![]() These fractures could be unimalleolar, bimalleolar, or trimalleolar, depending on the number of malleoli involved. The treatment showed improvement in the range and strength of the lower limb.Īnkle fractures are the most typical type of fracture in the lower limbs. Strength training of lower limb muscles, proprioception training, and gait training was given to the patient. A Mulligan’s movement with mobilization was prescribed to increase the range of ankle dorsiflexion, and ultrasound was used to improve scar mobility. The patient attended physiotherapy treatment. This prolonged non-weight-bearing phase caused muscle wasting of the right leg, and reduced ankle dorsiflexion range and strength. Due to fear of pain, she was not bearing weight on that limb. Ten months post the operation she saw pus discharge from the scar site, she was re-operated for implant removal and physiotherapy was advised. Due to this, there was a delay in the weight-bearing phase. There was pus discharge from the suture site post-operatively. She was managed with open reduction and internal fixation using rush nailing and canulated cancellous screws. ![]() She was brought to the hospital for investigation and was diagnosed with a trimalleolar ankle fracture. In this case report, we present a 52-year-old female patient who met with a road accident 15 months before presentation. This type of fracture occurs due to high-energy trauma and is seen mostly in females than males. The trimalleolar fracture of the ankle is the least common type of fracture among ankle fractures. ![]()
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