Closed reduction for an ankle injury

Pain relief or sedation may be used while a clinician gently guides the joint or fracture into a safer position. A splint or cast then protects the ankle, and imaging checks whether the position is acceptable.

Before manipulation, the team examines the skin and records foot warmth, pulses, sensation and movement. These findings are checked again afterward because displaced bones and swelling can affect nearby nerves or blood vessels.

The clinician applies controlled traction and pressure rather than making a surgical opening. Closed reduction can restore alignment promptly, but an unstable fracture may shift again and sometimes needs fixation surgery after swelling or soft-tissue injury has been assessed.

Keep the splint or cast dry and do not place objects inside it. Elevate the ankle as instructed, take prescribed medicines correctly and avoid putting weight through the foot until the treating team says it is safe.

Attend follow-up imaging because swelling can settle and alignment can change. Move exposed toes gently if permitted. Rehabilitation may later address ankle motion, calf strength, balance and a gradual return to walking.

Return urgently if pain rapidly worsens despite the advised medicine, toes become pale, blue or cold, numbness develops, toe movement is lost, or the cast feels increasingly tight. Also seek prompt help for wet or broken cast material, pressure sores, fever, drainage, a bad smell, or a new injury to the ankle.

Ask whether the ankle remained stable after reduction, when repeat imaging is planned, how long weight-bearing must be avoided, and what changes in toe colour or sensation require an immediate return. Clarify whether a cast, surgery or physiotherapy is expected next.