Trimalleolar fractures involve fracture of the medial malleolus and fibula, along with fracture of the posterior lip of the articular surface of the tibia. Similar articles. Several quantitative studies indicate that physical function improves rapidly over the first 6 months following ankle fracture. ANKLE FRACTURE Treatment Guidelines Last Modified: Oct 2012 General This protocol is for patients who have had a stable open reduction internal fixation (ORIF) or a stable closed reduction and casting. ORIF means the patient will have hardware (plate and screws) to stabilize the fracture. Trimalleolar Fracture Physical Therapy Exercises June 15, 2015 | Edward Smith After sustaining a trimalleolar fracture , your doctor will refer you to physical therapy. The information is the property of Massachusetts General Hospital and should not be copied or otherwise used without express permission of the Director of MGH Physical & Occupational Therapy Services. (Right) Surgical repair bimalleolar ankle fracture. A trimalleolar fracture is a ankle fracture involving three bones in the ankle. It can sometimes occur with a dislocation and ligament damage.

This swelling can be serious, and may even cause blisters (called fracture blisters) to form on the skin. The area that is affected is the medial malleolus, posterior malleolus and the lateral malleolus.

PMID: 25059747 Free PMC Article. It can also increase the risk of infection and … Home » Patient Education » Ankle Fracture Rehabilitation Protocol. It helps in recovering the strength and flexibility along with other normal functions of the ankle. Patients may have residual motion and strength deficits. How to Diagnose a Trimalleolar Fracture. The ankle joint is where the bones of the leg (the tibia and fibula) meet with the bones on the hindfoot (talus) to form a joint that allows the foot to bend up and down. Lateral and medial malleolus fractures are treated with the same surgical techniques as written above for each fracture listed. Warner SJ, Garner MR, Nguyen JT, Lorich DG. Milton let me run my video camera while he talked to the camera about a trimalleolar fracture (it isn't a really common injury) but the file size was way too big to include here. Rate of recovery and the prognosis from trimalleolar fracture will depend on a number of factors: Severity – Minor fractures do well with immobilization and physical therapy, while fractures that are more severe and require surgery or effect joint integrity take longer to heal. Ankle Fracture Post-op Rehabilitation Protocol This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement.

Trimalleolar Fracture also known as the “break in bone” is the state of the bones where the three parts of the ankle are dislocated or has a fracture.