Treatment / Fractures / Ankle Fracture Repair

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FRACTURES | LAS VEGAS

Ankle Fracture Repair

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding Ankle Anatomy

The ankle joint is formed by the distal tibia, distal fibula, and talus. The medial and lateral malleoli form a mortise that contains the talus. Stability of the ankle mortise depends on the integrity of the fibula, the medial malleolus, and the ligamentous structures connecting them. When fractures disrupt the mortise, surgical fixation is required to restore ankle stability.


Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each fracture individually to determine the most appropriate fixation strategy based on fracture pattern, bone quality, and patient goals.

Fracture Types and Patterns

  • Lateral Malleolus Fracture: Fracture of the fibula at the level of the ankle joint. Isolated displaced fractures typically require plate fixation.
  • Bimalleolar Fracture: Fractures of both the lateral and medial malleoli require fixation of both fracture fragments to restore mortise stability.
  • Trimalleolar Fracture: Fractures of all three malleoli including the posterior tibial malleolus. The most complex ankle fracture pattern.

When Surgery Is Required

Displaced ankle fractures that disrupt the ankle mortise require surgical fixation to restore joint congruity and prevent post-traumatic arthritis. Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each ankle fracture to determine appropriate timing and technique for surgical repair.

Ankle Fracture Repair

Dr. Andrew Lee repairs ankle fractures at Southern Hills Hospital in Las Vegas using plate and screw fixation appropriate to the fracture pattern. The fibula is fixed with a lateral plate or intramedullary device. The medial malleolus is fixed with screws. The posterior malleolus is fixed when its size and displacement warrant fixation. Restoration of the ankle mortise to its anatomic dimensions and alignment is the primary goal.

The primary goals of this procedure are to:
  • Restore ankle mortise anatomy and stability
  • Prevent post-traumatic ankle arthritis
  • Allow early ankle rehabilitation
  • Return to weight bearing and independent ambulation

Potential Risks

  • Infection: Fracture fixation carries infection risk. Preventive antibiotics are given and proper wound care is essential during recovery.
  • Nonunion: The fracture may fail to heal requiring additional surgical intervention.
  • Malunion: The fracture may heal in a non-anatomic position affecting function.
  • Hardware complications: Implant loosening or breakage may require revision.
  • Post-traumatic arthritis: Joint fractures can lead to accelerated arthritis despite optimal treatment.
  • Nerve or vascular injury: Risk varies by fracture location and surgical approach.

Postoperative Recovery

Recovery depends on fracture severity, fixation achieved, and patient factors. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas provides individualized rehabilitation guidance to optimize bone healing and functional recovery.

Weight bearing restrictions and activity timelines are determined at follow-up appointments based on fracture healing progress on imaging.

What to Expect After Surgery

Pain decreases progressively as healing occurs over six to twelve weeks. Functional recovery continues for three to six months following surgery. Dr. Lee monitors healing with imaging at regular follow-up visits.

Most patients return to independent daily activity within six to twelve weeks, with full recovery over three to six months depending on fracture complexity and patient factors.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

Follow all wound care instructions at discharge. Avoid soaking the incision in water until cleared by Dr. Lee. Pat the wound dry after showering and apply a clean bandage.

Monitor the incision for increasing redness, warmth, swelling, or drainage and contact Nevada Spine Clinic immediately if any of these occur. Prescription refills require forty-eight hours advance notice.

Activity Guidelines After Surgery

Follow the specific weight bearing restrictions provided by Dr. Lee. These are individualized to your fracture pattern and the fixation achieved at surgery. Do not bear weight beyond prescribed limits until cleared at follow-up.

Contact Nevada Spine Clinic or go to the nearest emergency room for fever, sudden increase in pain, inability to bear weight as previously tolerated, or wound concerns.

CALL US IF YOU EXPERIENCE

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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