Breaks in the Bones of the Ankle Joint from Trauma or Impact

What Is an Ankle Fracture?

An ankle fracture refers to a break in one or more of the bones that form the ankle joint: the tibia (shinbone), fibula (outer leg bone), and talus (ankle bone). These fractures range from small cracks to severe breaks with bone displacement and joint instability. Ankle fractures often occur due to trauma such as falls, sports injuries, or motor vehicle accidents.

Causes and Risk Factors

• Rolling or twisting the ankle forcefully
• Direct trauma from falls or collisions
• High-impact sports or jumping injuries
• Osteoporosis or weakened bones
• Repetitive stress in long-distance runners or military training

Symptoms

• Sudden, sharp pain in the ankle at the time of injury
• Visible swelling and bruising
• Inability to bear weight on the affected foot
• Deformity or protruding bone (in severe fractures)
• Tenderness and instability at the ankle joint

Diagnosis

• Physical examination to assess alignment, swelling, and skin integrity
• X-rays to confirm the fracture type and location
• CT scan may be needed for complex or joint-involving fractures
• MRI if ligament damage or cartilage injury is suspected

Treatment

Non-Surgical Treatment

• Used for stable, non-displaced fractures
• Immobilization with a cast, splint, or walking boot
• Crutches to offload weight
• Gradual progression to weight-bearing after bone healing begins
• Physical therapy to restore range of motion and strength

Surgical Treatment

• Recommended for displaced or unstable fractures
• Open reduction and internal fixation (ORIF):
• Fracture is realigned and stabilized with screws, plates, or rods
• May involve ligament repair if soft tissue is compromised
• Post-op rehab focuses on regaining mobility and preventing stiffness

Recovery Timeline

• Bone healing typically takes 6–8 weeks
• Full return to activities may take 3–6 months, depending on the severity
• Physical therapy is essential for restoring function, especially after surgery
• High-impact sports may require longer healing before safe return

Expert Treatment at Kerlan Jobe Institute

Our team at Kerlan Jobe Institute specializes in the comprehensive care of ankle fractures — from simple breaks to complex injuries. We combine advanced imaging, precise surgical techniques, and individualized rehabilitation to help patients recover fully and return to their active lifestyles.