Ankle Fracture: Treatment with Surgery

Helse Stavanger offers surgical treatment for unstable ankle fractures, where the fracture is stabilized with plate fixation. After the operation, early mobilization of the ankle and toes is recommended, as well as keeping the foot elevated to reduce swelling and pain. The patient can begin with light weight-bearing after two days, with gradual increase in load over six weeks. Full weight-bearing is usually possible after six weeks.

Follow-up includes suture removal after two weeks and digital monitoring via CheckWare using questionnaires sent by SMS after six weeks, twelve weeks, and one year. The responses are evaluated by healthcare personnel, and if necessary, the patient is called in for further examination. This system ensures efficient use of resources and tailored follow-up based on the patient’s needs.

About the service

Helse Stavanger offers surgical treatment for patients with unstable ankle fractures. The treatment involves surgery with the insertion of plates and screws to stabilize the fracture and ensure proper healing. The goal is to restore joint function, reduce pain, and prevent complications such as malalignment and reduced mobility.

After the operation, the patient receives instructions on early mobilization and gradual weight-bearing. Most start with light weight-bearing after two days and increase the load over a six-week period. Full weight-bearing can usually be resumed after six weeks. Elevating the foot is recommended to reduce swelling and promote circulation, and the patient is followed up with wound care and suture removal after two weeks.

Follow-up is conducted digitally through questionnaires sent by SMS after six weeks, twelve weeks, and one year. The patient’s responses are assessed by healthcare professionals, and only those needing further follow-up are called in for outpatient evaluation. This model provides good patient safety while freeing up capacity in specialist healthcare services.

The service is suitable for patients who need surgical treatment for ankle fractures and can benefit from digital follow-up. It requires that patients have access to digital tools and can provide feedback via electronic questionnaires. The solution offers structured, efficient, and needs-based follow-up with good patient involvement.

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