A trimalleolar fracture is a severe ankle injury involving breaks in all three malleoli—the medial malleolus, lateral malleolus, and posterior malleolus. This type of fracture typically results from high-impact trauma, such as sports injuries, falls, or accidents. It often requires surgical intervention for proper alignment and healing. If not treated promptly, it can lead to chronic instability, arthritis, and long-term mobility issues. Dr. Aashish Arbat, the best orthopedic surgeon to treat trimalleolar fractures, offers advanced surgical and rehabilitation solutions in Pune for optimal recovery.
Trimalleolar Fracture Radiology
In trimalleolar fracture radiology, X-rays are the primary diagnostic tool to identify the fracture lines, bone displacement, and involvement of the posterior malleolus. CT scans may also be used to assess complex fractures or plan surgical fixation. Radiology helps in determining whether the injury can be managed conservatively or if surgery is necessary. Dr. Aashish Arbat ensures a thorough radiological evaluation before recommending the most suitable treatment plan.
Walking After Trimalleolar Fracture
Walking after a trimalleolar fracture depends on the severity of the injury and the chosen treatment method. Post-surgery, weight-bearing is usually restricted for 6–8 weeks to allow bones to heal properly. With physiotherapy guidance, patients gradually progress from using crutches to partial weight-bearing, and finally to normal walking. Dr. Aashish Arbat emphasizes a patient-specific approach to ensure safe and steady rehabilitation.
Trimalleolar Fracture Orthobullets
Trimalleolar fracture orthobullets resources highlight that this injury involves disruption of the ankle mortise, often requiring open reduction and internal fixation (ORIF). Key points include:
- All three malleoli are fractured.
- High-energy trauma is the main cause.
- Surgery is the gold standard for unstable fractures.
- Recovery can take several months, depending on patient health and compliance with rehab protocols.
Trimalleolar Fracture Recovery
Trimalleolar fracture recovery involves a combination of surgical repair, immobilization, and structured rehabilitation. The timeline generally includes:
- Weeks 0–6: Immobilization in a cast or boot, with no weight-bearing.
- Weeks 6–12: Gradual introduction of physiotherapy exercises to restore mobility and strength.
- Months 3–6: Return to daily activities with possible limitations in high-impact sports.
Dr. Aashish Arbat, a renowned joint replacement doctor in Pune and expert in complex ankle fractures, ensures every patient receives a personalized recovery roadmap.
Trimalleolar Fracture Physiotherapy
Trimalleolar fracture physiotherapy plays a crucial role in regaining full function of the ankle. Treatment focuses on:
- Improving range of motion.
- Strengthening surrounding muscles.
- Enhancing balance and stability.
- Preventing stiffness and post-traumatic arthritis.
Sessions start with gentle mobilization and gradually advance to weight-bearing and functional training.
Trimalleolar Fracture Surgery
In most cases, trimalleolar fracture surgery is necessary due to the complexity and instability of the injury. The preferred method is open reduction and internal fixation (ORIF), where plates and screws stabilize the bones. Dr. Aashish Arbat, the best orthopedic doctor in Pune, is known for using advanced minimally invasive techniques, which help reduce recovery time and postoperative complications.
Trimalleolar Fracture ICD-10
The trimalleolar fracture ICD-10 code is S82.853A (Other fracture of lower leg, including ankle, initial encounter for closed fracture). This coding is essential for insurance claims, treatment documentation, and medical record-keeping.
Trimalleolar Fracture Fixation
Trimalleolar fracture fixation aims to restore anatomical alignment of the ankle joint and ensure stability for weight-bearing. Techniques include:
- Plate and screw fixation.
- Tension band wiring.
- External fixation (in severe soft tissue injuries).
Proper fixation minimizes the risk of post-injury complications such as arthritis, deformity, and loss of mobility.
Role of Expertise in Recovery
For a complex injury like a trimalleolar fracture, the choice of surgeon significantly impacts the outcome. Dr. Aashish Arbat, recognized as the best knee replacement doctor in Pune and also trusted for knee joint and ankle surgeries, ensures precise surgical intervention and comprehensive follow-up care. While he is acclaimed in Pune, his reputation as a leading orthopedic expert is comparable to the best knee replacement surgeon in Kolkata.
Conclusion
A trimalleolar fracture is a severe injury requiring timely diagnosis, expert surgical intervention, and dedicated rehabilitation. From accurate radiology assessment to advanced fixation techniques and structured physiotherapy, every step matters for a complete recovery. Consulting an experienced specialist like Dr. Aashish Arbat, the best joint replacement doctor in Pune, ensures the highest chances of regaining mobility and preventing long-term complications.