S/P ORIF Ankle

Definition:
An incision will be made on or around your ankle. Caregivers will use wires, screws, plates, or pins to put the broken bones back together. A bone graft may be placed in or around the fracture to fill any defect. Bone is added to make it stronger as the natural bone grows around the graft. A bone graft is bone from another part of your body or another person. Caregivers may flush the area to remove small, loose pieces of broken bone. Damaged blood vessels and nerves will also be repaired. X-rays may be taken to see if the bones are in the correct position. The wound will be closed with stitches or medical tape and covered with bandages.

Symptoms
  • Pain in the ankle
  • Swelling in the ankle
  • Loss of ROM in the ankle
  • Bruising
  • Ankle instability
Causes
  • Fractured ankle
  • Twisting ankle
  • Trip or fall
  • Direct blow
Treatment
  • Period of immobilization in a non-weight bearing splint, then cast x 4 weeks
  • Passive ROM, then progress to active ROM
  • Lower extremity stretching
  • Foot intrinsic muscle strengthening
  • Lower extremity strengthening
  • Gait program
S/P ORIF Ankle Phase I

Purchase Phase

  • Straight Leg Raise
  • Quad Sets
  • Prone Leg Lifts
  • Active Hip Abduction
  • Stationary Bike
  • Crutch Walking
  • Bridges

S/P ORIF Ankle Phase II

Purchase Phase

  • Foot Wedge
  • Passive Ankle Inversion
  • Passive Ankle Eversion
  • Talar Rocks
  • Single Leg Squat And Touch
  • Step Throughs
  • Gait
  • Lunge Matrix
  • 3-D Runners Stretch
  • Sit On Feet
  • Posterior Tib Retraining

S/P ORIF Ankle Phase III

Purchase Phase

  • Heel Offs
  • German Dance
  • Heel Raises
  • Step Overs In Mase
  • T Band Walks In Mase
  • Tennis Ball Push
  • Jump Rope Routine
  • Toe Hops