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Foot & Ankle Fracture Repair Michigan 2026 | DPM

★ 4.9 Stars · 1,123+ Reviews · Board-Certified Michigan Podiatrists

Foot & Ankle Fracture Repair

ORIF Surgery Bloomfield Hills & Howell

Complex foot and ankle fractures require precise surgical repair (ORIF) for proper alignment and healing. Our board-certified podiatric surgeons handle calcaneus fractures, Lisfranc injuries, and metatarsal fractures with expert technique.

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Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS — Board-Certified Podiatric Surgeon. Last updated: April 2026 · Based on current clinical evidence and our treatment outcomes

Foot & Ankle Fracture Treatment in Michigan

Expert Diagnosis & Repair for Broken Bones in the Foot & Ankle

Board-Certified DPMs

All podiatrists are AACFAS and FACFAS certified

Same-Day Appointments

Urgent fracture evaluation available

2 Michigan Locations

Howell & Bloomfield Hills clinics

Insurance Accepted

Most plans + FSA/HSA

What Is Foot & Ankle Fracture Repair?

Foot and ankle fracture repair involves accurate diagnosis with digital X-ray and advanced imaging, followed by customized treatment ranging from immobilization and protective weight-bearing protocols to surgical fixation for displaced or unstable breaks. Our board-certified podiatric surgeons specialize in restoring full function after stress fractures, metatarsal breaks, ankle fractures, and calcaneal injuries using evidence-based techniques that minimize recovery time.

Watch: How Long Does It Take for Foot Surgery to Heal

YouTube video

Dr. Tom Biernacki, DPM explains the clinical basics — then covers what we do differently in our Howell and Bloomfield Hills clinics. Subscribe on YouTube for weekly walkthroughs.

Signs You May Have a Fracture

Foot and ankle fractures don’t always involve obvious deformity. Many patients walk on broken bones for days before seeking treatment, which can worsen the injury and delay healing. You should seek immediate evaluation if you experience any of the following after an injury or repetitive stress:

Sudden sharp pain — especially with weight-bearing or when pressing on a specific area of the foot or ankle. Pain that worsens with activity but improves with rest may indicate a stress fracture.

Swelling and bruising — rapid swelling within hours of injury, discoloration, or warmth around the foot or ankle joint. Significant bruising on the bottom of the foot can indicate a calcaneal (heel bone) fracture.

Difficulty walking or bearing weight — inability to take more than a few steps, or feeling unstable when standing. An ankle fracture often makes it impossible to bear weight without severe pain.

Visible deformity or grinding sensation — in severe fractures, the foot or ankle may appear misaligned, shortened, or rotated. A crepitus (grinding) feeling when moving the joint requires emergency evaluation.

Common Foot & Ankle Fractures We Treat

Stress Fractures

Hairline cracks caused by repetitive impact, common in runners and athletes. Metatarsal stress fractures are the most frequent, often developing gradually with increasing pain during activity.

Ankle Fractures

Breaks in the malleoli (bony prominences on either side of the ankle) from twisting injuries, falls, or sports trauma. Can involve one bone (unimalleolar) or multiple bones (bimalleolar/trimalleolar).

Metatarsal Fractures

Breaks in the long bones of the midfoot from direct impact or twisting. Fifth metatarsal (Jones) fractures are particularly common and may require surgical fixation due to limited blood supply in that area.

Calcaneal (Heel) Fractures

High-energy fractures of the heel bone, typically from falls or auto accidents. These complex fractures often involve the subtalar joint and require CT imaging for proper surgical planning.

Toe Fractures

Broken toes from stubbing, dropping objects, or sports injuries. While many toe fractures heal with buddy taping, fractures involving joint surfaces or significant displacement may need surgical correction.

Lisfranc (Midfoot) Fractures

Injuries to the bones and ligaments of the midfoot joint complex. Often misdiagnosed as sprains, Lisfranc injuries frequently require surgical stabilization to prevent chronic pain, arthritis, and flatfoot deformity.

Our Treatment Approach

Non-Surgical Fracture Care

Many foot and ankle fractures heal without surgery when properly immobilized. We use CAM walking boots, casting, and protective weight-bearing protocols to promote bone healing while maintaining as much mobility as possible. Non-displaced stress fractures, stable toe fractures, and certain ankle fractures respond well to conservative management with close follow-up imaging to confirm healing progression.

Surgical Fracture Repair (ORIF)

Displaced, unstable, or intra-articular fractures typically require open reduction and internal fixation (ORIF). Our board-certified podiatric surgeons use plates, screws, and pins to restore proper bone alignment and joint congruity. Surgical repair ensures the strongest possible healing, reduces the risk of arthritis from joint surface irregularities, and allows earlier return to protected weight-bearing.

Rehabilitation & Recovery

Recovery timelines depend on fracture location and severity. Stress fractures may heal in 6-8 weeks with activity modification, while surgical ankle fractures typically require 8-12 weeks before returning to full weight-bearing. We create individualized recovery plans that include progressive weight-bearing, physical therapy coordination, and follow-up imaging to ensure complete healing before returning to normal activities.

