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Broken ankle recovery time: when you can walk, drive and play again

A milestone-by-milestone timeline for a broken ankle, from first steps to driving, work and sport, and why fixing an unstable break lets you put weight on it sooner, with the news on the 49ers’ Gracen Halton.

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· 8 min read

Medically reviewed by Dr. Efe Ozturk · Last reviewed

A broken ankle raises three questions fast: when can I walk, when can I drive, and when can I play? Here’s the broken ankle recovery time for each, with and without surgery, and what speeds or slows it.

A note first: we have no connection with Gracen Halton or the 49ers and haven’t examined him. Details come from public reports as of November 9, 2026.

What was reported about Gracen Halton

Halton, a rookie defensive tackle, was hurt late in San Francisco’s 38-17 win over the Las Vegas Raiders on Sunday, November 8. A teammate rolled into his left foot and ankle, and the ankle buckled. He left on a cart with an air cast on the ankle. Coach Kyle Shanahan said his season is over after eight games.[6] No outlet has reported the type of fracture or whether he will have surgery, so we won’t guess.

Broken ankle recovery time: the timeline

MilestoneTypical timingWhat the evidence shows
Putting weight on it, after surgeryDay 1 to 3 weeks in a boot, if your surgeon allowsBetter early function and faster return to work than waiting 6 weeks[3,4]
Putting weight on it, stable break without surgeryMany stable outer-ankle breaks can take weight3 weeks in a cast or brace did as well as 6 weeks[1,7]
Bone healing6 weeks early, 10 to 12 weeks completeApplies with or without surgery[1]
Driving, right ankle6 to 12 weeksRoad test passed at 6 weeks after surgery; braking normal by 9 weeks[5,8,1]
Work that isn’t a desk jobAbout 6 to 10 weeks after surgery5.7 weeks with walking right away vs 10 weeks with the old plan[9]
Normal daily activities3 to 4 monthsStiffness and swelling can last for months[1]
SportAbout 4 to 5 months on averageSevere breaks can take up to 2 years[2]

Broken ankle recovery time with surgery

An unstable fracture is one where the bones have shifted or can shift. Fixing it with plates and screws is called open reduction and internal fixation (ORIF). Fixation is what lets the leg work again early.

In the INWN trial, 160 people had surgery for unstable fractures. Half walked in a boot from the day after surgery; half spent 6 weeks off the foot in a cast. The early walkers scored higher on ankle function at 6 weeks (43 vs 35 out of 100), returned to work earlier and cost less to treat, with similar infections, wound problems and repeat operations.[3]

A 2026 review of five trials with 1,030 patients agreed: weight within 3 weeks of fixation gave better function at 6 weeks and 3 months, a quicker return to work, and similar complications.[4] In a registry of bimalleolar and trimalleolar fractures (two or three ankle bones broken), people whose jobs weren’t desk jobs went back to work at 5.7 weeks with immediate walking versus 10 weeks with 6 weeks off the foot.[9]

For the first steps themselves, see how to walk after broken ankle surgery (external site) on our surgery site.

Broken ankle recovery time without surgery

Many breaks of the outer ankle bone alone are stable enough to walk on and heal without an operation.[1] In a trial of 247 people with a stable outer-ankle fracture, 3 weeks in a cast or a simple brace did as well at one year as the traditional 6 weeks in a cast.[7]

The catch is knowing which kind you have. Our article on surgery or a cast for a broken ankle explains how standing X-rays sort stable from unstable breaks. Not sure it’s broken at all? Read sprain or fracture.

When can you drive after a broken ankle?

The studies below tested the right ankle, the one that brakes. Patient guidance from orthopedic surgeons gives 9 to 12 weeks after a right ankle fracture.[1] After surgery, people can be ready sooner:

  • On the road. In 23 people who had surgery on a right ankle, 91% passed an on-road driving test at 6 weeks, before the bone had healed or they were putting weight on it.[5]
  • Braking. In 31 people after right ankle surgery, braking was slower than normal at 6 weeks, adding about 22 feet of travel at 60 miles per hour. By 9 weeks it was back to normal, the researchers concluded.[8]
  • Boots and casts. In 35 volunteers, a walking boot, a short leg cast and a left-foot driving adapter all slowed the total time to brake.[10] So driving with a left-foot adapter is not a shortcut either.

