Ankle Fracture Treatment in Bethlehem & the Lehigh Valley
Precise alignment is critical after an ankle fracture: even one to two millimeters of residual displacement measurably increases joint contact pressures and, with them, the risk of post-traumatic arthritis. Dr. Michael Hendel, MD, PhD, trained at Hospital for Special Surgery, treats ankle fractures across the Lehigh Valley with the goal of anatomic restoration of the joint.
Acute injuries are seen fast — typically within 24 to 48 hours — because timing affects both surgical options and outcomes. Surgery, when needed, is performed at St. Luke’s Orthopedic Hospital — West End Campus in Allentown.
Fractures Treated
- Lateral malleolus fractures — the most common ankle fracture, from simple to displaced patterns
- Bimalleolar and trimalleolar fractures — unstable injuries requiring precise plate-and-screw fixation (ORIF)
- Syndesmotic (“high ankle”) injuries — ligament disruption requiring dedicated fixation
- Stable, non-displaced fractures — treated without surgery in a boot or cast, with serial X-rays to confirm position
- Achilles tendon ruptures and tibial fractures — the full spectrum of lower-extremity trauma
Recovery follows a structured protocol: protection and elevation early, progressive weight bearing in a boot around weeks 6–10, strengthening and balance work after, and return to sport and full activity typically between 4 and 6 months. An accelerated protocol is available for appropriate, stable fixations.
“Trimalleolar ankle fracture — Dr. Hendel operated the next morning and the alignment was perfect. He checked in personally during recovery and gave me a step-by-step protocol.”
Press Ganey verified patient surveyFrequently Asked Questions
How do I know if my ankle is broken or just sprained?
You often cannot tell without an X-ray. Inability to bear weight, immediate significant swelling, deformity, or bone tenderness all warrant imaging. When in doubt, get evaluated — a missed fracture treated late does worse than one fixed promptly.
How soon after a broken ankle do I need surgery?
Displaced fractures are ideally fixed within days, once swelling allows — which is why urgent evaluation matters. Dr. Hendel's office accommodates acute fractures within 24-48 hours; call (484) 526-1735.
How long before I can walk after ankle fracture surgery?
Typically protected (non-weight-bearing) for about six weeks, then progressive walking in a boot as X-rays confirm healing, transitioning to a regular shoe around weeks 10-12. Most patients return to full activity, including sport, between 4 and 6 months.