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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Painful Ankle

I sustained a trimallelor open tib/fib fx back on 10/12/14. Immediate surgery with ORIF plate, screws and K-wires to reduce the fracture. I have been non weight-bearing ankle boot, crutches for 3 weeks, then cane. I just returned from ortho app t to learn I sustained a new hairline fx across the hardware from stress/strain. I also have had severe swelling that will not subside, redness across the ankle area and increased pain. I am concerned about compartment syndrome. Ortho does not seem to think so. Why?
Mon, 23 Feb 2015
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Orthopaedic Surgeon,  's  Response
Thank youfor the question.Keep your foot elevated and do ankle and toe movement in lying posture for 3-5 days.Take diclofenack 50mg thrice a day after meals, soluzyme tabs 4 times a day and wear anklet instead of heavier boot.The pain and swelling will subside.If hardware has crackedand bones still not united then a plaster cast above kneeshould be given as soon as possible after swelling of ankle goes.avoid weight bearing or walking with stick.If bones are uniting and alignment yet intact, POP cast immobilization for 6-8 weeks will promote union.later on cracked hardware could be removed
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Suggest Treatment For Swollen Painful Ankle

Thank youfor the question.Keep your foot elevated and do ankle and toe movement in lying posture for 3-5 days.Take diclofenack 50mg thrice a day after meals, soluzyme tabs 4 times a day and wear anklet instead of heavier boot.The pain and swelling will subside.If hardware has crackedand bones still not united then a plaster cast above kneeshould be given as soon as possible after swelling of ankle goes.avoid weight bearing or walking with stick.If bones are uniting and alignment yet intact, POP cast immobilization for 6-8 weeks will promote union.later on cracked hardware could be removed