Ankle Fractures

A broken ankle can affect far more than your ability to walk. Because the ankle is responsible for supporting body weight, absorbing impact, and allowing smooth movement, even a small fracture can lead to pain, swelling, instability, and long-term joint problems if it is not treated properly.

Ankle fractures may involve the bones on the inside or outside of the ankle, the lower end of the shin bone, or the talus bone within the ankle joint. Some fractures are stable and remain in good position, while others cause the ankle to shift, separate, or become unstable.

Common causes include twisting injuries, falls, sports accidents, missteps on uneven ground, workplace injuries, or direct trauma. Patients often notice immediate pain, bruising, swelling, tenderness, and difficulty putting weight on the injured foot. In more serious injuries, the ankle may look crooked or feel like it cannot support the body.

At The Podiatry Center, Dr. Julie Greenwood evaluates ankle fractures with careful attention to alignment, joint stability, and the patient’s overall health. As a foot and ankle specialist with clinical expertise in forefoot, rearfoot, and ankle reconstruction, Dr. Greenwood is experienced in treating both routine and complex injuries. Her background also includes a strong focus on diabetic limb salvage and comprehensive care for patients at higher risk of healing complications.

Treatment may include a boot, cast, splint, activity restrictions, or protected weight-bearing when the fracture is stable. When the bones are displaced, the joint is unstable, or multiple parts of the ankle are involved, surgery may be recommended to restore proper position and protect future function.

Surgical repair may use screws, plates, or other fixation devices to hold the bones in place while they heal. The purpose is not only to repair the break, but also to reduce the risk of chronic pain, arthritis, stiffness, and instability later on.

With the right care plan, many patients are able to return to normal daily activity after healing and rehabilitation. Dr. Greenwood works with each patient to determine the safest path forward, whether that means nonsurgical treatment or advanced surgical repair.

FAQs

Can I walk on a fractured ankle?
Some people can still walk with certain ankle fractures, but that does not mean the injury is minor. Walking too soon can worsen the fracture or delay healing, so it is important to be evaluated.

What happens if an ankle fracture is not treated correctly?
An untreated or poorly aligned fracture may lead to chronic pain, stiffness, arthritis, weakness, or long-term ankle instability.

When is surgery needed for an ankle fracture?
Surgery may be recommended when the bones are out of position, the ankle joint is unstable, or the fracture involves multiple areas that need to be realigned and secured.