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Unstable fractures require surgery, most often an open reduction and internal fixation (ORIF), which is usually performed with permanently implanted metal hardware that holds the bones in place while the natural healing process occurs. A cast or splint will be required to immobilize the ankle following surgery. [12]
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [1] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities. [1]
Nonunion is permanent failure of healing following a broken bone unless intervention (such as surgery) is performed. A fracture with nonunion generally forms a structural resemblance to a fibrous joint, and is therefore often called a "false joint" or pseudoarthrosis (from Greek pseudo-, meaning false, and arthrosis, meaning joint).
The surgery is performed by arthroscopy, after the joint is cleaned of calcified cartilage. Through use of an awl , the surgeon creates tiny fractures in the subchondral bone plate. [ 10 ] Blood and bone marrow (which contains stem cells ) seep out of the fractures, creating a blood clot that releases cartilage-building cells .
Postoperative wounds are those wounds acquired during surgical procedures. Postoperative wound healing occurs after surgery and normally follows distinct bodily reactions: the inflammatory response, the proliferation of cells and tissues that initiate healing, and the final remodeling.
After surgery, they were only allowed to gently move the ankle once out of the cast. Recent studies have shown that is not the best method. Patients that are allowed to gently move and stretch the ankle immediately after surgery, have faster and more successful recoveries. [23] They will wear removable boots to ensure their safety with these ...