Classification of the fracture according to A-D | Exercises for ankle fracture

Classification of the fracture according to A-D

An ankle fracture is usually caused by the enormous force of a fall or by a twisting mechanism during sports, at work or in traffic accidents. Due to the strong buckling, an ankle joint fracture often involves a ligament injury.As already mentioned, C and D fractures are always operated on to avoid continuous instability. During the operation, a set screw is usually inserted to relieve the syndesmosis ligaments and to prevent a physiological up and down and rotational movement of the fibula (fibula), which makes it necessary to limit movement.

In the post-treatment of an ankle fracture, the foot is thus set in neutral-zero position; rotational movements of the lower ankle are also prohibited. In addition, no load may be applied at all.

  • A and B are the simplest and the fracture line is below the joint space.
  • C and D are more serious and have to be operated on each time, because the fracture line is above the syndesmosis ligaments (ligaments connecting the calf and shin in front and behind and giving stability) and therefore instability occurs.
  • The fibula is also involved in the D fracture. An X-ray shows the exact extent of the fracture, its shape, the bone structures involved and whether a dislocation is present.

Summary

In the case of an ankle fracture, a prohibition of stress is usually given from the beginning to protect the structures. In this phase, muscle strength can be maintained by certain exercises from the PNF. In the further course of wound healing and when the load is released, the load capacity of the foot can be improved again through proprioceptive training, balance training and muscle building. The time of loading the foot should be determined in consultation with the physician.