Ankle Fracture Surgery
Ankle fracture surgery is sometimes needed to reduce the risk of a deformity or loss of function following an ankle fracture. The goal of surgery is to allow the ankle to heal properly and restore regular strength and mobility.
At a glance
- Consultation required
- Paediatric Patients Aged 12-18 Seen
- Health insurance
- Self-Pay Available
What is ankle fracture surgery?
An ankle fracture is a break in one or more of the bones that make up the ankle joint – the tibia, fibula, or talus. These fractures can range from minor cracks to complex breaks involving several bones and ligaments.
Surgery is sometimes needed when a fracture causes the ankle to become unstable, when bones are misaligned, or when the joint surface is disrupted. The goal of surgery is to realign the bones, stabilise the joint, and allow it to heal properly.
At Welbeck’s Orthopaedics centre, our consultant orthopaedic surgeons specialise in the diagnosis and treatment of all types of ankle fractures. You’ll be cared for in our state-of-the-art Surgery Centre, with seamless access to diagnostic imaging and physiotherapy to guide your rehabilitation.
Paediatrics
We offer appointments to paediatric patients aged 12 to 18. For full information on our paediatrics service, please visit our main Paediatrics page.
More information
When you arrive for your procedure, you’ll be greeted by our clinical team and guided through the check-in process. Your consultant and anaesthetist will review your medical history, answer any last questions, and confirm the details of your surgery. You’ll then be shown to a private room where you can change into a hospital gown and relax before your surgery.
When you’re ready, your anaesthetist will administer either a general anaesthetic (so you’ll be asleep) or a spinal anaesthetic (which numbs the lower body while you remain awake). Throughout your procedure, our team will monitor you closely to ensure you’re safe and comfortable.
During the procedure, your surgeon will make an incision over the fracture site and carefully reposition the broken bones into their correct alignment. Metal implants such as plates, screws, or wires are then used to hold the bones securely in place while they heal.
Once the bones are stable and in the right position, your surgeon will close the incision with sutures and apply a dressing and supportive plaster cast or boot.
The procedure usually takes between 1 and 2 hours, and once it's complete, you’ll be able to relax and recover from the anaesthetic in private, comfortable surroundings, supported by our dedicated nursing team.
Ankle fracture surgery is a safe procedure, but as with any surgery, there can be risks. Whilst the chance of these risks occurring is low, they can include:
residual weakness in the ankle
reduced ability to walk
Infection or bleeding at the incision site
further surgery if the bone doesn’t heal properly
nerve damage
You may need imaging tests before your surgery to identify the type of ankle fracture that has occurred, such as an ultrasound, X-ray, or MRI scan.
Following some ankle fractures, particularly where soft tissue damage or swelling is present, your consultant may delay surgery for a few days to allow the swelling to subside. If this is necessary, your ankle will be protected with a temporary splint or cast during this time.
Once your surgery is planned, your consultant will let you know how to prepare for the procedure. Usually, this involves not eating or drinking for 6 hours before the surgery. It’s important to tell your consultant if you’re taking any medication, including any over-the-counter pain medicines, such as paracetamol or aspirin.
You’ll need to arrange for someone to collect you after your surgery and accompany you home.
After your operation, you’ll rest and recover in a private room for a few hours, with the support of a dedicated nurse. To stop your leg from moving and to allow the ankle to heal, you’ll need to wear a cast or brace on your leg. Typically, you’ll need to wear this for at least 6 weeks.
Once you have recovered from the anaesthesia and seen your consultant, you’ll be able to go home the same day. Before you leave, your consultant will give you tailored advice on pain relief, wound dressing, any exercises you need to do, and any follow-up appointments.
Please contact the Surgery Centre for pricing.
At Welbeck, our orthopaedic surgeons 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.
To book ankle fracture surgery, you must be referred by either your GP or an orthopaedic surgeon following a consultation with them. Self-referrals are not accepted for this treatment.
If you would like to schedule a consultation with an orthopaedic surgeon, please get in touch to make an appointment. 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.
Our specialists
Mr Paul HamiltonConsultant Orthopaedic Surgeon
Mr Matthew SolanConsultant Orthopaedic Surgeon
Mr R. Lloyd WilliamsConsultant Orthopaedic Surgeon
Mr Pal RameshConsultant Orthopaedic Surgeon
Mr Lee ParkerConsultant Foot and Ankle Surgeon
Mr Francesc MalageladaConsultant Orthopaedic Surgeon
Mr Amit AminConsultant Foot & Ankle Surgeon
Mr Amit PatelConsultant Trauma & Orthopaedic Surgeon (Foot & Ankle)
Our locations
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Frequently asked questions
Once your cast is removed (usually after 6 weeks), it’s normal for your ankle to feel stiff, weak and slightly swollen. The muscles and joints will have been inactive for several weeks, so it’ll take time to restore strength and movement. Your consultant and physiotherapist will guide you through a gradual recovery plan that focuses on improving flexibility, balance, and stability.
You’ll begin gentle exercises to increase your range of motion, followed by strengthening and balance work as your comfort improves. Weight bearing usually starts slowly, with support if needed, and increases over several weeks. Some swelling and mild discomfort can continue for a few months, but this will ease as your ankle becomes stronger.
Recovery is an individual process and will vary depending on the type of surgery you had. Most people find they can return to normal daily activities within a few weeks of cast removal, although it can take 3 to 6 months before the ankle is fully recovered and ready for higher-impact exercise. With regular physiotherapy and patience, movement and confidence will steadily return.
Recovering from ankle fracture surgery takes time, and it’s important not to rush the process. Your consultant will give you clear, personalised advice on what to do (and what to avoid) after your operation.
You can support a faster and smoother recovery by:
resting and elevating your leg as much as possible to reduce swelling
following your physiotherapy plan to rebuild strength and movement safely
eating a balanced, nutritious diet
avoiding smoking
keeping your wound clean and dry to lower the risk of infection
Taking small, steady steps, rather than doing too much too soon, helps ensure your ankle heals properly and reduces the risk of long-term stiffness or pain.
Most people regain full strength and movement after ankle fracture surgery, but this depends on the severity of the original injury and how well the rehabilitation plan is followed. It’s normal for the ankle to feel slightly stiff or less flexible for several months. With regular physiotherapy and gradual return to activity, the majority of patients recover excellent strength and mobility, and can return to their usual daily activities and sports safely.
In most cases, the plates and screws used to stabilise your ankle remain in place permanently, and don’t cause any problems. However, if they become uncomfortable or irritate the surrounding tissue, your consultant may recommend a short procedure to remove them once the bone has fully healed, usually after 12 to 18 months.