In January I slipped on the ice and suffered a Maisonneuve fracture on my right leg along with a posterior malleolus fracture. I also dislocated my right ankle and had to have an emergency reduction because of neurovascular compromise. Following ORIF, short cast for 6 weeks, a boot, and a splint I went through 6 weeks of PT. The therapist has stated I've reached the max on improvement. I have poor strength in the ankle (+3-4), can't do heel rises, have swelling, chronic pain that worsens during the day, and my foot is out at about a 45 degree angle. Is there anything else that might be done. My doc, who is great, can't think of a "Plan B." My concern is I work in a profession that requires me to be on my foot about 10 hours a day during a 12 hour shift. I'm also concerned because of the constant slimp is creating knee and hip pain.