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Weber A / Avulsion fracture ankle

You have a fracture of the ankle (weber A) or a small loose fragment of one of the bones in your ankle (avulsion fracture). These fractures are similar to a tear of the ligaments in the ankle and are treated in the same way.

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Treatment

A Weber A or avulsion fracture of the ankle is a common injury. The fracture is treated with a tubigrip (a special sock to reduce swelling) and an ankle brace. Crutches can be rented at the hospital.

0-1 week
  • Tubigrip.
  • Wear the brace as soon as the swelling has sufficiently decreased to allow this (usually after 3-4 days).
1-3 weeks
  • Wear the tubigrip and brace.
3-6 weeks
  • Try wearing the brace less often, as soon as your pain allows this.
After 6 weeks
  • You may start sports.
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Instructions

Follow these instructions for a good recovery.

  • You can combine wearing the ankle brace and a sturdy shoe, for example a shoe used for hiking.
  • You can stand on the foot as long as the pain allows you to do this.
  • You can find instructions on how to put on the brace in our Virtual Fracture Care app and/or in this video.
  • After 3 weeks,  try wearing the brace less often.
  • It is important to elevate your ankle. Does the brace feel more tight? Elevate the ankle, for example, by putting it on a chair. The swelling will reduce, and the pressure and pain will decrease.
  • The fracture is close to the joint. Start moving the ankle as soon as possible, to prevent the ankle from getting stiff. You can find the exercises in our app and/or in this information. It is important not to do the exercises if  your pain does not allow this.
  • For the first 6 weeks, you should not practice any sports. After 6 weeks, you may start sports if your pain allows you to do this. You can wear a brace during sports if necessary.
  • Are you in pain? Use a mild pain killer, for example paracetamol. Do not wait with the use of acetaminophen until the pain is too much.
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Recovery

  • This type of injury almost always heals well with time and use.
  • No specific treatment is required and therefore routine follow-up is not necessary.
  • Physiotherapy is not necessary. If you are not satisfied with the function of your ankle after 6 weeks, you can ask for a referral to a physiotherapist from your general practitioner.
  • Does the pain increase, or does it not improve? Please contact the 'Breuklijn' (fracture hotline). See also the information at te bottom of this page.

Exercises

After a fracture of the ankle (weber A) or a small losse fragment of one of the bones in your ankle (avulsion fracture) stiffness, loss of strength and loss of coordination can occur. The exercises described below can prevent this.

Initially gently move the ankle and gradually resume daily activities within the limits of discomfort. Every step you can start the exercises underneath, at least 3 times a day. Start with the exercise 1, stretching while sitting on a chair. When this goes well, start exercise 2, stretching while standing up.

Exercise 1

Take a chair and start with the following stretching exercise. Place your foot far from the chair and try to place your heel on the floor. Slide your foot closer to the chair and try to put your heel back on the floor.  Pull your foot closer until you feel a mild-moderate strectch.

Exercise 2

Stand up and start with the next stretching exercise. Place your healthy foot in front of your injured foot. With your injured foot stretch your ankle as far as possible. Then place your healthy foot behind your injured foot. Again stretch your ankle as far as possible.

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Virtual Fracture Care app

In our Virtual Fracture Care app, you can find more information about your injury. You can also find exercises here to improve your recovery. You can find the app in the Appstore (iPhone) and in the Google Store (Android). You can also scan the QR-code, automatically you will be transferred to the app.

Questions? Pleas call 'Breuklijn'

If there are any questions after reading this information, please call the 'Breuklijn' (fracture hotline) on workdays between 10.00-12.00.

Code
SEH app E 10-AD