Left lateral malleolus fracture8/25/2023 ![]() The realigning of the bones without surgery is known as closed reduction.Ī splint will then be applied to help keep the bones straight while they heal. If there’s any damage to nerves or blood vessels, an orthopedic specialist will need to reset the damaged bones as soon as possible. You may be treated with a short leg cast or a removable brace. Less severe fractures will be treated by conservative (nonsurgical) treatment. If a fracture is detected, it doesn’t mean you’ll need surgery. Time of travel to an emergency room would also be taken into account. This is to prevent injury to the soft tissues that may cause a delay of surgery, or worse damage.Ī darkening of the color of the foot, indicating restriction of blood flow, is one sign that such a measure may be needed. If there’s obvious internal damage and dislocation of the joint, an emergency physician or paramedic may attempt to set (reduce) the joint on the spot. If fracture is suspected, emergency medical personnel will stabilize the ankle with a splint. Learn more about first aid for broken bones and fractures. Icing isn’t recommended for a serious fracture with dislocation, as the cold could injure the soft tissues. If there is a wound, it should be covered with wet sterile gauze. It’s important to seek emergency treatment quickly when an ankle fracture of any type is suspected. But, a small number of fractures may be missed when the Ottawa rules are followed. Studies have shown that following the Ottawa ankle rules catches the vast majority of ankle bone fractures, and saves money and time in the emergency room. The Ottawa ankle rules also help determine whether X-rays of the foot are needed as well.
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