Trauma • stability • joint reconstruction
Ankle fractures
An ankle fracture may involve one or more malleoli and can be associated with ligament or syndesmosis injury. The priority is to determine whether the joint remains stable and properly aligned.
What symptoms may suggest this condition?
- Acute pain, swelling and difficulty or inability to bear weight after trauma.
- Visible deformity or threatened skin in displaced injuries.
- Cartilage and syndesmosis injuries may be associated.
How is the diagnosis confirmed?
X-rays define the fracture pattern and alignment. CT is often useful for more complex fractures, especially those involving the joint surface. Examination of skin, circulation and sensation is also essential.
Is surgery always necessary?
Some stable, non-displaced fractures can be treated with immobilisation and radiographic follow-up. Weight-bearing depends on fracture type and stability.
When should surgery be discussed?
Surgery is generally proposed when the fracture is unstable, displaced or disrupts joint congruity. The goal is to restore alignment and stabilise the bones, treating the syndesmosis when necessary.
Source patient : AOFAS / AAOS. General information, to be adapted to each clinical situation.
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