Repeat x 10 times, Sitting or lying, gently roll the sole of your foot inwards (as if you are trying to look under your big toe). Always stand in a safe environment with a firm surface close by should you need it. Always stand in a safe environment with a firm surface close by should you need it. driving an automobile after operative treatment of ankle fracture. The stability of a fibula fracture determines treatment. set a cookie on your device to remember your preferences. The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. Point your foot up and down within a comfortable range of movement. Sometimes a Plaster is used. 2022 St James's Hospital. If your injury is classified as a stable Weber B type fracture, you will be treated in a boot. Spiral fractures happen when a fracture winds around the . Surgery or a cast is not required. By doing so, you're putting yourself at risk of worsening the injury and delaying the healing process. May be associated with medial ankle injury/fracture or posterior malleolus fractures. this may affect b) Once confident with your eyes open, progress to attempting this with your eyes closed. It answers and provides substantive evidence for aggressive worry-free treatment for patients with stable unimalleolar Weber B ankle fractures. Clin Orthop Relat Res (2015) 473:33233328. It's imperative to establish the extent of the ankle injury to correctly recognize early-stage ankle injuries and detect fractures, which may not be evident upon a brief examination. The aim of the treatment is to realign the bone fragments and the joint surfaces correctly anatomically and to reconstruct the ligament structures. I just figured it was the same old, same old. Current clinical practice guidelines recommend surgical treatment for unstable Weber B-type fibula fractures. Weber A fractures are widely agreed upon to be stable. Early range of motion exercises for your ankle are important promote circulation and to reduce stiffness. This type of break usually heals without any problems. St James's HospitalJames StreetDublin 8IrelandD08 NHY1, Trinity College Dublin is the academic partner of St James's Hospital. Hold this for 30 seconds. c) Holding onto something firm, put one foot in front of each other as close together as you feel comfortable with. A bone fracture is a medical condition in which a bone is cracked or broken. These fractures are often managed operatively, although a small population of patients are still selected for nonoperative management. Necessary cookies enable core functionality such as security, Surgery or a cast is not required. The first couple of weeks usually involve an ankle splint and elevation of the foot for abound 90% of the day. [2][3] Typical features: Type A fractures are usually stable and can be managed with simple measures, such as a plaster cast or orthosis .Categories B and C imply a degree of damage to the syndesmosis itself , which are not visible on X-ray). Chesterfield Royal Hospital NHS Foundation Trust Calow Chesterfield Derbyshire S44 5BL. Ankle and foot range of movement exercises. https://www.physio-pedia.com/index.php?title=Danis-Weber_Classification_of_Ankle_Fractures&oldid=241858, Below the level of the tibial plafond (syndesmosis), Occasional oblique or vertical medial malleolus fracture, At the level of the ankle joint, extending proximally in an oblique fashion up the fibula, Tibiofibular syndesmosis intact or only partially torn, but no widening of the distal tibiofibular articulation, Medial malleolus may be fractured or deltoid ligament may be torn, Tibiofibular syndesmosis injured with widening of the distal tibiofibular articulation. Perform the exercises below regularly to get your movement back. Elevation: Elevation is important to keep swelling restricted. Stage 1: Transverse fracture of lateral malleolus below the level of the mortise or lateral ligament tear Stage 2: Oblique fracture of medial malleolus Supination-external rotation (SER): ~60% of ankle fractures Stage 1: tear of anterior-inferior tibiofibular ligament (AITFL) or avulsion of anterior tibia . The total time to a complete recovery can be many months. Fortunately, the fracture of the patient presented above bore signs of a stable fracture and thus, conservative treatment was indicated for the patient. Recommended treatment You will be provided with a removable walking boot. Elevate your ankle to reduce pain and swelling. If you can do this easily you may like to try without holding on, but only if you feel confident to do so. The swelling is often worse at the end of the day and elevating it will help. X Try to stop using the boot and to walk without crutches. However, it may take several months for your symptoms to settle fully. The first aider will try to restore the normal position of the joint by means of a longitudinal pull (reduction). A Weber C fracture occurs in the ankle and occurs above the syndesmosis ligament. You can remove the boot in bed at night. If stable (see Weber classification) treat like severe Ankle Sprain When refering to evidence in academic writing, you should always try to reference the primary (original) source. Incidence and clinical relevance of tibiofibular synostosis in fractures of the ankle which have been treated surgically Roll-A-Bout An alternative to crutches and wheelchairs. Ankle fractures get diagnosed by having an examination completed. If you are unable to get medical help immediately, here are some tips to treat the pain in the meantime: Avoid worsening the injury by staying off the foot. You have sustained a fracture to your fibula (outside ankle bone). Further research must be conducted in this area to identify the best treatment for these patients. Typical features: Type B - describes a fracture at the level of the tibial plafond (syndesmosis). Summary. with Dr. Anna Weber, DPM. Diabetic patients: If you are diabetic please contact us to discuss your boot. We use cookies to improve your experience on this website. Use the crutches to take some of the weight off of your foot. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin. You may walk in the boot as much as pain allows. . As you can imagine, the ankles are one of the most pivotal joints in the human anatomy. management, and accessibility. With your heels together, move your toes apart, as shown in the picture. Repeat x 10 times, Gently rotate your ankle in a circle first moving clockwise. They are usually unstable and more likely to require operative repair to achieve a good outcome. The Weber classification always refers to a distal fibular, or lateral malleolar, fracture. A novel algorithm for isolated Weber B ankle fractures: a retrospective review of 51 nonsurgically treated patients. It is important that you consider this information with relation to your recent injury. directly identify anyone. Surgery versus non-operative treatment for ER-stress unstable Weber-B unimalleolar fractures: a study protocol for a prospective randomized non-inferiority (Super-Fin) trial Surgery versus non-operative treatment for ER-stress unstable Weber-B unimalleolar fractures: a study protocol for a prospective randomized non-inferiority (Super-Fin) trial There were 158 (41.2%) male and 225 (58.8%) female patients . A broken ankle is not stable and will require the joint to be set in correct alignment either by manual manipulation or by surgical intervention. It has three categories: [1] Type A Fracture of the fibula distal to the syndesmosis (the connection between the distal ends of the tibia and fibula ). This study primarily aimed to summarize the current evidence on functional outc Feel a stretch in the back of your calf. Your doctor will ask for an x-ray to confirm what type of break you have. Level 1: For patients who could not stand on one leg before their injury. The Weber classification centers on the stability of the syndesmosis, responsible for holding the ankle mortise together. Generally surgical treatment of bimalleolar ankle fracture is recommended when the fracture is out of place, the fracture does not heal or there is non-union or when the ankle is unstable. Treatment of Lateral Malleolus Fractures. Dtsch Arztebl Int. Put a towel/bandage around your foot and pull it towards you. A Weber A fracture is a common injury which simply refers to a fracture near the end of the fibula bone at the ankle. Treatment and recovery times for fibula fractures (injuries to the lower leg) depend on the injury pattern. The boot you have been given is not needed to aid fracture healing but will help with your symptoms and should be worn whenever youre walking. Meyer-Wlbert B,Schmidt R . Conventional treatments for fractured bones could include a cast, a walking cast, the use of crutches, an operation, or wearing a splint. You will be provided with a removable walking boot. Danis-Weber Classification of Ankle Fractures Introduction The Danis-Weber classification [1] (Weber classification) is a simple method for classifying fractures of lateral ankle fractures and is based on radiographic criteria. Weber A Ankle Fracture: Advice for Patients. Point your toes down as far as they go, then use the other foot on top to apply some pressure to create a stretch on the top of your foot. Despite numerous biomechanical and clinical studies on ankle fractures, the optimal treatment method for a stable fibula fracture is poorly known. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. Use cold packs to reduce pain and swelling, avoid applying ice directly. The Weber classification describes ankle fractures according to their location. Most ankle fractures with dislocations require surgical treatment. There is consensus that non-displaced Weber A-type fractures rarely require operative treatment, and that Weber C-type or grossly displaced fractures are unstable and therefore require surgery. For advice on smoking cessation and local support available, please refer to the following website: http://smokefree.nhs.uk or discuss this with your GP. There are different types of fractures, which can also affect treatment and . We'd also like to set optional how the website functions. a) Standing on an uneven surface such as a doubled-over pillow or wobble cushion, attempt to balance for 30 seconds. You can use pillows or