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.