What should I do if I am recovering from an ankle injury and misaligned when the ankle joint heals a

Don't push too hard, slowly increase the amount of activity to allow the muscles and ligaments in the ankle to get used to it.

First of all, it needs to be explained that for ankle fractures, which are intra-articular fractures, they must be anatomically reduced, otherwise traumatic arthritis will easily form in the later stage, and walking pain will occur, and joint degeneration will be accelerated.

Therefore, for ankle fracture dislocation, it is necessary to actively carry out preoperative preparation, eliminate surgical contraindications, and then perform open reduction and internal fixation surgery** to restore normal anatomy and promote the healing of the patient's fracture. After the operation, the patient needs to be strictly protected by bed rest for a period of time, and it is very important to actively change and disinfect the incision to prevent infection.

In addition, for the early swelling, it is also necessary to elevate the affected limb, which is conducive to venous return and swelling.

Generally, it is necessary to take an X-ray examination for about a month and a half, and it is completely okay to decide the next level of activity according to the healing of the fracture.

Ankle fractures are intra-articular fractures, so the reduction requirements are correct, the fixation should be firm, and early functional exercises should be done.

1) Undisplaced monomalleolar or bilateral malleolar fractures generally require only a small splint or a tubular cast to fix the ankle in a neutral position. After 4 weeks, the external fixation was removed, and walking and functional exercises were performed, and there were generally no sequelae.

2) Displaced monomalleolar or bilateral malleolar fractures are treated under local anesthesia for manual reduction and small splint fixation, or calf tubular plaster fixation. Reduction techniques vary depending on the type of fracture, and the basic principle is to reduce in the opposite direction of violence.

1.Valgus fracture: The two assistants each hold the injured foot and lower leg and pull and pull in opposite directions.

The surgeon holds one hand above the medial malleolus and squeezes the lateral malleolus and the outside of the foot inward with the other hand, while placing the ankle in the varus position. If the lower tibiofibular ligament is also ruptured, the talus is displaced laterally. The surgeon can squeeze both ankles with both palms to make it fit.

If there is an external rotation fracture, internal rotation is added to reduction.

2.Inversion fracture: Under traction, the surgeon holds one hand above the lateral malleolus and squeezes the medial side of the foot outward with the other hand, while placing the ankle in the valgus position. If the talus is posteriorly dislocated, the heel should be pushed anteriorly, and then the foot should be valgus injured to maintain the valgus dorflexion.

Whether it is a valgus fracture or an inversion fracture, after reconstruction, the X-ray shows that the medial malleolus is not properly aligned, especially if the medial malleolus is separated on the lateral radiograph, it means that there is periosteal or ligament incarceration, and the soft tissue affected by the incarnation should be pried open or incisional reduction. Nonunion of the medial malleolus will cause pain.

3) Reduction of trimalleolar fractures.

Manual reduction of the medial and lateral malleolus first, followed by posterior malleolus reduction. When the posterior malleolus is reduced, the foot should be slightly plantar flexed so that the talus does not compress the articular surface of the lower tibia due to the traction of the Achilles tendon, and then push the heel forward to correct the posterior displacement of the talus, and then extend the ankle joint, and pull down the posterior malleolus with the tense posterior joint capsule until it is level with the subtibial articular surface, then the fracture fragment of the posterior malleolus can be reduced.

4) Open reduction and internal fixation.

1) Failure of manual reduction.

2) Multiple fractures of the ankle with separation of the lower end of the tibia and fibula.

3) Those who have ankle nerve or vascular injuries or open injuries that require debridement or exploratory repair.

Surgical method: After surgical reduction, the medial, lateral malleolus or posterior malleolus was fixed with screws, and the external cast was fixed for 8 to 10 weeks.