Exercises

After the bone has grown together again and tissue has healed, strength, stability, depth sensitivity and mobility must be restored in the leg. One therapy method that includes all these areas in its treatment is the so-called PNF concept (Proprioceptive Neuromuscular Facilitation). The entire leg, with all its muscle chains, is moved and strengthened in three-dimensional paths and thus adapted to everyday and sports requirements.

This takes place in different stages, whereby the leg is first moved by the therapist in the adapted pattern, then the patient actively moves it, and finally it is strengthened via manual resistance. When performed safely, the movements can finally be carried out as a separate exercise program with the help of a therapy band. As a further measure in the last regeneration phase of the fibula fracture, proprioception training is suitable, in which uneven surfaces are used. These include: In order to train the muscles in the entire leg, an additional equipment-supported training is recommended.

Balancing on a wiggle board, one-legged, two-legged, with eyes closed,
Course
Soft mats
A tip-toe position combined with various difficulties such as throwing and catching a ball.

Further measures

In addition to active physiotherapy, various other measures can be used in the treatment of a fibula fracture to loosen structures, relieve pain and promote healing. Depending on the individual symptoms, electrical applications can be applied, heat and cold therapy, massages up to deep fascia techniques, various stretches and later, especially when returning to sport, support through tape installations.

Operation

Surgery for a fibula fracture is performed if the joint is also affected, if the fracture is dislocated – i.e. the bone parts are widely displaced – if there are several fragments or if conservative therapy is not successful and the bone does not grow together. Depending on the type of fracture, there are various methods of reattaching the bone parts to each other. Screws or plates can be used, or a so-called external fixator, in which metal rods reach into the body from the outside and can thus be adjusted and adapted to the healing process as the bone grows together. Torn ligaments are sutured together. After the operation, a similar physiotherapeutic treatment adapted to the healing of the wound is performed as in conservative healing.