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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Hairline Fracture In Ankle(fibula)?

sir, i got an ankle sprain before 9 weeks am not take rest . i continue my work because am able to walk. but right foot ankle get swelling and pain at that time. am take tablet for reduce swelling. but more than 9 weeks now not cured yet. now also ankle get pain and swelling. yesterday i go to hospital and take x ray. x ray shows a hairline fracture in my ankle (fibula). i want to know that if there any problem for my foot to take treatment late.?
Mon, 2 Jun 2014
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Orthopaedic Surgeon,  's  Response
Hi,
If the fracture is a) within 7.5 cm proximal to ankle joint , b) displaced and c) if it has not united, it may be a better option to go for surgical fixation sice this part of the fibula (lat.malleolus) is involved in weight bearing.

But if the fracture is not displaced , uniting then Strict immobilization with a POP CAST should do the job.

At the end of the day , the aim is to maintain
a) Length of the leg ( maintained by fibula )
b) Prevent valgus ( lateral angulation at # site )
c) to maintain ankle mortice ( to prevent osteoarthritis )
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How To Treat Hairline Fracture In Ankle(fibula)?

Hi, If the fracture is a) within 7.5 cm proximal to ankle joint , b) displaced and c) if it has not united, it may be a better option to go for surgical fixation sice this part of the fibula (lat.malleolus) is involved in weight bearing. But if the fracture is not displaced , uniting then Strict immobilization with a POP CAST should do the job. At the end of the day , the aim is to maintain a) Length of the leg ( maintained by fibula ) b) Prevent valgus ( lateral angulation at # site ) c) to maintain ankle mortice ( to prevent osteoarthritis )