PROTOCOLS FOR INJURIES TO THE FOOT AND ANKLE I. Nonoperative Ankle Fracture Protocol Page 1 of 3 Last Updated September 3, 2020 ANKLE FRACTURE PROTOCOL: NONOPERATIVE TREATMENT Ankle fractures are common injuries both in young and older patient populations caused by both low energy (trip or fall) and high energy (automobile accident) trauma. Introduction. The plan of care should be based upon the patients clinical exam and individual goals. Each ankle fracture needs specific rehabilitation based on its injury type and fracture stability. And so the need for surgery depends on the appearance of the ankle joint on X-ray and the type of ankle fracture. The timing of definitive surgical treatment depends mainly on the soft-tissue findings, is possible only if the soft tissues are not critically vulnerable (few hours after the trauma). An early mobilization and non-weight-bearing protocol is important to improve success. Ease off the exercises if you start to have pain. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Physiotherapy following ankle fracture, 8July 2019 Patient Information – Physiotherapy following an ankle fracture Please note: During the above exercises you should not push into pain but mild discomfort is acceptable. Although there are multiple ways of describing ankle fractures and no two fractures … It is not intended to be a substitute for one’s clinical decisionmaking. SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for SLUCare patients. Here are some examples of exercises for you to try. Background Digital fractures commonly occur in the workplace and are usually the result of a crush injury from a falling object, or from striking one’s foot against an immobile object (stubbing one’s toe). How to do the exercises. ... 4 weeks non-weight bearing in a boot, followed by 4 weeks of protected weight-bearing in a boot. KEYWORDS: Ankle, fracture, rehabilitation, treatment INTRODUCTION Ankle fractures have increased in incidence over the last 30 years, affecting one in every 800 people each year, typically young active males and geriatric osteoporotic females, and accounting for 9% of all fractures. In conclusion, non-operative management is a good option for the treatment of calcaneal fractures. The exercises may be suggested for a condition or for rehabilitation. Start each exercise slowly. You will be told when to start these exercises and which ones will work best for you. DIGITAL FRACTURES A. As is usual with any new exercise, your muscles may ache and you may experience new aches and pains for a few days, these should settle. While there are certain fracture patterns requiring surgical intervention, the majority may be considered for non-operative treatment, particularly when patient risk factors are present. Ankle Fracture: Rehab Exercises.

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