Foot & Ankle Fracture Care in Fairfax, VA

The foot and ankle contain 28 bones, and each fracture heals differently. A broken toe and a broken ankle need very different care. Some stress fractures heal reliably in a boot, while others in high-risk spots need surgery to heal at all.

We treat the full range of foot and ankle fractures, from hairline to complex. Most heal without surgery. When surgery gives you a better long-term result, our board-certified surgeons perform it and guide you through recovery.

Who it's for

• Ankle fractures
• Stress fractures of the metatarsals, navicular, or heel
• Jones and fifth metatarsal fractures
• Broken toes
• Heel (calcaneus) and talus fractures
• Lisfranc (midfoot) injuries
• Fractures that haven't healed or healed out of position

What to expect

1. Prompt evaluation. We examine the injury and take X-rays. CT or MRI is used for complex or hidden fractures.
2. Treatment decision. We explain whether your fracture is stable enough to heal on its own or needs surgery, and why.
3. Immobilization or surgery. Non-surgical care uses a boot, cast, or stiff-soled shoe. Surgical repair typically uses plates, screws, or minimally invasive fixation.
4. Protected healing. Follow-up X-rays track healing. We tell you exactly when you can bear weight.
5. Rehabilitation. We guide your return to walking, work, and sport, often with physical therapy.

Treatment options

• Walking boots, casts, and post-op shoes
• Crutches, knee scooters, and weight-bearing plans
• Bone stimulators for slow-healing fractures, arranged through a specialty provider
• Open reduction and internal fixation (plates and screws)
• Minimally invasive and percutaneous fixation
• Revision surgery for nonunions and malunions
• Coordinated physical therapy

Dr. Shyaun Rafii's residency at MedStar Georgetown included extensive trauma training, and his fellowship in Charlottesville focused on complex surgical care. Dr. Andrew Falco's residency also included extensive trauma training, and his fellowship focused on sports-related injuries and complex lower-extremity conditions. Between them, they treat everything from a broken toe to complex fracture reconstruction.