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Right lateral Malleolus fracture
Age 54, Right lateral Malleolus fracture, it's been 8 weeks and 2 days. She is on cast. I would like to know when she can walk normally. She will be travelling out of country on March 23. It will be 12 weeks by then. I want to know when she can start practice walking before travelling. When can the cast be removed. Does she need a walking boot Or ankle support. She has stabbing pain once in a while, and that lasts for 15-30min. And while she is sitting, the leg swells, and once she lies down and elevates the position of her leg with pillows, the swelling goes down. Is this normal during recovery from the fracture? I have attached the first and lastest xray image
Answers (7)
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Cast can be removed as it is 8 weeks now.
The swelling nature you explained is normal during healing process.
Weight bearing can be started in a week or so, partial weight bearing. Exercises to be started after the cast is removed.Please consult your index surgeon.
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I usually remove cast at 6 weeks and get check x ray done,
Gradual protected weight bearing depending on radiological and clinical picture
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It’s Weber B fracture. Good to know if there is medial pain? Which country she is going to? Can she video consult?
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Regular practice is to remove the cast in 6 weeks. In osteoporosis the cast may be removed a little while later. Post cast removal stiffness may be dealt with by physiotherapy. Weight bearing may be started immediately.
Please consult your treating doctor
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Dr. Soundar Manickam
Orthopedist
13 yrs exp
Chennai
She will be able to walk with full weight bearing - 12 weeks from injury.
Swelling going down when limb elevated is normal. Not to worry
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Dr. Shivraj Jadhav
Orthopedist
15 yrs exp
Navi Mumbai
In my opinion we can release the plaster and go for ankle boots or shoes. Weight bearing should be started partially approximately 20 percentage. Physiotherapy is needed. Local application of any oil would be helpful.
Consult nearby orthopedic surgeon
Next Steps
avoid excessive activities or walking
Health Tips
RICE Thereapy
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Dr. Manjunath Gopal
Orthopedist
25 yrs exp
Bangalore
Usually the cast is removed around 8 weeks for examination and x Ray to assess alignment healing
The symptoms of swelling of leg are common
Next Steps
See your index doctor for assessment and advise
Health Tips
She should be able to walk by then
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.