Name of the Procedure:

Closed Treatment of Medial Malleolus Fracture; without Manipulation

Summary

This procedure involves treating a fracture of the medial malleolus (the inner part of the ankle) without manually realigning the bone fragments. It generally entails immobilizing the affected area using a cast or splint to allow natural healing.

Purpose

• Medical Condition: Fracture of the medial malleolus.
• Goals: To ensure proper bone healing, reduce pain, and restore normal function and stability to the ankle.

Indications

• Persistent pain and swelling in the inner ankle.
• Difficulty bearing weight on the affected leg.
• X-ray confirming a fracture of the medial malleolus.
• No need for bone realignment or no significant bone displacement.

Preparation

• Follow healthcare provider's instructions, which may include avoiding food or drink if general anesthesia is utilized (rare in this procedure).
• Disclose all medications and supplements being taken.
• Undergo necessary imaging tests like X-rays for accurate diagnosis.

Procedure Description

1. Immobilization: The affected ankle is immobilized using a cast or splint to keep the bone fragments in place and allow natural healing.
2. Pain Management: Local anesthetics or pain relief may be administered if necessary.
3. Monitoring: Periodic X-rays may be taken to monitor healing progress.

Duration

The procedure itself is quick, often completed within 30 minutes, but the overall treatment will continue for several weeks during the healing period.

Setting

Usually performed in a hospital or outpatient clinic.

Personnel

• Orthopedic surgeon or healthcare provider.
• Medical assistants or nurses.

Risks and Complications

• Common Risks: Temporary pain and discomfort, or pressure sores from the cast.
• Rare Risks: Cast complications like tightness, skin irritation, or delayed bone healing.

Benefits

• Stabilizes the fracture, enabling proper healing.
• Relief from pain and prevention of further injury.
• Minimizes risk of long-term complications like arthritis.

Recovery

• Post-procedure Care: Follow instructions for cast care, avoid getting it wet, and manage pain with prescribed medications.
• Recovery Time: Typically takes 6-8 weeks for the bone to heal. Physical therapy may be recommended afterward to restore full function.
• Restrictions: Avoid weight-bearing activities on the affected leg until cleared by the healthcare provider.
• Follow-up: Regular check-ups to monitor healing progress.

Alternatives

• Non-surgical: Rest, ice, compression, and elevation (RICE) if a minor fracture.
• Surgical Options: Open reduction and internal fixation (ORIF) for severe displacement.
• Pros and Cons: Non-surgical methods have a lower risk but may not be suitable for severe fractures, while surgical options may ensure better alignment but come with higher risk and recovery time.

Patient Experience

• During Procedure: Slight discomfort while the cast is being applied.
• After Procedure: Mild to moderate pain managed by prescribed analgesics. Itching under the cast and adjustment to using crutches or a walker.

Pain and discomfort typically subside within a few days, with steady improvement as healing progresses.