Asked for Female | 70 Years
I am 20 year grand daughter who is taking care of my 70+age grandmother who has ankle fracture a month ago.We are not allowed to have surgery because operation won't be success.She has tight bandage in first week,after 15 days.What is the best steps to be taken now?And the second question is I am helping her with bedpan for excretion.But at night, She expects to use bedpan.But I suggest adult tape briefs.What should I use at night?
Answered by Dr. Sayalee Karve
- Older individuals are more prone to falls and fractures. The incidence of ankle fractures in older patients is high and severe in some cases. The treatment is difficult and complicated in nature due to presence of comorbidities such as diabetes, obesity, hypertension and poor bone quality.
- Treatment goals include: Stability of the joint, ability of the patient to perform daily activities independently and minimizing complications associated with fracture and other comorbid conditions.
RICE is a part of the Non-operative management of ankle fracture in older patients which includes:
R: The importance of rest cannot be overstated. In order for the fracture to heal faster limit yourself from further pressure on the foot.
A cast will most likely be worn to keep the foot and ankle immobile. In case of severe soft tissue swelling, a cast may be required for the first three to five days. The brace must be worn for six weeks in order to allow the fracture to heal. Cast fixation with off-loading is advised for poor bone quality depending on the radiography report.
Ice: For reducing the swelling and inflammation, apply ice to the region for 20 minutes at a time.
And continue further for every 40 minutes.
Compression: Wrapping the area in a bandage helps to reduce swelling.
Elevation: To assist reduce inflammation, lift your foot and ankle slightly above the level of your heart.

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