Ankle fractures are common injuries that often require specialist orthopaedic assessment to ensure the ankle joint heals correctly and long-term function is preserved. While some fractures can be managed non-operatively, many unstable or displaced fractures benefit from surgical fixation.

As a consultant orthopaedic surgeon based in Darlington, I provide expert assessment and surgical management of ankle fractures, treating patients from across the Tees Valley and surrounding areas.

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What Is an Ankle Fracture?

An ankle fracture occurs when one or more of the bones forming the ankle joint break, usually as a result of a fall, twisting injury or direct trauma. Fractures can range from simple breaks to complex injuries involving joint displacement or ligament damage.

Because the ankle is a weight-bearing joint, accurate diagnosis and appropriate treatment are essential to reduce the risk of long-term pain, stiffness and arthritis.

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Common Symptoms of an Ankle Fracture

An ankle fracture typically causes immediate symptoms following injury. These may include severe pain, swelling, bruising and difficulty or inability to bear weight on the affected ankle. In some cases, the ankle may appear deformed or unstable.

Any suspected ankle fracture should be assessed promptly with appropriate imaging.

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Diagnosis and Assessment

Diagnosis begins with a detailed clinical examination and X-rays of the ankle. In more complex injuries, additional imaging such as CT scanning may be required to fully understand the fracture pattern and assess joint involvement.

Accurate assessment is crucial in determining whether surgical treatment is required and in planning the most appropriate procedure.

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When Is Surgery Needed for an Ankle Fracture?

Surgery is usually recommended when the ankle fracture is unstable, displaced, involves the joint surface, or is associated with ligament damage that compromises ankle stability.

The aim of surgery is to restore the normal alignment of the ankle joint, stabilise the fracture, and allow the bones to heal in the correct position. This reduces the risk of long-term complications such as chronic pain, instability or post-traumatic arthritis.

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Ankle Fracture Surgery

Ankle fracture surgery typically involves realigning the broken bones and securing them using plates, screws or other fixation devices. The specific technique depends on the type and severity of the fracture.

Procedures are carefully planned to achieve stable fixation while minimising disruption to surrounding tissues. Surgery is usually followed by a period of immobilisation and protected weight-bearing.

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Recovery and Rehabilitation

Recovery after ankle fracture surgery varies depending on the nature of the injury and the procedure performed. Most patients will require a period of immobilisation, followed by gradual progression to weight-bearing and physiotherapy.

Rehabilitation is an important part of recovery, helping to restore strength, movement and confidence in the ankle joint.

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Why Specialist Surgical Care Matters

Ankle fractures involve the joint surface and supporting ligaments, making them more complex than many other fractures. Specialist orthopaedic input helps ensure that fractures are managed appropriately from the outset, reducing the risk of long-term problems.

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Consultant Orthopaedic Care in Darlington

I am a consultant orthopaedic surgeon specialising in foot and ankle surgery, based in Darlington. I treat patients from across North Yorkshire and the Tees Valley, including Stockton-on-Tees, Yarm, Stokesley, Middlesbrough, Durham and surrounding areas.

Request an Ankle Fracture Consultation

If you have sustained an ankle fracture or have been advised that surgery may be required, a specialist consultation can help clarify the most appropriate treatment for your injury.

To arrange an assessment, please complete the form below and a member of the team will be in touch to discuss your enquiry and appointment options.

Your details will be treated confidentially and used only to contact you regarding your care.

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What Happens Next?

• Your enquiry is reviewed by the clinical team

• You are contacted to discuss your injury, imaging and symptoms

• A consultation is arranged at a convenient location

• A clear treatment plan is discussed, including whether surgery is recommended

Recovering Well After an Ankle Fracture

An ankle fracture can have a significant impact on mobility and confidence, particularly if the joint does not heal in the correct position. With appropriate surgical management and structured rehabilitation, many patients are able to return to walking, daily activities and sport.

If you have been told you may need surgery, or if your ankle is not recovering as expected following injury, specialist assessment can help ensure the best possible long-term outcome and reduce the risk of ongoing pain, stiffness or arthritis.