Broken Ankles. A Practical Guide to Injury Treatment and Recovery

A broken ankle is one of the most common lower limb injuries and can significantly affect mobility, independence and day to day life. Whether caused by a fall, sporting incident or accident, ankle fractures often require a period of immobilisation and non weight bearing, making the right recovery support essential.

This guide explains what classifies as a broken ankle, the most common injury types, treatment options, recovery timelines and how a knee walker can support your rehabilitation.

What is Considered a Broken Ankle

A broken ankle, also known as an ankle fracture, occurs when one or more of the bones that form the ankle joint are fractured. The ankle joint is made up of three main bones:

• Tibia (shin bone)
• Fibula (smaller bone on the outside of the leg)
• Talus (bone connecting the leg to the foot)

A fracture may involve one bone or multiple bones and can range from a small crack to a complete break with displacement.

Medical imaging such as X-rays, CT scans or MRI scans are used to confirm the type and severity of the fracture.

Common Types of Ankle Fractures

Ankle fractures are often categorised based on which bone is affected and how stable the joint remains.

Lateral Malleolus Fracture

• Involves the fibula
• One of the most common ankle fractures
• May be treated conservatively or surgically depending on stability

Medial Malleolus Fracture

• Involves the tibia
• Often associated with ligament damage
• More likely to require surgery

Bimalleolar Fracture

• Involves both the tibia and fibula
• Usually unstable
• Often requires surgical fixation

Trimalleolar Fracture

• Involves three parts of the ankle joint
• Complex injury
• Almost always requires surgery and a longer recovery period

Common Causes of Broken Ankles

Broken ankles commonly occur due to:

• Slips or falls, especially on uneven or icy surfaces
• Sports injuries involving twisting or impact
• Road traffic accidents
• Missteps or awkward landings
• Osteoporosis or weakened bones

Winter months and sporting activities tend to see higher rates of ankle fractures.

Treatment Options

Treatment depends on the severity and stability of the fracture.

Non Surgical Treatment

• Immobilisation in a cast or boot
• Strict non weight bearing for several weeks
• Regular follow up imaging

Surgical Treatment

• Internal fixation using plates and screws
• Post operative immobilisation
• Gradual progression from non weight bearing to partial and full weight bearing

Your consultant will advise the most appropriate approach based on imaging and joint stability.

Recovery Timeline and What to Expect

Recovery from a broken ankle varies, but typically includes:

• 0 to 6 weeks: Non weight bearing with cast or boot
• 6 to 10 weeks: Gradual introduction of partial weight bearing
• 10 to 12+ weeks: Progression to full weight bearing and physiotherapy

Swelling, stiffness and reduced confidence are common during recovery and may persist for several months.

Managing Mobility During Recovery

Being non weight bearing can be physically and emotionally challenging. Many people are initially given crutches, but these can be tiring, unstable and difficult to use for extended periods.

Why a Knee Walker Is Recommended

A knee walker provides a safe and practical alternative to crutches by allowing you to:

• Keep weight completely off the injured ankle
• Maintain balance and stability
• Move more efficiently indoors and outdoors
• Carry items safely using a basket
• Reduce strain on shoulders, wrists and hips

StrideOn knee walkers are commonly used by people recovering from ankle fractures and are suitable for both short term and longer recovery periods.

Choosing the Right Knee Walker

• StrideOn Knee Walker
   Ideal for indoor use with excellent manoeuvrability and tight turning, perfect for kitchens, hallways and everyday home movement.
• Orthomate Knee Scooter
   Designed for outdoor use with pneumatic tyres for uneven surfaces, making it ideal for shopping, dog walking and trips outside during recovery.

Our team can help you choose the most suitable option based on your injury, home environment and recovery stage.

You can view our knee walkers here

Physiotherapy and Rehabilitation

Physiotherapy plays a key role in restoring strength, balance and movement once weight bearing begins.

Rehabilitation often includes:

• Range of motion exercises
• Strengthening the ankle and lower leg
• Balance and gait training
• Gradual return to normal activities

Following physiotherapy guidance closely helps reduce stiffness and long term complications.

Preventing Future Ankle Injuries

While not all ankle fractures can be prevented, you can reduce risk by:

• Wearing supportive footwear
• Strengthening ankle muscles
• Improving balance and coordination
• Taking care on uneven or slippery surfaces
• Managing bone health where applicable

Supporting Your Recovery with StrideOn

Recovering from a broken ankle requires patience, support and the right equipment. A knee walker can help you stay mobile, independent and confident during a challenging period.

At StrideOn, our experienced team is here to guide you through recovery, from non weight bearing to your return to walking. Please contact us on 01823 216202 or email admin@strideon.co.uk for any advice.