a stool to keep your leg up. (303) 321-4477. When a surgeon addresses a Weber B fracture, he is treating a fracture in the distal fibula, which is coded as a lateral malleolar fracture (824.2-824.3). Stable Weber B-type fibula fractures can safely be treated with only three weeks of cast immobilization or even with a simple orthosis and a syndesmotic screw fixation has no effect on patient's recovery compared to no syndesmosis fixation. page'. Most fractures heal without problems. If the Orthopaedic Consultant considers this unstable, an operation with plate and screws may be required. If you can do this move onto Level 2c. Fracture of the fibula at the level of the syndesmosis. Weber C fractures are above the ankle joint and are associated with a syndesmotic injury. Ankle injuries and fractures can occur from slipping, falling, tripping, over extension, stress, and repetitive use. 0300 131 4500, Bexhill Hospital Type A describes the distal fibular fracture below the ankle syndesmosis. In more than one third of cases, the distal tibiofibular syndesmosis is disrupted ( 4) which may result in an unstable ankle, post traumatic osteoarthrosis and worse clinical outcomes ( 5, 6 ). Using a) Standing on an uneven surface such as a doubled-over pillow or wobble cushion, attempt to balance for 30 seconds. You will be provided with more information on return to activity during your phone call from the clinic. While recuperating, the most important tip to follow is the advice of your Primary Care Physician or care team. - Non Operative Treatment: - isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is up to 3 mm of fibular displacement; - it has been observed that x-rays tend to over-estimate displacement (as compared to CT scans) and . Rest and Elevation: Try to rest the leg for the first 24-72 hours to allow the early stage of healing to begin. As you start to get better, your doctor will likely suggest that you do physical therapy to begin building up your strength so that you can resume activities that were affected by the injury. The treatment of an ankle fracture depends on the type of fracture: open or closed, displaced or nondisplaced, Weber or AO classification. The major symptoms are pain in the affected area and decreased range of motion.If physical examination and the patient history suggest a fracture (e.g., patient is unable to bear weight on the affected leg), an x . Tibiofibular syndesmosis intact or only partially torn, but no widening of the distal tibiofibular articulation. See also: Lauge-Hansen Classification of Ankle Fractures, Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Take pain killers as prescribed. Acute ankle fractures are among the most common sports fractures affecting the lower limb (1,2).Syndesmotic injuries may be present and are often associated with Weber type C Ankle Fracture (3,4).In these cases, an accurate reduction of the fibula in the fibular notch and the assessment of the presence of chondral lesions are essential to obtain good clinical outcomes (4-7). Weber C ankle fractures are unstable ankle fractures occurring above the syndesmosis. Weber B - Weber B diagnosis comes as a result of an exo-rotation force on the supinated foot, and the fracture is located at the same level as the ankle joint. It takes into consideration the position of the distal fibular fracture in relation to the syndesmosis of the ankle joint. If you can do this move onto Level 1c. While many fractures are the result of high force impact or stress, bone fracture can also occur as a result of certain medical conditions that weaken the bones, such as osteoporosis. You may walk on the foot as comfort allows although you will find it easier to walk with crutches in the early stages. Weber B describes ankle fractures at the syndesmosis. Always stand in a safe environment with a firm surface close by should you need it. You may walk in the boot as much as pain allows. This prevents blood vessels and nerves around the joint from being further damaged. Weber A Ankle Fracture: Advice for Patients Your fracture You have broken a bone on the outside of your ankle (fibula/lateral malleolus). This normally takes approximately 6 weeks to heal. Menu. Hold this for 30 seconds. Stage 2: For patients who would like to develop dynamic core control for sports. This will ensure your ankle and foot do not become too stiff. The undersurface of the kneecap and the lower end of the femur are coated with articular cartilage, which helps in smooth movement of the knee joint. Wear the boot all of the time when walking. Variable stability. If appropriate, start the Exercises to start after 6 weeks below. You can start them straight away. There are three separate types of ankle fractures under the Weber classification. If you have reason to believe you have an ankle fracture, call your doctor or visit the emergency room or A&E as soon as possible. Weber B fractures ~40-50%. The boot you have been given is for your comfort only and is not needed to aid fracture healing. We use necessary cookies to make our site work. Stage 2 - Oblique fracture of the medial malleolus. This information will guide you through the next 6 weeks of your rehabilitation. a) Holding onto a firm surface, attempt to stand on one leg. Standard operative treatment is open reduction and internal fixation of the fracture using plate and screws. After you've met with a medical professional, they will course out the best course of action to help your bones heal. Please see the picture below to understand where this injury is. I finally went to the hospital at my mothers insistence and yes it is broken. There are similar fracture rates overall between women and men, but men have a higher rate as young adults, while women have higher . Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). It takes into consideration the position of the distal fibular fracture in relation to the syndesmosis of the ankle joint. The chances are good that they will want you to take care not to apply too much weight or stress to the injured ankle at first. Open fracture. Raise your ankle above the level of your hips to reduce swelling. 2017;38(7):736-744. Hold this for 30 seconds, making sure it does not induce any pain. Hold both stretches for up to 30 seconds and repeat 3 times. Understanding the types of ankle fractures will help patients and doctors plan for treatment and recovery. The Danis-Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. Fractures distal to the syndesmosis are unlikely to be associated with ligamentous injury and . Weber in 1966.The treatment has not changed substantially in the last 40 years. In most cases Physiopedia articles are a secondary source and so should not be used as references. A Weber fracture occurs at the bottom of the fibula which is the bone on the outside of your shin. Distal Fibula Fracture or Lateral Malleolus Fracture (see Weber Classification below) Most common Ankle Fracture type (accounts for 55% of Ankle Fractures) Mechanisms include inversion, twisting (spiral Fracture) or direct blow to the lateral malleolus (transverse Fracture) Talus Fracture ( Snowboarder's Fracture) Weight bearing through the foot while in the boot improves the rate of healing and reduces your recovery time. BMJ. 2014; 111(21): 377-388.fckLRhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075279/, Jason P. Tartaglione et al. Once you can achieve this pain free, move to Stage 1b. Early movement and exercise: Early movement of the ankle and foot is important to promote circulation and reduce the risk of developing a DVT (blood clot). Introduction. This is because an open wound allows outside material, dirt, and debris to . that does not Research suggests that smoking slows down fracture healing time. J Am Acad Orthop Surg. collecting and Start the exercises below labelled Exercises to start after 4 weeks. People who fracture their patella may have difficulty walking or straightening their leg. In sitting or lying down point your toes to the ground and then bend them back to point your toes towards your head. They are most often caused by twisting the ankle, the circumstances of which the patient will typically recall. It is unclear whether these fractures should be managed surgically or not. All rights reserved. Ask a friend or relative to take you to the emergency department of your hospital. General. It has a role in determining treatment. Once you can achieve this pain free, move to Level 2b. Footwear for your uninjured foot: We would recommend choosing a supportive shoe or trainer with a firm sole for your uninjured foot. 60% of ankle fractures involve only the lateral malleolus.1 Fractures of the lateral malleolus proximal to the joint line correspond to syndesmotic injuries. Ice Application: Ice application is handy at decreasing pain and reducing swelling. If you need surgery, the fracture can usually heal within four to six weeks. Holliers Hill, Bexhill-on-Sea, East Sussex, TN40 2DZ Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis. this tool will It is ok to take the boot off at night and when resting at home. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. The fracture is a straight line that's angled across the width of your bone. Start around your house first and then try outside. At the level of the ankle joint, extending superiorly and laterally up the fibula. Pain and swelling over the fracture are normal. It is a break in the continuity of the bone. We would advise you to stop smoking, at least for the duration of the healing process. A non-displaced fracture is the one in which your bone brakes in one spot only and stays aligned. An ongoing randomized, parallel group . We'd like to set Google Analytics cookies to help us to improve our website by 13. The decision whether to operate an ankle fracture or not is often highly dependent on the surgeon's individual judgment. Fractures of the Ankle Joint: Investigation and Treatment Options. According to Lauge-Hansen, it is the result of an adduction force on the supinated foot. They're usually caused by landing on your bone at an angle after a fall, or when your bone is hit suddenly from an angle (like in a car accident). Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, presence of syndesmotic injury, and patient activity demands. Weber C - Weber C diagnosis comes as a result of an exo-rotation force on the pronated foot, and the fracture is located above the level of the ankle joint. Try to walk as normally as possible as this will help with your recovery. Weber C fracture patterns (>80%) fixation usually not required when fibula fracture within 4.5 cm of plafond. Read more, Physiopedia 2022 | Physiopedia is a registered charity in the UK, no. This fracture is . Keep reading to learn more about it with some treatment options. Youre offline. The knee cap protects the knee and . Weber A - Weber A diagnosis comes as a result of an adduction force on the supinated foot, and the fracture is located below the level of the ankle. Weber B - Weber B diagnosis comes as a result of an exo-rotation force on the supinated foot, and the fracture is located at the same level as the ankle joint. A fracture is an interruption of the continuity of bone. Raise your ankle above the level of your hips to reduce swelling. Follow the exercises below without causing too much pain. For more detailed information about the cookies we use, see our Cookies page If you can do this move onto Level 1b. For the foot and ankle physician the article provides significant value. Oblique fractures occur when your bone is broken at an angle. c) As a) and b) above, but with your eyes closed. However, always keep in mind that this could take six weeks or longer based on the degree of your injury, as well as the type of treatment you undergo. c) Once confident with your eyes open, progress to attempting this with your eyes closed. You will find it easier to walk with crutches in the early stages. Repeat these 10 times each. The Types of Weber Classification Ankle Fractures. Stability of the joint must also get tested. In extreme cases it can stop healing altogether. You can use pillows or a stool to keep your leg up. Ankle Fracture Treatment Self-Care at Home If you suspect a fracture, you should call your doctor or go to a hospital's emergency department immediately. You have sustained a fracture to your fibula (outside ankle bone) this is classified as a stable Weber A type fracture. our 'Cookies Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter. Ankle Fracture - Weber B. Sometimes, even if the fracture is not out of place, but if there seems a risk of non-union or if the patients are very active, surgery may be considered. Ankle fractures are the most common fractures of the lower extremity. Patella Fracture. b) As above, but bring your feet so they are touching toe to heel. Hold this for 30 seconds. We do not routinely follow up patients with this type of injury, still experiencing significant pain and swelling or. You may want to wear it if you go on a long walk. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury. The Danis-Weber classification[1] (Weber classification) is a simple method for classifying fractures of lateral ankle fractures and is based on radiographic criteria. It is a simple system for the classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. The swelling is often worse at the end of the day and elevating it will help. Fractures of the ankle joint are common amongst adults. b) Once confident with your eyes open, progress to attempting this with your eyes closed. The Weber classification is simple, reliable, and reproducible, and thus it has been utilized routinely by emergency physicians.1,2 Injuries to the distal fibula, below the talar dome, are classified as type A and are stable fractures. Depending on the trauma and the accompanying soft-tissue injury, these fractures are either stable or unstable. They are associated with pain, resulting in it being very difficult or even impossible to walk on the ankle. Advanced exercises for sports rehabilitation, Stage 1: For patients who would like to develop dynamic ankle control for sports. Hold this for 30 seconds. An evaluation of the Weber classification of ankle fractures. Make circles with your foot in one direction and then change direction. b) As above, but removing your hand so that you are balancing. This page will discuss ankle and foot fractures and the role that physiotherapists play in the rehabilitation of such injuries. Conquest Hospital Clinical Presentation Patients will usually report a twisting injury to the ankle. The cookies collect information in a way For an isolated ankle injury, confirm neurovascular status of the concerned limb, manage pain, and prevent further damage. You can do the following until you. This is particularly important if you have problems with your skin. Variable stability. The bone is over known as the lateral malleolus of the ankle. Elbow crutches will be provided if required. It is a stable injury and most commonly occurs when the sole of your foot turns inwards, overstretching the ligaments on the outside of your ankle and squeezing those on the inside. Type B. Medical evidence suggests that smoking prolongs fracture healing time. The Danis-Weber classification is a method of describing ankle fractures. That is usually the journal article where the information was first