![]() ![]() When a fracture involves several broken bones or the bones do not remain lined up, the fracture is considered to be unstable and requires immediate treatment. The soft tissue surrounding the broken bone is severely damaged.Ĭompound Fracture. Splinters or multiple small pieces of bone are found at the fracture site.Ĭomplex Fracture. The 2 parts of the fractured bone do not line up.Ĭomminuted. The pieces of the fractured bone remain lined up.ĭisplaced. The severity of the fracture is classified as: Three bones are broken, the fibula, tibia, and the posterior malleolus (the tibia at the back of the foot). Two bones are broken, the fibula and the tibia. Only the bone on the inside of the ankle, the tibia, is broken.īi-malleolar fracture. Only the bone on the outside of the ankle, the fibula, is broken. The classifications based on the number of bones broken are: There are several types of ankle fractures, and 1, 2, or 3 bones may be fractured. Home program development should include strengthening, stretching and stabilization exercises as well as instructions to help the person perform daily tasks and advance to the next functional level.An ankle fracture is a completely or partially broken bone on 1 or both sides of the ankle joint.Modalities that can include the use of ultrasound, electrical stimulation, ice, cold and laser to decrease pain, improve mobility and reduce inflammation of the ankle and surrounding muscles and tendons.Neuromuscular Reeducation (NMR) to restore stability, begin retraining the lower extremity, improve proximal joint stability and improve movement technique and mechanics (for example: jumping, running etc) in use of the involved lower extremity in daily activities.Therapeutic Exercises (TE) including exercises to improve strength and performance of the ankle.Manual Therapeutic Technique (MTT): hands on care including soft tissue massage, and joint mobilization by a physical therapist to modulate pain and reduce any soft tissue or tendon irritation and restore normal joint mechanics and range of motion.Goals for physical therapy post-fracture immobilization of the ankle are optimal loading and restoration of normal tissue relationships to improve motion, strength and the ability to perform functional activities of daily living. Shortening and atrophy of musculotendinous units. ![]()
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