About this condition
What it is about
The ankle joint is formed by the external malleolus of the fibula and the internal malleolus and the posterior edge of the tibia. These bony structures are connected by important ligaments. Dislocation of the ankle joint can result in injuries of varying severity, depending on the accident. Ankle fracture is a typical sports injury. It also occurs frequently in wet or icy weather. However, it can also occur in falls of elderly people.
Types
There are many different forms of ankle fracture. Only the outer or the inner ankle or both can be affected at the same time. Depending on the pattern of the fracture and the ligaments involved, there may be instability of the joint or even a dislocation fracture.
Symptoms and consequences
Depending on the type of fracture, the situation may be relatively stable or unstable. Stable fractures can be treated conservatively with plaster immobilization of the ankle. For unstable fractures, surgery is necessary. It is important to identify possible blood flow and nerve damage.
What we do for you
Examination and diagnosis
At Männedorf Hospital, an experienced emergency team and the necessary diagnostic equipment are on standby around the clock to enable rapid adequate treatment. An ankle fracture can usually already be diagnosed on a conventional X-ray. If the fracture is more complicated, a CT scan is also performed. Occasionally, an MRI examination is necessary.
Treatment
A dislocation fracture as well as "open" fractures with a wound in the fracture area must be treated quickly. External rod fixation is often applied to stabilize the fracture temporarily. Final restoration of the fracture with metal plates and screws can only be done after the soft tissues have subsided, otherwise the risk of wound infection can be very high. Depending on the resulting stability of the operated ankle joint and additional ligament lesions, plaster immobilization and cane relief are performed for six weeks.