Ankle Fracture
Day of Surgery
- High Elevation on two pillows
- Neurovascular Observations
- Commence clexane 40mg s/c (duration 2 weeks)
- Analgesic medication
- Antibiotics for three doses
- Strict Non weight bearing (duration 6 weeks)
Day 1 Post Operative
- Elevation of leg as much as possible for first 2 weeks
- Mobilization non-weight bearing with physiotherapist (crutches / frame)
- Discharge home day 1-3
- Dressings remain intact until next review
Day 10-14 Post Operative
- Radiographs of Ankle performed if required
- Review of wounds and removal of stitches
- Application of new cast/removable boot
- May shower/bath if wounds healed, but do not ‘soak’
- Remains Non weight bearing for the first 6 weeks from day of surgery
- Cease clexane
Week Six
- Radiographs of Ankle Performed
- Allowed to weight bear as tolerated without Boot
- Rehabilitation program concentrating on strength, proprioception, and range of motion
- Gradually increase activity level as symptoms dictate
- May return to driving when walking independently
Other Considerations
Time off from work varies. For those with sedentary or office type employment I recommend 2 weeks of leave. Those required to walk and stand for prolonged periods generally require 8 weeks off work. May return to driving when walking independently, this is usually 8 weeks for right sided injuries. May drive after 2 weeks if left sided injury and driving an automatic car.
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