Ankle Fracture

An ankle fracture (or a broken ankle) happens when you break one or more bones in your ankle joint, leading to bruising, swelling, not being able to put weight on your ankle, and other symptoms.

What is an ankle fracture?

Your ankle joint is made up of 3 bones – your tibia, fibula, and talus. Your tibia (shinbone) is the big bone in your lower leg, your fibula (calf bone) is a smaller, thinner bone in your lower leg, and your talus is the bone linking your leg and foot.

When you fracture your ankle, you break one or more of these bones. It’s one of the most common causes of ankle pain and often takes weeks to recover from.

Our orthopaedic specialists see patients with ankle fractures in our purpose-built Orthopaedics centre, where they offer the most advanced care in both diagnostics and treatment.

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It’s not always easy to work out if ankle pain is caused by a strain, a break or something else. Common symptoms of an ankle fracture include:

  • sudden and severe pain

  • swelling and bruising

  • not being able to put weight on it

  • the ankle area looking deformed

  • trouble walking

  • pain when resting and when you touch the area

  • dizziness from the pain

  • the bone sticking out from your leg, in severe cases

Ankle fractures happen when one or more bones in the ankle joint break. Most people break their ankle after a direct blow to the joint, which can be caused by:

  • a motor vehicle accident

  • playing sports – especially sports where you’re likely to be hit on your ankle, or need to change direction suddenly

  • a fall from a height

  • tripping

  • misstepping and “rolling" your ankle

Ankle fractures are very common, and anyone can experience them. But you’re more likely to break a bone in your ankle if you:

  • play high-impact sports – such as basketball, football, gymnastics, or tennis

  • have poor technique or don’t use the right equipment – not warming up and wearing shoes that don't fit right can increase your risk of ankle injuries

  • increase your activity level suddenly – it can lead to a stress fracture

  • have a cluttered or poorly lit home – it can increase your risk of falls

  • have certain conditions – such as osteoporosis

  • smoke – smoking can increase the risk of getting osteoporosis and increase the time it takes for a bone to heal after a break

After a physical exam, ankle fractures can be diagnosed by one or more of the following tests:

  • an X-ray

  • a CT scan

  • an MRI scan

  • a bone scan

An ankle fracture usually happens after a traumatic event, like a car accident or being injured in a sports game. This means it’s not always possible to avoid breaking your ankle, but you can lower your risk by:

  • taking extra care when walking on uneven surfaces

  • warming up and cooling down properly before and after exercise

  • getting rid of any clutter in your home to stop you from tripping or falling

  • wearing the right protective equipment for all activities and sports

An ankle fracture doesn’t usually cause complications, but in some cases, it can lead to:

  • arthritis – fractures that go into the joint can cause arthritis years later

  • a bone infection (osteomyelitis) – especially if you have an open fracture

  • compartment syndrome – it causes pain, swelling, numbness, and sometimes not being able to use the muscles of the ankle, but it’s rare

  • nerve or blood vessel damage – trauma to the ankle can injure or tear nerves and blood vessels

Treatment options for a broken ankle depend on how bad the break is. Not all ankle fractures will need surgery, including most stress fractures, but they almost always take time to heal.

If medical treatment is needed, it can include:

  • a brace, cast or walking boot – to support your ankle while it heals

  • medicine – such as painkillers like paracetamol

  • closed reduction or surgery – used for more serious ankle fractures. It’s when a surgeon repositions your broken bones and makes them align correctly again, under anaesthetic

  • physical therapy – once your bone has healed, a physiotherapist can help you strengthen your ankle with various exercises

At Welbeck, our orthopaedic consultants are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Get in touch today to book an appointment.

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

If you have surgery to repair more than one ankle bone, it could take up to 2 years before your ankle feels back to normal. If you don’t need surgery, healing can take anywhere between 12 and 16 weeks.

If your ankle fracture is mild, you may be able to walk on it and in some cases, you may not even know you’ve broken it. But you won’t be able to put any pressure on a more severe fracture. You’ll also need to keep weight off of it for several months to help it heal.

You’ll probably feel mild pain and swelling for 6 to 12 months after your ankle injury. The boot should be worn to support your ankle when you’re standing and walking for the first 4 weeks, although this can vary from person to person. You can usually take the boot off at night, though.

Elevating your leg in the first 2 weeks after ankle fracture surgery is important to reduce swelling and help your ankle heal. You can do this by raising your leg on 2 to 3 pillows at different points throughout the day.

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