3D CT scan of a high energy distal tibia fracture

Ankle/ Foot Fractures

Fracture of the lower end of the tibia and ankle joint are grouped together. Clinically, ankle fractures are generally considered lower energy injuries and many can be treated effectively with cast immobilization. More extensive fractures of the lower part of the tibia are referred to as tibial plafond fractures.  These are much more severe injuries that almost always require surgical repair.

Fractures of the foot are common injuries and a vast majority are treated with a period of non weightbearing and cast immobilization. Some fractures such as the heel bone (calcaneus) can be problematic and are often treated with surgical repair.

When surgery is indicated for these fractures, the condition of the skin and soft tissues is the most important guiding factor for surgical treatment.  Many times I recommend waiting until a bulk of the soft tissue swelling and inflammation decreases which can take up to 14-21 days.

Ankle Fractures

Tibial Plafond Fractures

Calcaneus Fractures