Very unfortunate but also devastating injury for Mr. Canaan. From just assessing the picture, he definitely needs surgery right away. Sometimes surgeons have to wait for several days prior to the surgery to help with swelling.
Even though I have not seen the x-rays, most likely we’re dealing with Bimalleoli ankle fracture which means that both fibula and tibia which are the two main bones of the lower leg are broken and displaced.
Usually that requires either placing an external fixation frame on the ankle or using screws and plates to put the fracture back together to realign the joint. Fractures of the talus can also be present as well as multiple ligament injuries.
After the surgery, he will be nonweightbearing for six weeks and will require extensive physical therapy to prevent arthritis in his ankle. He will probably return to normal activity within the next 6 to 9 months but osteoarthritis is very common.
At Central Florida foot and ankle we treat everything, from most simple conditions to devastating injuries like this.
Dr. Tatiana Wellens, DPM, PhD