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Ankle Fracture Surgery
in Perth, WA

Ankle fractures are among the most common injuries seen in orthopaedic practice. They typically involve one or more bones and the supporting ligaments of the ankle.

Ankle Fracture Surgery
Surgical Management

Broken Ankles and Recovery

In some cases of fractures, surgery is required to restore joint alignment and stability, especially when they involve displacement or ligament disruption.

Dr. Samuel Duff offers assessment and surgical care for ankle fractures across Perth and Western Australia, including CT-guided fracture planning, internal fixation, and structured post-injury recovery.

Understanding Ankle Fractures

Understanding Ankle Fractures

The ankle joint is formed by the tibia and fibula bones resting on the talus. It is supported by three major ligament systems:

  • Deltoid ligament (inside of ankle)
  • Lateral ligaments (outside)
  • Syndesmosis (connects tibia and fibula above the joint)


Fractures are classified based on their location relative to the syndesmosis and whether the ligaments are involved.

Most ankle fractures follow predictable patterns, which help determine whether surgery is required.

ANKLE FRACTURES

What to Do and When Surgery Is Needed

If you suspect an ankle fracture, get X-rays, elevate the ankle, and use a moon boot or cast. Surgery may be required for unstable or misaligned fractures. Dr. Duff performs surgical repair to restore alignment, stability, and support recovery.

What to Do If You’ve Sustained an Ankle Fracture

If you’ve injured your ankle and suspect a fracture:

  • Get an X-ray as soon as possible
  • Immobilise the ankle with a plaster cast or moon boot
  • Keep the ankle elevated to control swelling
  • Discuss blood clot prevention medication with your doctor
  • Use crutches until your weight-bearing status is confirmed


Additional imaging like a CT scan or MRI may be required to assess the extent of bone or ligament damage.

Surgery is typically needed if:

  • The bones are misaligned
  • There is joint instability
  • The fracture affects multiple sides of the ankle
  • Ligaments are severely torn or detached


Timely referral is important, ankle fracture surgery is ideally performed within two weeks of the injury to achieve optimal outcomes.

Surgical repair usually involves:

  • Realignment of bones to their anatomical position
  • Internal fixation using plates and screws made of titanium or stainless steel
  • Repair or reconstruction of the ligament structures, if required


The goal is to restore joint stability and alignment, reduce the risk of arthritis, and allow early rehabilitation.

Book an Orthopaedic Assessment

If you’ve sustained an ankle fracture, prompt diagnosis and surgical planning can significantly improve your outcome. Dr. Samuel Duff provides expert care for ankle injuries across Perth, with private and public hospital access.
AFTER SURGERY

Recovery Guidelines

After ankle surgery, elevation is key for the first 2 weeks. Weight bearing depends on the fracture type, with some needing 6 weeks of protection. A cast or boot is used initially, followed by early motion exercises.
Timeline Scroll Progress

Elevate the ankle consistently for the first 2 weeks

Avoid hanging your foot down for long periods to reduce swelling and protect the wound

Blood thinners may be prescribed until you are safely weight bearing

Weight bearing depends on the fracture pattern, some allow early walking, others require 6 weeks of limited loading

A cast or moon boot is used initially, with range of motion exercises starting after the first two weeks

Risks of Ankle Fractures and Surgery

Risks of Ankle Fractures and Surgery

Regardless of whether surgery is performed, ankle fractures carry certain risks:

  • Blood clots from immobility
  • Joint stiffness and long-term swelling
  • Infection, particularly in patients with diabetes or poor circulation
  • Delayed healing in complex fractures or smokers
  • Residual pain or subtle instability in high-energy injuries


Physiotherapy is often required to restore balance, strength, and walking patterns during recovery.

Book an Orthopaedic Assessment

If you’ve sustained an ankle fracture, early diagnosis and timely surgical planning can greatly improve your recovery. Dr. Samuel Duff provides expert care for ankle injuries across Perth, with access to both private and public hospitals.

For further information or to schedule an appointment, contact our reception team at (08) 6150 8379 or through the Request An Appointment page.

For cases involving ongoing instability or ligament damage, Dr. Duff also offers specialised Ankle Ligament Surgery.