10 Days Post ORIF on RIGHT ankle - Why is my ankle/foot visibly angled inward?

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Hey there! So I've posted on here quite a few times, and now I'm back yet again with another question (oh, the joys of being injured!).

I dislocated and broke my right ankle stepping in a hole in the grass back on June 30th. I broke my Tibia and my Medial Malleolus (the M.M. break was worse than they thought once they saw it in surgery). I had ORIF surgery on July 3rd and had 2 plates and 2 screws put in, I think? (Not sure on the exact number, but I know there's plates and screws in there, lol). Thankfully, I only needed pain medication for about 5 days after the surgery, and now I'm off of them completely. Besides a weird shooting nerve pain in my thigh, I'm more just uncomfortable and tired of this cast! But, that's beside the point of my question here... 

So, just last night while I was adjusting the pillows under my ankle, I noticed that when I straighten my leg completely, my foot is angled inward at what I'd say about a 30-degree angle. Basically, my right ankle is angled into the left (think of someone's foot who is "pigeon-toed"wink. Now, I wouldn't think much of this except for the fact that my feet have always faced outward - which to some is known as "out-toed" (Just said that to help you maybe picture it better). I'm kind of concerned now that I did something to my cast somehow and it shifted my foot into a weird inward position? I hope that it hasn't started to heal in that position, or else I might walk really weird once I get to that point, because one foot faces outward and one faces in! I go back for my post-op appointment on the 17th (just a few days), and I'm hoping everything turns out okay.

Has anyone else noticed their ankle/foot is angled in their cast? If not, what in the world caused this?!

Thanks! smile

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  • Posted

    I dislocated and broke mine as well a few weeks ago and had surgery. Whenever they “reduced” my ankle and put it back into place, they splinted it in a soft cast the same way. It was inverted quite a lot. I don’t have a cast anymore, but a boot and it’s straight like it’s supposed to be w/o the cast on it. 
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  • Posted


    I think our mind plays tricks on us when we are in this position.  Try not to worry yourself.  I am sure it will be fine.  After my surgery I felt like my foot was never going to work again...but it did.  Relax and try not to think about it....I dont think any one us ever really looked at our feet so much before and once we face a problem we analyse them day and night.

    God Bless

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  • Posted

    Ok, i have something similar to this condition !! But tell me the answers of those 3 question, so i may help you!!

    1- do you feel any pain or discomfort on your heel?? Something like a stone under your heel??

    2- check your calf muscle mass,, and confirm if the cast made partial atrophy or mass loss in the calf compared to the other side???

    3- check with your doctor x-ray to confirm if the broken bone has healed in right position and no malunion has occurred???

    Please tell me the answer of those 3 question and i will try to help you god willing.

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  • Posted

    Wow!! That's really weird I got a cast myself I had an injury on June the 10th I broke my ankle in two different places and it was really messed up with the orthopedic surgeon told me and as for me I got to 20 inch plates on side of my leg with 18 screws and I'm going Monday to get my second cast.

    It might happen when they put the cast on and I guess your foot wasn't straight when they put the cast on that's only thing I can think of but when you go back on a 17th tell your doctor about that good luck and I feel your pain I'm out of work for 4 to 5 months !!!

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