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An ankle fracture is a break of one or more of the bones that make up the ankle joint. [1] Symptoms may include pain, swelling, bruising , and an inability to walk on the injured leg. [ 1 ] Complications may include an associated high ankle sprain , compartment syndrome , stiffness, malunion , and post-traumatic arthritis .
If the bones are not properly aligned surgery is generally required. [1] Returning the bones to their normal position results in better outcomes. [2] Surgery may be delayed a few days as long as the skin remained intact. [1] About 2% of all fractures are calcaneal fractures. [2] However, they make up 60% of fractures of the mid foot bones. [2]
Traction procedures have largely been replaced by more modern techniques, [example needed] but certain approaches are still used today: Milwaukee brace; Bryant's traction; Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2]
Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve weeks.
A Jones fracture is a broken bone in a specific part of the fifth metatarsal of the foot between the base and middle part [8] that is known for its high rate of delayed healing or nonunion. [4] It results in pain near the midportion of the foot on the outside. [2] There may also be bruising and difficulty walking. [3] Onset is generally sudden. [4]
A controlled ankle motion walking boot, also referred to as a controlled ankle movement walking boot, below knee walking boot, CAM boot, CAM walker, or moon boot, is an orthopedic device prescribed for the treatment and stabilization of severe sprains, [3] fractures, and tendon or ligament tears in the ankle or foot.
There are a range of characteristics of open fractures as the severity of the injury can vary greatly. Most open fractures are characterized by a broken bone that is sticking out of the skin, but there can also be a broken bone that is associated with a very small "poke-hole" skin wound. Both of these injuries are classified as open fractures. [7]
Age, bone type, drug therapy and pre-existing bone pathology are factors that affect healing. The role of bone healing is to produce new bone without a scar as seen in other tissues which would be a structural weakness or deformity. [2] The process of the entire regeneration of the bone can depend on the angle of dislocation or fracture.
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