If your left ankle is broken and you drive an automatic, ask us before you drive; we found little research on that situation. Our surgery site has more on when you can drive after foot and ankle surgery (external site).

When can you play sports after a broken ankle?

In a 2025 review of 17 studies and 1,422 athletes, 89.4% had surgery. Of all the athletes, 87.1% returned to sport, at an average of 134.5 days. Their sport function score averaged 85.6 out of 100 at one year.[2]

In the NFL, 237 broken lower fibulas (the thin outer leg bone) were reported from 2000 to 2014, and 54% had surgery. Players missed about 94 days for a fibula break alone and 132 days when other parts of the ankle were broken too.[11] Among 31 NFL players who had ankle fracture surgery, 71% returned. Those who came back performed as well as uninjured players.[12]

What speeds or slows broken ankle recovery?

Smoking. In a large matched database study of people who had surgery for a bimalleolar fracture, smokers had more wound breakdown (1.54 times) and infection (1.37 times) by 90 days. At 2 years they had more bones that failed to heal (1.65 times) and more repeat surgery (1.41 times).[13] In 220 heavy smokers, healing of both bone and wound was slower after surgery.[14] Both research teams urge quitting smoking as part of fracture care.

Diabetes. Across 12 studies, people with diabetes had about twice the complications after an ankle fracture and about three times the infections. Complications were even more likely with advanced diabetes.[15]

Following the weight plan. After fixation, early weight had complication rates similar to waiting.[4] Before your doctor clears it, putting weight on the ankle can let the broken pieces move out of place.[1]

The limits. Several of the early-walking trials left out people with a body mass index over 30, three-bone fractures or torn ligaments between the leg bones, so they apply best to lower-risk patients.[4] One year after surgery, 97% of working patients were back at work, but only 52% were back to their usual activities and 72% still had some stiffness.[16] In the NFL data, players who had surgery missed more days than those who didn’t (124 vs 75), and the study did not settle which treatment is better.[11] In adults over 60 with unstable breaks, a large trial found a carefully molded cast gave about the same ankle function at 6 months as surgery, with fewer wound problems. About 1 in 5 people in the cast group later needed surgery, and the bone healed out of line more often with a cast.[17] In people with diabetes, the extra risk of complications was higher after surgery than after nonsurgical care.[15]

How we treat a broken ankle

Dr. Efe Ozturk is a Foot and Ankle Surgeon and podiatrist. We take X-rays at the practice. A stable break gets a boot or cast and a plan to walk early. An unstable one gets a frank talk about fixation, because that is what lets you put weight on it sooner. See our fracture care and sports medicine pages. We see patients in Lyndhurst, Paramus and Millburn, NJ.

Common questions

How long is broken ankle recovery time without surgery?

For a stable break, about 3 weeks in a cast or brace,[7] healing over 10 to 12 weeks, and normal activities in 3 to 4 months.[1]

How long is broken ankle recovery time with surgery?

Weight in a boot within days to 3 weeks if your surgeon allows,[3,4] driving after right ankle surgery at about 6 to 9 weeks,[5,8] and normal activities in 3 to 4 months. Full recovery from some breaks can take up to 2 years.[1]

How long does an NFL player miss with a broken ankle?

For a broken lower fibula, from 72 to 145 days on average, depending on the break and whether it needed surgery.[11]

When to see a Foot and Ankle Surgeon or podiatrist

About the author

Dr. Efe Ozturk

Foot and Ankle Surgeon. Dr. Ozturk is double board certified, as a Diplomate of the American Board of Podiatric Medicine (DABPM) and a Fellow of the Academy of Physicians in Wound Healing (FAPWH), and is a Fellow of the American Society of Podiatric Surgeons (FASPS) and the American Society of Podiatric Medicine (FASPM). Trained in forefoot and rearfoot reconstructive surgery at Morristown Medical Center; sees patients in Lyndhurst, Paramus and Millburn.

Where to be seen

Dr. Ozturk sees patients at each of these offices, and one phone number reaches all of them.

