoid surgery at all cost, surgical treatment would be a reliable next step. Typically, a combination of a metal plate and screws is placed to rigidly hold the bone ends (even compress them) together and allow bone healing. The bone movement a cast allows is not made better by a stimulator. ...Read more

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Distal fibula fracture. 5 weeks post. Doctor said fracture line has almost gone according to X-Ray. Does this mean fracture is almost healed?

Distal fibula fracture. 5 weeks post. Doctor said fracture line has almost gone according to X-Ray. Does this mean fracture is almost healed?

Not completely there: But palpating the fracture can help, if there is minimal 2 no pain @ all, I would let someone Ur age go with a neoprene ankle "support ". I call this non-functional bracing. By that I mean it does not actually brace or stabilize the ankle but it sends strong proprioception signals 2 Ur brain. Meaning it makes U subconsciously aware of where Ur ankle is in time & space, & U subconsciously protect I ...Read more

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Childs ankle - accessory ossification affecting the distal fibula but given swelling could be partial evulsion superimposed on accessory? Fracture?

See doctor: Depending on your child's age a pediatric orthopaedic surgeon or orthopaedic foot and ankle specialist would be good options. Without any specific trauma it's unlikely to be a "fracture." it is possible for accessory ossification centers to become symptommatic. ...Read more

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2 months ago I suffered from a distal fibula fracture and a syndesmotic rupture. Why is ankle still painful and has significant swelling?

2 months ago I suffered from a distal fibula fracture and a syndesmotic rupture. Why is ankle still painful and has significant swelling?

Syndesmotic motion: It can easily be 4-6 months before that aspect heals, since movement of ankle or knee cause some motion in it. When the body is injured, its only response for protection is swelling--suggests you need to elevate and ice it more often, reduce use, and seen Orthopedist for recheck and possibly PT referral. ...Read more

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I am a veterinarian with a distal fibula fracture. I have no desire or ability to be off my feet. Is there a reasonable way to stabilize this?

A cam walker: Boot, you can tabe or strap the area first for more stabilization. Keep in mind you did not expressd the full extent or type of injury. I.e displaced, non displaced etc.... ...Read more

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For over 2 months now I have been dealing with an avulsion distal fibula fracture and syndesmotic rupture....why cant I move my ankle up and down?

For over 2 months now I have been dealing with an avulsion distal fibula fracture and syndesmotic rupture....why cant I move my ankle up and down?

Motion limited: If you had surgery to address the syndesmotic injury. There's usually a screw placed across the joint to stop motion and it's removed 3-6 months after correction. If you didn't have surgery then that ligament has scar tissue limiting the motion. ...Read more

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Minimally Distal fibula fracture tybe b ORIF. 5 weeks post op Monday. Back to clinic get cast off. Will it be healed? Feels good no pain no swelling

Minimally Distal fibula fracture tybe b ORIF. 5 weeks post op Monday. Back to clinic get cast off. Will it be healed? Feels good no pain no swelling

Good, progressing: As expected with out complications, only your doctor can tell and decide. Each surgeon has own preferences, approximate healing time for your type of injury 8 to 12 wks. ...Read more

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I suffered an avulsion fracture off the distal tip of the right fibula a week ago. I follow up w ortho in 1 wk...What should I expect to be done?

Aircast brace: These fractures are usually treated like ankle sprains. An aircast brace is a clam shell like brace that provides stability to the ankle and decreases swelling. The brace is used for walking for about 3 weeks. Physical therapy is usually prescribed, and the ankle usually feels much better at about 6weeks, with healing taking about 3months. Overall, not a bad fracture, and patients do very well. ...Read more

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3 days ago I fractured the distal tip of the fibula. I'm having very severe heel pain with ankle pain. Normal? Heel pain is 10/10 and non stop almost

Severe heel pain: Severe heel pain is not typical with ankle fractures unless you also have injured your heel. Go back for another dr to evaluate you as u probably have a fracture in your hind foot ...Read more

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Could vitamin D deficiency cause intermittent pain in an old fracture in the distal fibula? Resuming vitamin D therapy seems to help after a week or 2

Could vitamin D deficiency cause intermittent pain in an old fracture in the distal fibula? Resuming vitamin D therapy seems to help after a week or 2

Probably: Vitamin D deficiency frequently causes chronic back pain and general muscle and joint pains, so it would not be surprising to me if it also caused pain in an old fracture. Taking Vitamin D is well worth trying. Most adults need 5-8000 iu of D3 day to maintain optimal levels of 50-80 and has many other health benefits. See http://bit. Ly/1dEGuTy & http://bit. Ly/166DLiq ...Read more

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I have an avulsion of the distal fibula fracture due to a high ankle sprain. What is the the common treatment for this type of injury?

Depends: If the fracture is displaced it may need surgical fixation. If its not displaced then bracing for 6-8 weeks minimum and then return to rehab until fully healed. It can take several month to get full healing. Other options include possible platelet or stem cell based therapies that may help healing faster/more fully. Check out Regenexx. Com. ...Read more

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My friend is experiencing bruising and minor swelling on the top side of foot, following distal fibula fracture surgery. Should we worry?

Probably not: It is always smart to check with the surgeon if there is signficant pain in a new area following surgery, but gravity is usually the culprit here. With any surgery or broken bone there is always some bleeding, and in the case of the foot, one would expect that bleeding to travel downward, when visible through skin, it shows as bruisng. You will see this in bad ankle sprains even without a break. ...Read more

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I have an oblique distal fracture (non displaced) that has yet to fully heal after 11 weeks. My orthopedic is recommending a bone stimulator... Help?

I have an oblique distal fracture (non displaced) that has yet to fully heal after 11 weeks. My orthopedic is recommending a bone stimulator... Help?

Nonunion: A bone stimulator is a good option if the fracture is nondidplaced because the other option is surgery to fix it with a plate and screws. If you use the bone stimulator as directed u may see early healing within 4-6 weeks. ...Read more

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Oblique distal fib fracture, ORIF. Getting cast off 5 weeks post OP, 6 weeks post break. Told ill be able to walk and will be ok. Is this right?

Oblique distal fib fracture, ORIF. Getting cast off 5 weeks post OP, 6 weeks post break. Told ill be able to walk and will be ok. Is this right?

Potentially: The distal portion of the fibula does not bear much weight, so early weight bearing can be a consideration. Certainly would need to be protected from "twisting" your ankle until it is clearly healed. Don't hesitate to discuss any concerns directly with your doctor. ...Read more

Dr. Jeffrey Wint
2,317 Doctors shared insights

Broken Bone (Definition)

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