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Suggest Remedies For A Dislocated Ankle Post An Accident

Posted on Sat, 25 Jun 2016

Question: Hello, I fell off my bike and dislocated my left ankle. The doctor adjusted it and pushed it back into the socket. I feel better but he wants to do surgery; says one of the smaller bones is slightly out and he wants to put a screw thru it and connect it to the bigger bone. I'm not sure about him doing this because I come from a small island where doctors do unnecessary procedures to make money, and I can't get a second opinion because he is the only orthopedic surgeon here. I have the pictures of the X-Ray from his email to me, but I can't attach it to this note as its not allowing it. I want you to see them so you get a better understanding. I can email them to you if you give me an address to send them.

Answered by Dr. Dr. Praveen Tayal (34 minutes later)

Brief Answer:
Ankle dislocation is usually associated with fracture.

Detailed Answer:
Hello,
Thanks for posting your query.
The ankle dislocation is usually associated with fracture. The fracture in the ankle needs an internal fixation with the screw. But the best evaluation can be done after seeing the X-ray. You have a feature to upload the reports / image by yourself at the right side of the query page. You can send an email also to YYYY@YYYY with subject ATTN: DR. XXXXXXX TAYAL as a subject.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. XXXXXXX Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (17 minutes later)

I have attached the X-Ray. Please let me know if the surgery will be needed. Thank you.

Answered by Dr. Dr. Praveen Tayal (22 minutes later)

Brief Answer:
Surgery is needed.

Detailed Answer:
Hello.
Thanks for writing again.
I have seen the attached X-rays. You have bimalleolar pott's fracture with intra articular extension. On X-ray the reduction is satisfactory but the intra articular extension needs a rigid fixation with screws. So, surgery is a better option for proper healing in your case.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (3 hours later)

One more question about the intra-articular extension, Potts fracture of the ankle. What if I decide not to get the surgery (rigid fixation wt screws). What can be the end result of that? Could the fracture heal on its own and I will walk normal or will I develop a limp or not walk normally? Thanks.

Answered by Dr. Dr. Praveen Tayal (5 hours later)

Brief Answer:
It can cause ankle stiffness.

Detailed Answer:
If you avoid the surgery then the fracture fragments may get dislocated if you do not take proper rest and can cause stiffness of the joint. The bones will heal without a surgery also.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar