On the 11 month anniversary of the Breaking of the Ankle, Keith had an appointment with the specialist - or one of his minions, anyway, who told him that the pain he is still suffering is because the joint has now become arthritic. Two solutions are possible:
1. An ankle replacement
2. For the joint to be fused, which would result in far less pain but would, of course, mean that he would have no mobility in it.
So an ankle replacement would seem to be the best choice, except that he thinks it unlikely that anyone will do it because of his existing vein problems.
When he broke his ankle, he was coming back from the shop where he had just bought a bottle of whisky and a large cream sponge cake, neither of which he was supposed to be buying - you'd think it would have put him off both for life!