Ankle Fracture-Dislocations (original) (raw)
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Journal of the American Podiatric Medical Association, 2024
Background Ankle fractures constitute 10% of all traumatic fractures in clinical practice. Concurrent tibiotalar dislocations form 21-36% of all ankle fractures. Although mechanism of injury is similar to non-dislocated ankle fractures, fracture-dislocations cause more extensive bone and soft tissue damage. Treatment is a challenge for orthopedic surgeons due to concomitant pathologies. It is associated with malreduction, chronic pain and most importantly, posttraumatic osteoarthritis. We aimed to investigate the relationship between ankle osteoarthritis radiographic stage and clinical outcomes. Methods 27 patients (17 female, 10 male) were included in the study. Records and data were retrospectively analyzed. Clinical status at the final follow-up was evaluated by a single orthopedic surgeon. Range of motion (ROM), American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score, visual analogue scale (VAS) were the clinical parameters that were assessed. Radiological assessment was made by standard anteroposterior [AP], lateral, and mortise views. Pre-operative osseo-ligamentous injury pattern, presence of posterior
Journal of Functional Morphology and Kinesiology, 2022
The authors report the long-term outcome in a series of 26 patients surgically treated for a fracture-dislocation of the ankle by open reduction and internal fixation (ORIF), reviewed after an average followup of 5.2 years. The average age of the patients was 46.8 years; 17 were female and 9 male; the right side was involved in 22 patients and the left side in 4; 10 patients had a unimalleolar fracture, 11 a bimalleolar fracture, and 5 a trimalleolar fracture. The quality of reduction was excellent in 14 cases and good in 12. The functional results were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) score, while radiographic results followed the Van Dijk classification. At followup, the AOFAS score ranged from 75 to 98 points with an average of 87.9, while the radiographic results were evaluated as grade 0 in 16 ankles and grade I in 10. Fracture-dislocations of the ankle occurred more frequently after high-energy traumas in younger patients on the right side...
Ankle Fractures: Review Article
Journal of Arthritis, 2015
Ankle fractures are a common injury associated with trauma in the young patient and osteoporosis in the elderly patient. They can be associated with significant morbidity and challenging to manage. These patients are at an increased risk of developing post traumatic ankle arthritis as well as other complications. Therefore a systematic approach to the management of ankle fractures is required. We review the anatomy, clinical presentation and discuss the management options and potential complications commonly encountered in these injuries.
Open medial dislocation of the ankle without fracture
Journal of Bone and Joint Surgery - British Volume, 2008
A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.
High Energy Injury Ankle Fracture-Dislocation without Neurovascular Involvement
Indonesian Journal of Medicine
Background: Open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular damage are rarely reported. Case presentation: This study present a case of 55-year-old female with open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular injury treated with emergent debridement, open reduction, and internal fixation. Results: Six months follow-up showed complete bone and soft tissue healing with excellent functional outcome. Conclusion: Emergent debridement, open reduction, and internal fixation is needed to treat tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture.
Journal of Foot & Ankle Surgery, 2006
Pure frontal plane rotatory dislocation of the ankle joint without an associated fracture is an extremely rare injury. We report one such case of an eversion rotatory dislocation and one case of an inversion rotatory dislocation. To our knowledge, this is the first report of an eversion injury resulting in dislocation of the ankle without fracture. Both patients had low energy trauma, predisposing ligamentous injuries, and recurrent sprains. In the patient with lateral rotatory dislocation, medial malleolar hypoplasia was also a contributing factor. Both patients healed the presenting index injury with nonoperative treatment, whereas the lateral rotatory dislocation had a lateral ankle stabilization to prevent subsequent injury.
Ankle Fractures: The Operative Outcome
Malaysian Orthopaedic Journal, 2011
Ankle fractures are commonly seen in orthopaedic practice. This retrospective study of patients with ankle fractures who underwent surgical treatment in our institution from January 2000 to December 2003 was undertaken to analyze the common causes and patterns of ankle fractures; and the functional outcome of operative treatment for these fractures. Eighty patients were identified and reviewed. There were 65 male (81.3%) and 15 female patients (18.7%) with age ranging from 13 to 71 years old (mean, 32.3y). Common causes of ankle fractures were trauma (especially motor vehicle accidents), sports injuries and the osteoporotic bones in the elderly. Weber C (64.0%) was the most common pattern of fracture at presentation. The most common operative treatment for ankle fractures was open reduction and internal fixation (73 patients, 91.2%). Excellent and good outcomes were achieved in 93.8% of cases when measured using the Olerud and Molander scoring system for foot and ankle. In conclusion, operative treatment for ankle fractures restores sufficient stability and allowed mobility of the ankle joint.
A prospective study on outcome analysis of fracture ankle dislocation managed with internal fixation
International Journal of Orthopaedics Sciences, 2019
To evaluate the outcome of fracture Ankle dislocation managed with internal fixation. Method: This is a study of patients with "Fracture Ankle Dislocation" admitted in Orthopaedic ward in B.R.D medical college, Gorakhpur, meeting both inclusion and exclusion criteria who came to our hospital. Work up done for surgical management. Consent was taken from all the patient. This prospective randomized study was analyzed. Result: The result of this study is not in comparison with other studies as enumerated shows poor outcome as compare to other study with respect to the functional outcome following surgical stabilization of ankle fractures dislocation.
2021
Open ankle dislocation without associated fractures is one of the rare orthopedic injuries. Early reduction and stabilization is required to prevent neurovascular damage and further complications. We present a case of 22-year-old male, who sustained injury to his right ankle after fall from height. On examination and X-ray evaluation, he had posterior open left ankle dislocation without any malleolar fractures. We managed with debridement, reduction of dislocation, and ankle stabilization by using ankle spanning external fixator. After the removal of the fixator, the patient is having painless ankle range of motions and bearing weight with no difficulty. Although open ankle dislocations without fracture are rare injuries but early intervention is essential to prevent the complications, to salvage the foot and to get better functional outcome. Open ankle dislocation without fracture is rare entity; early reduction of dislocation with ankle stabilization and proper wound management he...