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Trimalleolar fracture
Trimalleolar fracture










The repaired ankle will be incapable of bearing any weight for a long period of time and doing so could shift the placement of the repaired bones. Following surgery the patient will be completely non-weight bearing for a period of 2-3 months. It involves re-positioning the bones to their normal anatomical alignment and holding them in place with screws and plates. Surgery is required to “fix” these fracture sites. The ankle should be stabilized, and the person should be transported to the emergency room. The treatment for a bi or trimalleolar fracture begins immediately. Treating Bimalleolar and Trimalleolar Fractures If two of these are involved in a fractured ankle, then it is labeled a bimalleolar fracture and if all three are involved then the diagnosis becomes a trimalleolar fracture. The Tibia has the medial and posterior malleoli and the fibula has the lateral malleoli. There are two very noticeable malleoli and a third that is not recognizable without the use of an x-ray. This is an area that acts as an anchoring location for the ligaments that are the static stabilizing structures of the ankle/foot complex. These bony projections are used by tendons to create a pulley effect, enabling them to generate the greater force required to move and control the ankle/foot complex. On the distal end of the Tibia and Fibula a “lump” of bone develops into a malleolus or malleoli (singular).

trimalleolar fracture

The Difference Between Bimalleolar and Trimalleolar Fractures A formal physical therapy program over long period of time is vital to recovery. A bi or trimalleolar fracture is extremely severe and will incapacitate a person for an extended period of time. The type and severity of fracture will determine both treatment and length of recovery. While high impact sports accidents can cause ankle fractures, so can simple falls. Fracturing any bone can be painful and take time for recovery, but fracturing an ankle is particularly challenging.












Trimalleolar fracture