He uses the most advanced equipment and materials available. He is able to choose the exact and correct procedure for each individual patient because he has innovated and perfected the techniques for ankle repair. Soomekh has significant experience in every aspect of ankle surgery. Soomekh performs the procedures in an outpatient setting at state-of-the-art facilities. The goal of ankle fracture surgery is to realign the bones and joints into their anatomical position, stabilize the fracture during the healing time, and allow a return to all activities. Soomekh takes great care and focus to minimize the chance of postoperative pain. When the skin and the soft tissues are handled with care and focus, most patients experience little to no pain immediately after surgery and throughout the recovery period. Ankle surgery including surgery to correct ankle fractures is not supposed to be painful during recovery. IS ANKLE SURGERY PAINFUL?Ĭonsidering surgery can be intimidating. However, when an ankle fracture is severe, unstable or misaligned, surgical repair may be indicated. Soomekh will always recommend and attempt conservative treatment when appropriate. If the force is too strong, and the ankle bones hit one another, they can splinter and fracture.ĭr. If there is a severe in-turning or out-turning of the foot relative to the ankle, the forces cause the ligaments to stretch beyond their normal length. This causes the ligaments to stretch beyond their normal range while in the abnormal position. The ankle can twist if the foot is planted unevenly on a surface, beyond the normal force of stepping. Common causes of a broken ankle include:Īnkle twists occur when the ankle twists, rolls, or turns beyond its normal motions, and a significant force is transmitted upon landing. Participating in high impact sports and those with significant lateral movements, especially without experience or a proper warm up can increase the chances of an ankle fracture. Patients with poor bone quality (osteoporosis), high arches (pes cavus), diabetic neuropathy, or ankle instability, are at higher risk for an ankle fracture. However, these sprains take longer to heal than the normal ankle sprain.Īn ankle fracture is usually caused by a significant trauma. Depending on how unstable the ankle is, these injuries can be treated without surgery. A syndesmotic injury may be just to the ligament - this is also known as high ankle sprain. The syndesmosis joint is located between the tibia and fibula, and is held together by ligaments. These are unstable injuries and they can be associated with a dislocation. Trimalleolar fractures means that all three malleoli of the ankle are broken. In most cases of bimalleolar fracture, the lateral malleolus and the medial malleolus are broken and the ankle is not stable. “Bimalleolar” means that two of the three parts or malleoli of the ankle are broken. There can also be a fracture of the medial malleolus. This is because it shares ligament attachments with the posterior malleolus. In most cases of posterior malleolus fracture, the lateral malleolus (fibula) is also broken. Medial malleolar fractures often occur with a fracture of the fibula (lateral malleolus), a fracture of the back of the tibia (posterior malleolus), or with an injury to the ankle ligaments.Ī posterior malleolus fracture is a fracture of the back of the tibia at the level of the ankle joint. Fractures can occur at different levels of the medial malleolus. The level of the fracture may direct the treatment.Ī medial malleolus fracture is a break in the tibia, at the inside of the lower leg. There are different levels at which the fibula can be fractured. That is the job of the joint below the ankle called the subtalar joint.Ī lateral malleolus fracture is a fracture of the fibula. The ankle joint does not tilt inward and outward. The normal ankle joint should be able to have a total range of motion of about 70 degrees (20 upward flexion and 50 downward flexion) for normal function. The bones that make up the ankle joint are: the Talus (ankle bone), the Lateral Malleolus of the Fibula (outer leg bone), the Tibial Plafond (leg bone), and the Medial Malleolus of the Tibia (inner leg bone). It has a mortise type anatomy that makes it more complex than the hip or knee joints. The ankle joint has a complex construct that takes on these forces while having most of its motion in a flexion direction while having rigidity in and side-to-side and rotation motion. A significant amount of force and pressure are imparted upon this joint with each step. The ankle joint plays a very important role in gait and propelling the body forward when it flexes downward and pushes off the ground.
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