This protocol applies to ankle fractures that do not involve the syndesmosis (the strong ligament complex connecting the two lower leg bones just above the ankle). Patients with diabetes may be kept non-weight-bearing longer — see your surgeon's specific instructions.
This page explains how a ankle fracture (without syndesmotic injury) is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
This protocol applies to ankle fractures that do not involve the syndesmosis (the strong ligament complex connecting the two lower leg bones just above the ankle). Patients with diabetes may be kept non-weight-bearing longer — see your surgeon's specific instructions.
An ankle can be healed on X-ray before balance, calf strength, and confidence are fully restored.
This fracture may be treated with or without surgery, depending on the specific fracture pattern, how much the bone has shifted (displacement), and your individual situation. Your surgeon will determine the best approach for you.
A short-leg splint (SLS) for about 2 weeks, then transition to a CAM boot (controlled ankle motion boot).
No weight bearing (NWB) for about 2 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 6 weeks. Motion (ROM) may begin around 2 weeks once the skin has healed, as you transition to a CAM boot while weight-bearing restrictions continue.
Ankle motion, gait, balance, and strengthening after the protection phase; formal therapy if needed.
A 6–8 week X-ray to confirm healing and clear the weight-bearing restriction. An optional 3–6 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk work early; standing/manual work after comfortable gait and adequate healing.
Sports or High-Risk Activity: Usually 10–12 weeks or longer, after strength, balance, and impact tolerance return.
Loss of alignment, wound problems, calf pain, neurovascular symptoms, increasing swelling, or inability to progress.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A short-leg splint (SLS) for about 2 weeks, then transition to a CAM boot (controlled ankle motion boot).
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.