All offices, hours and directions

References

  1. 1.American Academy of Orthopaedic Surgeons. Ankle Fractures (Broken Ankle). OrthoInfo. orthoinfo.org (external site)
  2. 2.Mazzella GG, Bocchino G, De Fazio A, et al. Return to sport in athletes after surgical ankle fractures: A systematic review. J Exp Orthop. 2025;12(4):e70392. PubMed 41158204 (external site)
  3. 3.Khojaly R, Rowan FE, Shah V, et al. Immediate weight-bearing compared with non-weight-bearing after operative ankle fracture fixation: results of the INWN pragmatic, randomized, multicenter trial. J Bone Joint Surg Am. 2025;107(13):1423-1438. PubMed 40408465 (external site)
  4. 4.Egu C, Akil H, Hakim RA, et al. Early vs late weight bearing after ankle fracture fixation: a meta-analysis of randomized controlled trials. Foot Ankle Int. 2026;47(2):174-183. PubMed 41472367 (external site)
  5. 5.Ho SWL, Yam M, Chan ML, Kwek EBK. Return to car driving is safe 6 weeks after operative treatment of right ankle fractures. Arch Orthop Trauma Surg. 2018;138(12):1691-1697. PubMed 30229342 (external site)
  6. 6.ESPN (Nick Wagoner). 49ers lose DT Gracen Halton to season-ending ankle fracture. Published November 8, 2026. espn.com (external site)
  7. 7.Kortekangas T, Haapasalo H, Flinkkilä T, et al. Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial. BMJ. 2019;364:k5432. PubMed 30674451 (external site)
  8. 8.Egol KA, Sheikhazadeh A, Mogatederi S, Barnett A, Koval KJ. Lower-extremity function for driving an automobile after operative treatment of ankle fracture. J Bone Joint Surg Am. 2003;85(7):1185-1189. PubMed 12851340 (external site)
  9. 9.Cunningham BP, Dugarte AJ, McCreary DL, et al. Immediate weightbearing after operative treatment of bimalleolar and trimalleolar ankle fractures: faster return to work for patients with nonsedentary occupations. J Foot Ankle Surg. 2021;60(1):11-16. PubMed 33214101 (external site)
  10. 10.Orr J, Dowd T, Rush JK, Hsu J, Ficke J, Kirk K. The effect of immobilization devices and left-foot adapter on brake-response time. J Bone Joint Surg Am. 2010;92(18):2871-2877. PubMed 21159987 (external site)
  11. 11.Werner BC, Mack C, Franke K, Barnes RP, Warren RF, Rodeo SA. Distal fibula fractures in National Football League athletes. Orthop J Sports Med. 2017;5(9):2325967117726515. PubMed 28959699 (external site)
  12. 12.Robbins JB, Jupiter DC, Panchbhavi VK, Weiss WM, Hagedorn JC 2nd, Chen J. Return to Play Rates Following Operative Ankle Fractures Differ Between High- and Low-Performing National Football League Athletes. Orthopedics. 2024;47(1):22-27. PubMed 37216567 (external site)
  13. 13.Wang J, Nguyen P, Iyer S, et al. Smoked nicotine dependence elevates risk of nonunion and revision surgery following bimalleolar ankle fracture ORIF: a propensity-matched 90-day and 2-year TriNetX analysis. Eur J Orthop Surg Traumatol. 2025;36(1):58. PubMed 41441890 (external site)
  14. 14.Jerjes W, Ramsay D, Stevenson H, Yousif A. Effect of chronic heavy tobacco smoking on ankle fracture healing. Foot Ankle Surg. 2024;30(4):343-348. PubMed 38368158 (external site)
  15. 15.Lopez-Capdevila L, Rios-Ruh JM, Fortuño J, et al. Diabetic ankle fracture complications: a meta-analysis. Foot Ankle Surg. 2021;27(7):832-837. PubMed 33451907 (external site)
  16. 16.Ramadi A, Beaupre LA, Heinrichs L, Pedersen ME. Recovery and return to activity 1 year after ankle fracture managed with open reduction and internal fixation: a prospective longitudinal cohort study. Foot Ankle Orthop. 2022;7(2):24730114221091806. PubMed 35464787 (external site)
  17. 17.Willett K, Keene DJ, Mistry D, et al. Close contact casting vs surgery for initial treatment of unstable ankle fractures in older adults: a randomized clinical trial. JAMA. 2016;316(14):1455-1463. PubMed 27727383 (external site)

This is general health information and isn’t a substitute for advice from a clinician who knows your history. Read our medical disclaimer and how we write and review content.

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