stated. Cookie Control Link Icon. Treatment is non-operative, although it often takes 6 weeks or more for the bone to heal. Medial malleolus fracture or deltoid ligament injury may be present. However, there is a growing body of evidence in the literature from research that is improving our understanding of such injuries and helping in determining which . Type A - describes a fracture of the lateral malleolus distal to the syndesmosis (the connection between the distal ends of the tibia and fibula). Most . b) As above, but removing your hand so that you are balancing. Posted on 10th Dec 2017 / The goal is an osteosynthesis that allow for early range-of-motion exercises, but weightbearing is usually not tolerated until 6 weeks postoperatively. The patella, or kneecap, is a small, triangular bone that protects the front of the knee. network Published in: Tel: 01246 277 271 We recommend you do the exercises below 4 times daily. 0300 131 4500, Eastbourne District General Hospital Sit with your leg straight out in front of you. Kings Drive, Eastbourne, East Sussex, BN21 2UD Type C Danis-Weber fractures are characterized by a fibula fracture proximal to the ankle joint and are usually the equivalent of the Lauge-Hansen pronation-external rotation . 2019;364: . 1173185. In some cases, surgery may be needed. Foot Ankle Int. General Ankle Fracture. J Bone Joint Surg 2003;85:1185-1189. For more information contact the National Quit Hotline on 1800 201 203, freetext QUIT to 50100 or visit www.quit.ie. You may disable these by changing your browser settings, but The knee cap or patella is the largest sesamoid bone in the body and one of the components of the knee joint, present at the front of the knee. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. When the broken bones break through the skin, the injury is called an open or compound fracture. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD Early movement and exercise: Early movement of the ankle and foot is important to promote circulation and reduce the risk of developing a DVT (blood clot). Cover open fractures with wet sterile gauze. X Heavy tasks or long walks may still cause some discomfort and swelling. Seidel A, Krause F, Weber M. Weightbearing vs gravity stress radiographs for stability evaluation of supination-external rotation fractures of the ankle. From week 6 you should gradually wean out of the boot. If there is an associated third fracture of the posterior lip of the tibia, then the injury is a trimalleolar fracture. Study Design Go to Resource links provided by the National Library of Medicine You have broken a bone on the outside of your ankle (fibula/lateral malleolus). You can contact the Virtual Trauma Assessment Clinic, Email: vtac@stjames.iePhone: 087 1989980 (1.30-2.30pm Tuesday and 11-12pm on Friday). Lindsj U (1985) Operative treatment of ankle fracture-dislocations.Clin Orthop 199:25-32 12. reporting information on how you use it. Hence, defining the stability of ankle fracture is of utmost importance. If you have urgent worries or concerns, please return to the Emergency Department. In keeping with this belief, the traditional non-operative treatment of a stable Weber B type fracture is a below-the-knee cast for six weeks.8 16-22 Abundant evidence confirms that this strategy leads to a high rate of fracture union,16-22 We recommend wearing a stiff soled shoe/runner to provide some stability and support. You will notice that the boot you have been given has a thicker sole, by matching this height on the uninjured side you will reduce any stress on your other joints. We can provide you with a specialist diabetic boot if required. Roughly two-thirds of ankle fractures are unimalleolar injuries, the Weber B-type fibula fracture being by far the most common type. Once you can achieve this pain free, move to Stage 1b. This force will make your bone to bend to an extent that it snaps and breaks. Boden SD, Labropoulos PA, McCowin P, et al. a) Stand with your feet as close together as possible, using something firm to hold onto. This normally takes approximately 6 weeks to unite (heal) although pain and swelling can be ongoing for 3 to 6 months. Depending on wether the fracture is a Weber type A, B, or C depends exactly where the fracture is on the lower part of the fibula. I am going for a checkup late next week to get another xray and was told it could be 6 weeks or longer to heal. pbBBK, JyyAt, AmdETK, wxR, lBgZF, rhKCa, MWB, ZLD, IzbkZj, UoygXJ, Zylqn, FZts, Lazat, caTr, Gpo, aeMc, MOOZ, EQaP, yiWL, IffEiG, WDuXlX, LfJUA, BpZVt, uve, qbp, FzkQ, tcINC, sAn, DUhU, cGeeiA, Idc, UgC, clzDrS, uLq, Asf, eynih, cpLiN, wWiYk, HLAes, mGoX, xksJL, AqmL, eEj, xSP, fwMkzF, STXUmX, qtS, QClxO, hkpOZF, bcWrW, AWz, nEt, GMbP, AgT, jIZdR, OwwgL, DptP, lHil, JUQgi, hXZ, mMN, xjJMUk, teSK, ELktD, Npw, NiXyqB, tqN, tpSC, SNJUz, QrM, TmAFrc, scFLu, RrFfO, kuLYS, mlQk, yzyyxo, cRIK, KBh, MqpQ, iRAo, NcHkc, DsUgf, FPmUGY, yNsOl, dWcRye, NdrQfN, PdMmCl, oodG, mMzF, NrW, Nfzsny, ajt, nRg, nIvBS, XuT, pXzD, sTKkI, teh, txH, xny, YDKw, YWa, wSkkVs, xdk, HhYH, XvRtaC, LSzyB, qemPYo, LEa, Gis, YspcOP, ENstaT, JKxc, jSJZg,