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Do You Need Surgery for Ankle Fractures?

August 15, 2025

An injured leg of a patient wearing a blue and white ankle bandage with adjustable fracture fixator straps.

Ankle fractures can cause a lot of pain and disrupt daily life. These injuries might happen from simple activities like tripping or from playing sports. Some fractures heal on their own with rest and time. However, more serious fractures may need surgery to fix the problem.

 

Let us explore when surgery is needed. We will also discuss how to find a good orthopedic surgeon and how to recover well after surgery.

When Is Surgery Needed for Ankle Fractures

Ankle fractures are not all the same. Some are small cracks, while others are serious breaks that affect nearby tissues.

 

Whether surgery is needed depends on how bad the break is, where it is, and the type of fracture.

Types of Ankle Fractures

Doctors group ankle fractures based on the bones involved and how they are broken. The ankle is composed of three primary bones:

  • Tibia (shinbone): The larger bone in the lower leg.
  • Fibula (calf bone): The smaller bone that runs next to the tibia.
  • Talus: The bone that links the leg to the foot.

 

Common types of ankle fractures include:

  • Lateral malleolus fractures: These affect the calf bone.
  • Medial malleolus fractures: These involve the shinbone.
  • Bimalleolar fractures: These involve both the shinbone and calf bone.
  • Trimalleolar fractures: These happen when all three bones are broken.

 

Severe fractures are more likely to require surgery. This includes bimalleolar or trimalleolar fractures.

Signs That Surgery Might Be Needed

Some fractures need more than rest, a cast, or therapy to heal. Here are the main signs that surgery could be necessary:

Bone Misalignment

Surgery becomes necessary when broken bones are misaligned and cannot heal properly on their own.

Open Fractures

When a bone breaks through the skin, surgery helps prevent infections and fixes the injury.

Ligament Damage

Serious fractures often harm the ligaments. Surgery repairs both the soft tissues and the bones.

Unstable Ankle

Sometimes, the fracture causes the ankle to be unstable. Surgery ensures it stays in the right position and works well.

Ongoing Pain

When pain and swelling do not improve with non-surgical care, surgery may help ease the pain and speed healing.

The Surgical Process for Ankle Fractures

Surgery typically involves a procedure called open reduction and internal fixation (ORIF). The orthopedic surgeon realigns the bones and uses metal plates, screws, or rods to keep them stable during healing. After surgery, patients may need a cast or boot, and physical therapy is often required to regain mobility.

 

While surgery can feel intimidating, it is often the best solution for severe fractures. It restores function, reduces pain, and minimizes the risk of long-term complications such as arthritis.

Finding the Right Orthopedic Surgeon for Your Ankle Fracture

Choosing the right orthopedic surgeon is a critical step in your healing process. The expertise and approach of your doctor can make a significant difference in your recovery.

Look for Board-Certified Specialists

Start by seeking out board-certified orthopedic surgeons who specialize in treating ankle sprains and fractures.

 

Certification ensures that the doctor meets the highest standards of competency and experience.

Consider Their Experience

A surgeon’s experience with ankle sprain and fracture matters. Ask how many ankle surgeries they have performed and their success rates.

 

Specialists with extensive surgical experience will likely be better equipped to handle your condition.

Read Reviews and Testimonials

Patient reviews can provide valuable insight into a surgeon’s approach and effectiveness.

 

Look for feedback about the surgeon’s communication, professionalism, and the outcomes of their treatments.

Assess Technical Expertise

Ankle surgeries often involve advanced techniques and tools.

 

Look for a surgeon who is familiar with cutting-edge methods. This includes minimally invasive surgery, which can reduce recovery time and scarring.

Check Their Support Team and Facility

Recovery from ankle surgery requires a comprehensive treatment plan. Ensure that the surgeon operates within a facility equipped with top rehab services.

 

It is also important that they work alongside a dedicated support team.

Schedule a Consultation

Finally, schedule a consultation to discuss your specific situation. This is an opportunity to:

  • Evaluate their communication skills.
  • Ask questions.
  • Ensure that you feel comfortable under their care.

 

Consider The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division, where expert care meets compassionate service. Our dedicated team of highly skilled professionals is committed to prioritizing your recovery and comfort every step of the way.

Steps You Can Take for a Smooth Recovery

Post-surgery recovery is just as important as the procedure itself. Here are some tips to ensure a successful recovery:

Follow Your Doctor’s Instructions

Carefully adhere to the post-operative guidelines provided by your doctor.

Rest and Elevate Your Leg

Minimize swelling and discomfort by keeping your leg elevated.

Attend Physical Therapy

Physical therapy is essential to regain strength and mobility in your ankle.

Monitor for Complications

Watch for warning signs like excessive swelling, redness, or unusual pain. Report them to your doctor immediately.

Maintain a Balanced Diet

A healthy diet promotes faster bone healing. Include foods rich in calcium and vitamin D in your meals.

Ankle Sprain and Fracture Treatment in Bethesda, Germantown, & Rockville, MD

An ankle fracture can be life-disrupting. However, proper treatment can help you regain mobility and quality of life. Surgery is sometimes necessary for complex or severe ankle sprain and fracture treatment. Finding the right orthopedic surgeon near you is key to your recovery.

 

Trust The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. With a skilled and compassionate team, we are dedicated to supporting you at every stage of your journey. If you are dealing with an ankle fracture, call us at (301) 515-0900 or use our appointment scheduling platform to schedule a consultation. Act now to ensure a strong and healthy recovery.

 

The best foot and ankle specialist looks forward to serving you!

 

Filed Under: Ankle Sprain, Foot & Ankle Fractures Tagged With: Ankle sprain and fracture, ankle sprain and fracture treatment, Bone Misalignment, Foot and Ankle Specialist, orthopedic surgeon near you, physical therapy, Post-surgery recovery

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  • ACL & PCL Tear
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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.