![]() ![]() They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. It shows a similar distribution between fracture types (A, B and C) pre- and post-TA (p 0.107). The other option involves fitting plates and screws along the back of the tibia. Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. One option involves inserting screws that run from the front to the back of the ankle or the other way around. Symptoms include a broader region of point tenderness over the lateral aspect of the ankle, a painful gait or. There are different options for surgery on this malleolus. Symptoms include minimal swelling and point tenderness directly over the ATFL, little to no instability, and the patient is able to ambulate with little to no pain. ORIF Ankle Fracture Rehabilitation Protocol PHASE I: 0-2 weeks: Weight Bearing. Bone grafting can reduce the risk of arthritis.Ī surgeon can fix bone fragments using screws, plates, and wiring techniques. The only Ivy-League affiliated orthopedics program in South Florida, ensuring you get the most up-to-date, evidence based care and treatment options available. ![]() When this occurs, a surgeon may need to do a bone graft, which acts as a frame on which new bone can grow. Sometimes, a medial malleolus fracture may result in impaction of the ankle joint, which is when force drives one bone into another. Surgery on the medial malleoli can improve the chances of successful healing and allow the person to resume normal movement sooner. The surgeon will then attach screws and metals plates to the outer surface of the bone to hold them in place.įor some people, the surgeon may insert a screw or rod inside the bone to keep the bone fragments together as they heal. Share on Pinterest A person often requires intensive surgery after a trimalleolar fracture.Īs trimalleolar fractures are often unstable, a doctor will usually recommend surgery as treatment.Įach fracture will require a specific repair procedure during the surgery.įirstly, the surgeon will realign the bone fragments, returning them to their original position. This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue. ![]()
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