Fractured ankle 10 months ago

[northslope]

I fractured my ankle 10 months ago and I still have pain on walking. A few months ago I had an MRI done and the findings were :Osteochondral fracture with surrounding bone edema;Incomplete fusion of fracture of medial malleolus with bone marrow edema; Marrow edema associated with the lateral malleolus likely reflecting sequelae of prior fracture;sequelae of prior injury of the deltoid ligament as well as the ATFL; extensive soft tissue edema as well as some intramuscular edema;. My original ortho says it will heal in time, and I had a second opinion that says he needs to put screws in the fracture and clean up the cartilage damage best he can. But, it does not sound like a very promising outcome. How can I have two such totally different opinions? Although I have to admit giving it time does not seem to be working. Just wondering is there a middle ground here??? Confused, perplexed, frustrated!!

[northslope]

Thank you for your time and response Dr. Mathur

[Dr. Kokil Mathur]

Hi!
Since there is bone edema and bone marrow edema, there may be underlying necrosis/fibrosis/hemorrhage or bleeding/inflammation. Often these are associated with microfractures of the trabeculae of the bone or with stress fractures. Since the injury is 10 months old and not healing, you may need surgical interventions. Hope this helps. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.