Ankle Fracture Surgery

Ankle fracture surgery is a procedure which corrects the fracture of the tibia or fibula, which are part of the ankle joint. The procedure typically attaches a plate or screws to the tibia or fibula in order to strengthen the joint and promote healing.

Is this procedure for me?

If you have fractured your ankle severely, a foot specialist may tell you that ankle surgery may be required to allow you to fully heal. There are several different types of ankle fracture surgery, which we will outline below.


There are several types of fracture which can require ankle fracture surgery, including; an isolated medial malleolus fracture, isolated lateral malleolus fracture, medial and lateral fracture, functional bimalleolar fracture, posterior malleolar fracture, open ankle fracture, associated syndesmotic injury, and diabetic ankle fractures.

Surgical procedure

At the beginning of the procedure, the patient will be positioned so that the ankle is visible and accessible to the surgeon. Then the agreed mode of anaesthetic is usually applied, and the area of focus is cleaned and sterilised. Once the anaesthetic has taken effect, it is time for the procedure to begin.

The location of the incision will depend on the nature of the ankle fracture. For cases in which the fibula is fractured, an incision will be made on the outside of the ankle, offering the easiest route of access to the surgeon. The first part of the procedure can focus on the removal of small bone fragments which are present due to the fracture. The fibula can then be repaired with a fixation plate which is placed over the fibula, before the plate is held in place using surgical screws.

Procedures to repair the tibia start with an incision on the inside of the ankle, to allow easy access. If there are small bone fragments present, these will be removed, before the insertion of surgical screws into the bone. A fixation plate can also be required in the case of severe fractures.

Post-operative care

At the end of the procedure, the incision will be closed with surgical staples or sutures. The ankle will then be bandaged before being placed in a splint. Following this period of recovery, you will usually need to wear a boot or cast. In general, you will need to avoid putting your weight on the affected ankle for anything from 2-6 weeks following the ankle fracture surgery procedure depending on your type of fracture and how strong your bone is. You will gradually begin to put more weight on the ankle as your recovery progresses. Resting and elevating your ankle will help with pain and swelling during your recovery.

You will normally be given a physical therapy programme with exercises designed to strengthen the ankle and improve its range of movement. Follow-up appointments involving an x-ray are scheduled to ensure your progress is on track.

Risks and complications

As with any type of surgery, ankle fracture surgery does present a small risk of complications, such as; bleeding, infection, nerve damage and skin issues, as well as ankle stiffness and weakness following the procedure.

As with all foot surgery, it is common for minor discomfort and swelling to persist for some months after surgery and is completely normal. This swelling will eventually completely subside with time and can take up to 12 months but often goes well before this.

Ankle pain can be distressing, especially if you're not sure what options are open to you. If you're wondering if surgery could help you, book an appointment.

* Routine private appointments either face to face or remotely are available

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Hear what our patients have to say

Patient stories

Mr Ajis is a great surgeon, he listens to any concern you may have and explains what is going to happen also gives great care... He suggested a fairly new procedure that wasn't available on the NHS but he pushed me through and he and his team have worked wonders, I am now healing very well and pain-free in my ankle after 6 years!

Written by a patient at BMI Goring Hall Hospital

Mr Ajis was very informative and reassuring about my surgery. He was professional at all times and allowed time for me to have all my questions answered without feeling rushed.

Written by a patient at BMI Goring Hall Hospital

I saw Mr Ajis after sustaining a fracture of my 5th metatarsal which had not healed after a year. The pain was unbearable. He saw me promptly and took the time to explain my condition with the help of x-ray images with assurances that he could fix the problem. I was advised by other clinicians to be patient and wait for the fracture to heal on its own. Mr Ajis said that healing would be highly unlikely without intervention. After numerous emails and 'phone calls to him he constantly...

...spent the time reassuring me and patiently going over the intended procedure. To date after seeking advice and guidance from Mr Ajis, his secretary and the Physio Team and the insertion of a plate my fracture has united I walk well, without pain and I have joined a walking group. In summary, he is the best foot consultant the South of England can provide. In fact, I travelled from both the IoM and the IW to West Sussex to see him.