IntroductionYou have a fracture of the ankle (weber A) or a "pull-off" fragment of one of the bones in your foot (avulsion fracture). These fractures are similar to a torn ankle ligament and are treated in the similarly.
Summary - You have a fracture of the ankle or a small ‘pull-off’ fragment of one of the bones in your foot.
- This type of injury almost always heals well without any loss of function.
- A routine follow-up is not necessary for this type of injury.
- It is important that you keep your ankle elevated as much as possible during the first week, this will reduce the swelling.
- Wear the brace as soon as the swelling has sufficiently decreased. After three weeks, try wearing the brace less often, if your pain allows you to do this.
- You can find exercises for your ankle in the folder or in the app.
- If you have any questions, or are experiencing problems with your recovery, you can call the “breuklijn” (fracture hotline): (0314) 32 92 50 on work days between 10:00 - 12:00.
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Treatment A Weber A or avulsion fracture of the ankle is a common injury. The fracture is treated with a tubigrip (an elastick sock) and an ankle brace. You can rent crutches at the hospital.
0-1 week |
- Tubigrip.
- Wear the brace as soon as the swelling has sufficiently decreased to allow you to do this (usually after 3-4 days).
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1-3 weeks |
- Wear the tubigrip and brace.
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3-6 weeks |
- Try wearing the brace less often, as soon as your pain allows this.
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After 6 weeks |
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Instructions Follow these instructions for a good recovery.
- You can combine wearing the ankle brace and a sturdy shoe, for example a shoe used for hiking. You can stand on the foot as long as the pain allows you to do this.
- You can gradually reduce the use of the brace after 3 to 6 weeks. You can find instructions on how to reapply the brace in the app.
- It is important to elevate your ankle. Does the brace feel more tight? Elevate the ankle, for example, by putting it on a chair. The swelling will reduce, and the pressure and pain will decrease.
- The fracture is close to the joint. Start moving the ankle as soon as possible, to prevent the ankle from getting stiff. You can find exercises in the app or in the information folder. It is important not to do the exercises if your pain does not allow this.
- For the first six weeks, you should not practice any sports. After six weeks, you may start sports if your pain allows you to do this. You can wear a brace during sports if necessary.
- Are you in pain? Use a mild pain killer such as paracetamol (acetaminophen). Do not wait with the use of paracetamol until the pain is too much.
Recovery - This type of injury almost always heals well with time and use – no specific treatment is required and routine follow-up is not necessary.
- Physiotherapy is not necessary. If you are not satisfied with the function of your ankle after 6 weeks, you can contact a physiotherapist. The app contains exercises to recover better.
- Does the pain increase, or does it not improve? Please contact the “breuklijn” (fracture hotline).
Reapply the brace If you want to reapply the brace, you can find instructions in the video below to do so.
Exercises After a fracture of your ankle, stiffness, loss of strength and loss of coordination may occur. The following exercises can be performed to support your recovery.
When to start and what to do You can start doing exercises after three weeks. Start with non-weight bearing exercises. This means that you perform exercises without standing on your foot. When you are able to successfully perform these exercises, you can start with weight-bearing exercises. Only exercise as pain allows.
Follow the instructions below:
- Perform the exercises at least 3 times per day.
- Repeat each exercise 10 to 15 times.
- Build up gradually, taking rest if necessary after doing exercises by putting the leg back up high.
- you can perform the exercises in warm water if preferred.
Non-weight bearing exercises Watch the video’s in the Virtual Fracture Care app – under folder: ‘Ankle: Weber A or Avulsion fracture’. Extend the exercises on advice and when the pain allows this.
Weight bearing exercises Watch the video’s in the Virtual Fracture Care app – under folder: ‘Ankle: Weber A or Avulsion fracture’.
Questions?
You can call us If there are any questions after reading the information, please contact us or visit www.slingeland.nl.
Contact Breuklijn, (0314) 32 92 50. Please call us on work days between 10:00 - 12:00. |
Virtual Fracture Care app In our Virtual Fracture Care app, you can find more information about your injury. You can also find exercises here to improve your recovery. You can find the app in the Appstore (iPhone) and in the Google Store (Android). You can also scan the QR-code, automatically you will be transferred to the app.