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Doctor insights on: Trimalleolar Ankle Fracture Dislocation

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What are the symptoms of an ankle fracture?

What are the symptoms of an ankle fracture?

Unable to walk: Swelling and bruising also are signs. Some stress fractures or chip fractures can take weight but displaced fractures are too painful and unstable to walk on.

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Dr. Rahul Banerjee
27 Doctors shared insights

Fracture Dislocation (Definition)

-a fracture & a dislocation is present in the same joint. Common places R hip shoulder & fingers. As an explanation of 1 is the hip. In cases of this sort it usually takes significant force as in an auto accident. The knee is impacted by the dash & force travels up the femur, & it's driven in 3 hip joint. Then the energy impacts the back rim of the acetabulum & it fractures & ...Read more


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Is it possible to fully recovery from trimalleolar ankle fracture / dislocation?

Is it possible to fully recovery from trimalleolar ankle fracture / dislocation?

Yes: Many people are able to resume all their activities after fully healed and have gone through physical therapy. You may develope some arthritis down the road.

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Can you make a full recovery from trimalleolar ankle fracture with dislocation?

Can you make a full recovery from trimalleolar ankle fracture with dislocation?

Recovery: A full recovery is possible, but that ankle will no longer be the same. There will always be some stiffness, ache and swelling. Over time you have a high chance of developing arthritis.

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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.

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What do they do during trimalleolar ankle fracture surgery?

What do they do during trimalleolar ankle fracture surgery?

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.

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Trimalleolar ankle fracture surgery. What is the chance of painfree recovery?

Trimalleolar ankle fracture surgery. What is the chance of painfree recovery?

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.

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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 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.

At this time-- no: You need to confer with your doctor for specifics, but at this time if you are still in an aircast that indicates that the bones are not fully healed. After removal of the cast is the time to start pt.

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What indicators on the x-ray signify that an ankle is ready to be weight-bearing after an ORIF for a trimalleolar ankle fracture? (no gaps, etc)

What indicators on the x-ray signify that an ankle is ready to be weight-bearing after an ORIF for a trimalleolar ankle fracture? (no gaps, etc)

Signs for healing: On xray the fracture site will appear healed in 3 different views... meaning new bone growth is seen overlying the fracture site... and yes no gaps present!

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Trimalleolar ankle fracture, just got cast off after six weeks, have no walking cast or boot. Dr said see him in three weeks, when can I start pt?

Soon: I would get the okay from your ortho to be sure, but I would normally start pt as soon as the cast came off and the fracture proved itself stable. The earlier you are able to start, the better.

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What are the pros and cons for getting the hardware removed from a trimalleolar fracture with dislocation surgery?

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.

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When can I start running again after a severe ankle injury (fracture/dislocation)?

It depends: By "severe" I assume you required surgery and have a little hardware store in there. After the initial 2 month period of non-weight bearing and another 2 months of physical therapy, you may begin power walks at 6 months, and resume your running on a limited basis in 8 months. If your injury was not that severe and you didn't have surgery, you'd probably be running again in 4-5 months.

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How long (roughly) does the pain last after orif ankle surgery (trimalleolar fracture)? A few weeks?

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.

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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?

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?

See your doctor: While pain isn't unusual even that far out from surgery, see your orthopedist. He or she may want to do X rays to make sure the injury is healing correctly. Hope this helps!

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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.

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Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What criteria relates it to injury

Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What criteria relates it to injury

Morton's neuroma: Unlikely, but a trimalleolar fracture can cause a change in one's gait and since a neuroma is an inflammatory problem of the nerve due to irriation (could be b/c of shoes, or an altered gait pattern) there may be a link, again it's very unlikely.

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What therapy is involved with recovery of a trimalleolar fracture with dislocation surgery? Am I going to be able to ride my horse again?

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

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What is a good and simple treatment for fracture dislocation?

Fracture dislocation: Reduction of the dislocation, evaluation of the fracture to assess stability, fracture treatment.

Dr. Creighton Wright
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


Dr. Jeffrey Wint
2,307 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