Fibula Injuries
The fibula is the thinner of the long bones in the leg, extending from below the knee to the ankle joint. It runs parallel to the tibia, the larger bone in the leg, and contributes to the formation of the ankle on the outer side of the leg.
A common type of fibula injury is a fracture resulting from an inversion injury at the ankle, often caused by rolling the ankle. These fractures typically occur around the ankle joint and involve damage to both the bone and the surrounding soft tissues.
While the fibula can sustain a fracture in isolation, it is more common for such injuries to be accompanied by ligament damage or, in more severe cases, additional fractures.
Diagnosing a Fibula Fracture
If someone suffers a fall over the weekend and suspects a fibula fracture, they usually present to an emergency department or their GP.
The initial assessment typically includes an X-ray to rule out, or determine a fracture. If the X-ray is clear, the injury is often treated as a standard ligament injury.
Initial Consultation and Assessment
Detailed Evaluation: During the first appointment, our orthotist performs a thorough assessment of the patient’s injury, including a review of the X-rays and any surgical notes, to determine the appropriate orthotic device.
Custom Fitting: The orthotist ensures that any orthotic device, whether it is a cast, moon boot, or brace, is custom-fitted to the patient’s leg for optimal support and comfort.
Treatment
The treatment for a fibula fracture depends on the type and severity of the fracture.
Patients are often referred to Orthotics Plus for specific devices after their time at the hospital.
Generally, patients need at least one appointment at Orthotics Plus. If a cast is involved, they might require a second appointment to transition from the cast to a boot.
Basic fibula fractures are treated with a moon boot, while more complex fractures may require a cast or even surgery.
Support with Rehabilitation
At Orthotics Plus, in addition to treatment we also support people with:
Education and Guidance: The orthotist educates patients on the proper use and care of their orthotic devices, including how to wear and remove them, and any exercises they can perform to aid recovery.
Collaboration with Physiotherapists: The orthotist often works in collaboration with physiotherapists to create a comprehensive rehabilitation plan that includes strengthening and mobility exercises.
Pain Management: Advice on managing pain and swelling through the use of orthotic devices.
Determining the Need for Surgery
The decision for surgery is based on the type of fibula fracture, which is categorised into three levels: Weber A, Weber B, and Weber C.
- Weber A: Fracture of the fibula below the level of the ankle joint.
- Weber B: Fracture at the level of the ankle joint.
- Weber C: Fracture above the level of the ankle joint.
As the severity and location of the fracture increase(particularly with Weber B and Weber C), the likelihood of associated soft tissue injuries and the need for surgery also increase.
Orthotics Plus does not perform any surgeries, we can however, communicate with your surgeon on your behalf.
Impact on Daily Life and Rehabilitation
For basic fibula fractures (Weber A), patients can often weight-bear in the boot.
More severe fractures might require a period of non-weight-bearing and the use of crutches.
Following surgery, there is typically a non-weight-bearing period. After the removal of the boot or cast, patients usually return to full function with the help of physiotherapy.
Contact Orthotics Plus
Orthotics Plus has multiple clinics throughout Melbourne and is appropriate to contact for fracture management.
- We offer both moon boots and casts
- We are Australian owned and operated
- We have been treating fractures for over 10 years
- Our team is kind and caring
To get started, please simply phone the nearest clinic to you.
