![]() The recovery period for Closed Fracture of Ankle varies from individual to individual and depends on the age and overall health and the extent of the injury. What is the Recovery Period For Closed Fracture of Ankle? Once the patient is through with rehab, then he or she will be asked to put some weight on the affected extremity and once the patient is able to do so pain free then gradually the patient will be sent back to normal activities after post a Closed Fracture of Ankle. Once the fracture is confirmed healed on x-rays then the plates and screws are removed and the patient is sent to physical therapy for strengthening and range of motion exercises. Postsurgery, the patient will be nonweightbearing for a period of about four weeks. This procedure is called internal fixation if the rods and screws are inserted within the body and external fixation if it is done outside the body. This is done by using metal screws and rods to align the bones and hold them in their normal places and allowing the bones to heal. This is usually done in cases where the Fracture is severe. Surgical Treatment of Closed Fracture of Ankle: In cases where the bones of ankle gets displaced from their alignment then surgery may be required to align them in their normal position. ![]() The patient will then be slowly asked to bear weight on the injured ankle for a few days and once he is able to do it without pain or discomfort then the patient is allowed to gradually return back to normal activities. Once the fracture is shown to have healed on radiological studies then the patient will be sent to physical therapy to work on strengthening the ankle and work on range of motion. The patient is given crutches to move around to carry out basic activities. ![]() Once the swelling has subsided then the patient will be put in a splint or cast depending on the severity of the fracture for immobilization for a period of about six to weight weeks to allow the fracture to heal.ĭuring the healing phase of Closed Fracture of Ankle, the patient is not allowed to put any weight on the ankle and is kept as nonweightbearing. The patient also needs to keep the leg elevated to keep the swelling down. The patient can ice the area for 15-20 minutes two to three times a day to calm down the swelling. Surgery is done for type of fractures in which there is significant displacement of the bones from their normal position.Ĭonservative Treatment of Closed Fracture of Ankle: The patient needs to follow the RICE protocol which is to completely rest the affected ankle and not put any weight on it. Conservative approaches are used for those fractures which are mild and in which the bones have not displaced from their normal anatomical position. For example, a note in Chapter 19 indicates code(s) to specify the cause of the injury should be assigned as secondary code(s) from Chapter 20, External causes of morbidity (even though for this particular coding exercise, you are asked not to report for the external causes).Closed Fracture of Ankle can be treated both conservatively as well as surgically depending upon the degree of the fracture and the extent of the injury. The nonunion is a complication of the fracture.īefore making your final code selection, read all the instructional notes, including Includes, Excludes1, Excludes2, and Use Additional. The patient was previously seen for fracture treatment and is now returning for subsequent care for the non-union. Instead, aftercare of a traumatic fracture should be assigned the acute fracture code with the appropriate 7th character. Open fractures are reported using the Gustilo-Grade Classification system (Types I, II, IIA, etc.).Īdditionally, aftercare Z codes should not be used for aftercare for traumatic fractures. Some fractures may require more detail depending on the site of the fracture. The coding guidelines also state that a fracture not indicated as displaced or nondisplaced should be coded as displaced. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a fracture not indicated as open or closed should be coded as closed.
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