You will need
- - immediately address to the doctor-the traumatologist;
- - x-ray;
- conservative, surgical or hospital treatment.
You take an x-ray and put a cast. But this is only the case if the fracture has displacement in the injured place was cracked. Before the plaster in place large hematoma will introduce a solution of novocaine.
Gypsum can only be applied at the fracture, but most often imposed so-called boot when the toes remain free, and the site of fracture and is fixed above the dense plaster. Immediately after the imposition of the latch you will again conduct a test of the x-ray as the joints on the ankle is susceptible to bias. Treatment outpatient appoint, and it can last from 6 to 12 weeks depending on the fracture. That is, the more cracks or fractures, the longer you will have to wear a cast.
If the fracture is accompanied by dislocation, before applying the fixing plaster will produce a reduction of the dislocation. This is done with the help of the surgeon's hands, without the use of any tools. Reposition is performed under local anesthesia and may end as well, and not give result.
If the offset is extensive, and while there is a strong dislocation, you hospitalitynet, hold the hood and insert the spokes. The hood will have to lie, 4-5 weeks without getting up. After the specified time is repeated x-ray, a plaster, again the. In this case, the disability is delayed for a period up to 6 months.
Surgical treatment can be administered in the presence of fragments of bones, whether the failed reduction of the dislocation or displacement, with an open fracture and if the bone is not fused or grown together properly.
After treatment you will be given physiotherapy, medical gymnastics, daily fixation with an elastic bandage for 12 months. The ankle cannot be loaded, overtax, wear shoes with a heel, lift weights. Can also prescribe a course of vitamin therapy and follow-up examination.