The problem being treated
Unstable, displaced, or joint-involving fractures often heal poorly without surgical fixation.
Related conditions: Foot & Ankle Fractures, Stress Fractures.
When surgery may be appropriate
- Unstable ankle fractures
- Displaced metatarsal or midfoot (Lisfranc) injuries
- Jones fractures in active patients
- Fractures that have not healed
Many stable fractures heal well in a boot or cast.
How the procedure works
- Bones are realigned, often through incisions over the fracture.
- Plates, screws, or specialized implants hold them in place.
- Associated ligament injuries are repaired at the same time.
Typical restrictions after surgery
- Non-weight-bearing or protected weight-bearing for several weeks
- Splint or boot
- Elevation
Your surgeon will give instructions specific to your procedure; these are general guidelines only.
General recovery phases
- Weeks 0–2Splint; wound healing.
- Weeks 2–6Boot; weight-bearing as directed by X-ray healing.
- Weeks 6–12Progressive weight-bearing and physical therapy.
- Months 3–12Return to full activity; some implants may be removed later if bothersome.
Frequently asked questions
Does hardware have to come out?
Usually not. It can be removed later if it becomes bothersome.
Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.