What to Expect at Your Visit

Step 1: Urgent Evaluation & Imaging

Same-day appointments are available for suspected fractures. We perform a thorough examination and take digital X-rays in-office to immediately identify the fracture type, location, and severity.

Step 2: Diagnosis & Treatment Plan

Based on imaging results, we explain the fracture classification, discuss whether surgical or non-surgical treatment is recommended, and outline the expected recovery timeline specific to your injury.

Step 3: Immobilization or Surgery

For non-surgical cases, we apply the appropriate immobilization device and provide weight-bearing instructions. Surgical cases are scheduled promptly, often within days, to ensure optimal outcomes before swelling complicates the procedure.

Step 4: Guided Recovery & Follow-Up

Regular follow-up visits with imaging confirm bone healing. We progressively advance weight-bearing, coordinate physical therapy when needed, and ensure you return to full activity safely with complete fracture union.

Suspect a Fracture? Don’t Wait.

Early diagnosis and proper treatment are critical for complete fracture healing. Same-day fracture evaluations available at both locations.

Insurance & Payment

Balance Foot & Ankle Specialists accepts most major insurance plans. Fracture treatment, including X-rays, casting, and surgical repair, is covered as medically necessary care by virtually all insurance plans.

We also accept FSA and HSA payments. Our billing team verifies your coverage before treatment so there are no surprises. Contact us at (810) 206-1402 for insurance questions.

Why Choose Balance Foot & Ankle Specialists

Surgical Expertise

Board-certified podiatric surgeons with advanced fracture repair training

In-Office Digital X-Ray

Immediate imaging for fast, accurate fracture diagnosis

Same-Day Urgent Care

Rapid evaluation for acute fractures and injuries

Complete Recovery Plans

From diagnosis through full return to activity with guided rehabilitation

Frequently Asked Questions

How do I know if my foot is broken or just sprained?
Fractures and sprains can have similar symptoms including pain, swelling, and difficulty walking. Key differences include point tenderness directly over a bone (rather than soft tissue), inability to bear weight, visible deformity, and bruising that appears quickly. The only reliable way to distinguish them is with X-ray imaging. If you’re unsure, we recommend evaluation — untreated fractures can lead to malunion and chronic pain.
Will I need surgery for my fracture?
Not all fractures require surgery. Stable, non-displaced fractures often heal well with immobilization alone. Surgery is typically recommended when bones are displaced, the fracture involves a joint surface, the fracture is unstable, or conservative treatment has failed. We’ll review your X-rays together and clearly explain which approach gives you the best outcome.
How long does a foot fracture take to heal?
Healing times vary by fracture type and location. Toe fractures typically heal in 4-6 weeks, metatarsal fractures in 6-8 weeks, and ankle fractures in 8-12 weeks. Stress fractures may resolve in 6-8 weeks with activity modification. Factors like age, nutrition, smoking status, and diabetes can affect healing speed. We monitor progress with follow-up X-rays.
Can I walk on a broken foot?
Some fractures allow protected weight-bearing with a CAM boot or surgical shoe, while others require complete non-weight-bearing with crutches or a knee scooter. Walking on certain fractures (especially Jones fractures and displaced ankle fractures) can worsen the injury. We determine the safest weight-bearing protocol based on your specific fracture type.
What is a Jones fracture?
A Jones fracture is a break at the base of the fifth metatarsal (the bone on the outside of your foot). This area has poor blood supply, making healing challenging. Jones fractures often require longer immobilization periods and may need surgical fixation with a screw to ensure proper healing, especially in athletes or active individuals.
Does insurance cover fracture treatment?
Yes. Fracture treatment — including X-rays, casting, walking boots, and surgical repair — is considered medically necessary and is covered by virtually all insurance plans including Medicare and Medicaid. We verify your specific coverage before treatment and accept FSA/HSA payments for any out-of-pocket costs.

Get Expert Fracture Care Today

Schedule your evaluation at Balance Foot & Ankle Specialists. Same-day appointments available at Howell and Bloomfield Hills locations.

Our Locations

Howell Office

Address

4330 E Grand River Ave
Howell, MI 48843

Hours

Monday – Friday
8:00 AM – 5:00 PM

Phone

(810) 206-1402

Fax

833-450-6201

Bloomfield Hills Office

Address

43494 Woodward Ave #208
Bloomfield Twp, MI 48302

Hours

Monday – Friday
8:00 AM – 5:00 PM

Phone

(810) 206-1402

Fax

833-450-6317

Meet Our Podiatrists

Dr. Tom Biernacki

Dr. Tom Biernacki

DPM, FACFAS

Limited schedule

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Dr. Carl Jay

Dr. Carl Jay

DPM

Accepting new patients

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Dr. Daria Gutkin

Dr. Daria Gutkin

DPM, AACFAS

Accepting new patients

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Medical Disclaimer

This page is for informational purposes only and does not constitute medical advice. Results vary by individual and condition severity. Always consult with a qualified podiatrist for diagnosis and treatment recommendations. Balance Foot & Ankle Specialists provides this content to help patients make informed healthcare decisions.

