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  1. 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.

  2. This protocol is intended to guide clinicians through the post-operative course for an ankle fracture with ORIF. This protocol is time based (dependent on tissue healing) as well as criterion based.

  3. This leaflet explains the ongoing management of your injury. You have sustained an avulsion fracture to your ankle, which is treated like a soft tissue injury (sprain) to your ankle. This can take approximately 6 weeks to heal, although pain and swelling can be ongoing for 3 to 6 months.

  4. What fracture have I got? You have an avulsion fracture to your ankle, which is treated like a soft tissue injury (sprain) to your ankle. This can take around six months to heal and during this time, pain and swelling can be ongoing. Take painkillers, such as paracetamol and/or ibuprofen, as required.

  5. • most of these breaks heal in 10 -12 weeks. It will take several months to return to full normal activity especially if you have had a complex injury, or have a very active lifestyle • you can drive when you can do an emergency stop safely. This is usually at least six weeks after you have started to put weight on your leg

  6. You have sustained an avulsion fracture to your ankle, which is treated like a soft tissue injury (sprain) to your ankle. This can take approximately 6 weeks to heal, although pain and swelling can be ongoing for 3-6 months.

  7. Ankle fractures This leaflet intends to educate you on the immediate management of your ankle fracture. It also contains exercises to prevent stiffening of your ankle, whilst your fracture heals. What has happened to my ankle? A fracture is a break, or divide, in a bone, which is most commonly caused by trauma. The ankle is made up of 2 long

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