Logo: Moore Foot and Ankle Specialists

Ankle Fracture Evaluation and Care

Casting vs. Surgical Repair

How do you know when you have a fractured Ankle?


Ankle fractures can occur in the tibia and/or fibula as well as other associated bones in the foot depending on the positioning and type of injury. They vary in severity from a “crack” in the bone to complete separation or in multiple pieces. All ankle injuries especially ones where a fracture is suspected need to be evaluated by a physician with standard x-rays taken or other advanced testing.


This condition is associated with other foot conditions such as:


Stress fractures

Ankle Sprain

Ankle Arthritis

Achilles Tendonitis

Ankle Fracture Xray image


Enhanced Healing with Stem Cell Treatments


Weight Bearing:

Ice: support:



Bone Stimulator:

Fractures need protection from motion in most cases in the foot. Keeping pressure off the area is the best way to minimize separation of the bone that is fractured. Crutches, walkers, wheel chairs and strollers are helpful.


Ice: support: Insolated cold packs applied on and off of the injury for 72 hours helps to reduce swelling and discomfort. Then alternating ice and heat every 15 to 20 minutes will help with the bruising and continued swelling.


Medication: Anti-inflammatory medication can help with the chronic pain, but are not much help with the acute pain. Multivitamins especially ones rich in C and D with calcium will help the healing process.


Casting: Casts are used for protection of the fracture area. Casts can be removable with Velcro straps or molded to the foot and ankle with plaster or fiberglass. Non-weight bearing ranges from 3 to 8 weeks.


Bone Stimulator: If a bone fracture is slow to heal after 6 weeks, a portable light weight machine can be placed around the fracture a few minutes out of the day to increase the chances of bone healing.



Breaks in the Skin:

Internal Fixation:

External Fixation:

A break in the skin in an area of a fracture is a MEDICAL EMERGENCY and will require surgery to prevent serious health complications caused by infection.


Bones that can not be put back together in the office require surgery. Fractures that are inside a joint also require surgery to help minimize the likelihood of arthritis in the future. Surgery is done right after the injury or 1 to 2 weeks after the injury. Screws and thin strips of strong metal can be used to put the bone back together which allows the fracture the fastest and best chance of healing. This method of surgery allows a return to walking in 6 to 8 weeks depending on the fracture type and healing potential of the patient.


Sometimes a complex fracture requires extra stability. The extra stability can be given by something that looks like a small “cage” around the ankle. This device helps to absorb forces away from the injury while reducing the length of surgical openings caused to the skin in order to fix the bone damage.

GRAPHIC CONTENT:   This is a video of an actual surgery in our clinic from start to finish.


Talk to an expert

Our doctors have extended specialist medical training focused on the foot, ankle and lower leg.   We are board-certified surgeons and experts in delivering care for complex foot and ankle disorders as well as cosmetic or reconstructive procedures and problems related to sports injuries and other medical conditions.

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281 444-6300 phone

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