Ready to Get Back on Your Feet?

Same-week appointments available at both locations.

Book Your Appointment

(810) 206-1402

★★★★★

“Broke my foot playing soccer and was terrified. Dr. Jay handled the fracture repair with precision. Six weeks later I was walking normally. Incredible care from day one.”

— Carlos R., Fracture Repair Patient

Serving Patients Across Southeast Michigan

Balance Foot & Ankle provides expert podiatric care from two convenient locations. Our Howell office serves patients from Brighton, Hartland, Fowlerville, Pinckney, Fenton, Hamburg, Whitmore Lake, South Lyon, and throughout Livingston County. Our Bloomfield Hills office serves Birmingham, Troy, West Bloomfield, Pontiac, Farmington Hills, Southfield, Royal Oak, Clarkston, Lake Orion, Rochester Hills, Waterford, Commerce Township, Novi, and Walled Lake across Oakland County.

Who treats you

Board-certified care at both Michigan locations

Dr. Tom BiernackiDPM, FACFAS
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Dr. Carl JayDPM, Fellowship
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Dr. Daria GutkinDPM
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1,123+
Google Reviews
4.9★
Average rating
3,000+
Procedures performed
2
Michigan locations
Same-Week Appointments

Book your visit today

Most insurance accepted · On-site X-ray · Board-certified podiatrists

Howell · (810) 206-1402 Bloomfield · (248) 335-0322

Frequently Asked Questions

What is ORIF surgery for a foot fracture?

ORIF (Open Reduction Internal Fixation) involves surgically repositioning broken bones and securing them with metal hardware (plates, screws, or rods). This is used for displaced fractures where bones are out of alignment and need to be precisely reduced for proper healing and return of function.

How long does foot fracture surgery recovery take?

Recovery varies by fracture location and severity. Simple metatarsal fractures: 6-8 weeks. Calcaneus (heel bone) fractures: 3-4 months. Lisfranc injuries: 4-6 months. We provide detailed recovery timelines at your consultation and coordinate all post-operative care.

Foot Fracture Repair — Michigan Podiatrist

Dr. Biernacki discusses surgical vs. non-surgical treatment for foot and ankle fractures — from stress fractures to Jones fractures to displaced ankle fractures requiring ORIF.

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Frequently Asked Questions

How do I know if my foot fracture needs surgery?

Surgery is indicated for displaced fractures, unstable fractures, fractures involving joint surfaces, and fractures in locations with poor healing (Jones fracture, 5th metatarsal). X-rays and CT scans determine the fracture pattern. Most stress fractures and minor breaks heal without surgery.

How long does foot fracture recovery take?

Minor metatarsal fractures: 6–8 weeks in a boot. Jones fractures: 6–8 weeks non-weight-bearing. Ankle fractures after ORIF: 6 weeks non-weight-bearing, then boot for 6 weeks, PT for 3–4 months. Complex fractures may take 6–12 months for full return to activity.

What is ORIF surgery for foot fractures?

ORIF (Open Reduction Internal Fixation) involves surgically realigning the broken bone and securing it with titanium plates, screws, or rods. This provides stable fixation that allows earlier weight-bearing and more predictable healing than casting alone for complex fractures.

Watch Dr. Tom on Foot & Ankle Fractures

Dr. Tom explains how we diagnose and treat foot and ankle fractures — from hairline stress fractures to displaced ankle breaks requiring surgery.

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Book Today — Same-Day Appointments (810) 206-1402

Post-Fracture Recovery Kit

Affiliate Disclosure: This page contains affiliate links to products we recommend. If you purchase through these links, Balance Foot & Ankle may earn a small commission at no additional cost to you. We only recommend products we use with our patients.

Once the boot comes off (typically 6–8 weeks post-fracture), rehab is everything. These four products support the transition back to normal activity:

Aircast A60 Ankle Brace

Rigid stirrup brace for the transition out of a walking boot — prevents re-injury during weeks 6–12.

Check Amazon Price →

Neoprene Compression Sleeve

Controls post-fracture swelling — wear throughout the day during the first 4 weeks post-boot.

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Reusable Gel Ice Pack (Ankle Size)

20 min on / 40 min off after PT sessions — evidence-based icing protocol for post-fracture inflammation.

Check Amazon Price →

PowerStep Pinnacle Insoles

Post-fracture gait changes overload the other foot — bilateral arch support prevents compensatory injuries.

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Affiliate disclosure: Amazon links are affiliate links — we earn a small commission if you buy through them, at no cost to you. We only recommend products we actually prescribe to patients at Balance Foot & Ankle.

Related Conditions We Treat

Learn more about these conditions or book your appointment for a personalized treatment plan.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.
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