Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis

Wu, Xing; Wang, Yanfeng; Sun, Liang; Wang, Linjie; Kong, Zhigang; Zhang, Chunpu; Zhang, Zhiguo

doi:10.1097/md.0000000000012079

Cited by 14 publications

(12 citation statements)

References 15 publications

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“…There is even an excellent classification in three types [20] . In our case, the posterior malleolus fracture was not accompanied by a lower syndesmal diastasis, a fact reported by some authors [21] . Reduction of the fracture of the talus neck from posterior to anterior is a feasible alternative and sufficient anatomical restoration is achieved [22] .…”

Section: Discussionsupporting

confidence: 80%

Tibial pylon fracture associated with talus fracture and infrasindesmal spiral fibula. Case report and literature review

Nieto¹

2020

Int. J. Orthop. Sci.

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Combined fractures of the tibial pilon and the adjacent bones are infrequent. We present a case of a 59year-old female with a complex foot and ankle trauma resulting in an unusual combined ipsilateral fracture of the tibial pilon, talus neck, fibula spiral and dislocation. The fractures were treated by open reduction with anatomic reconstruction. To the best of our knowledge, this combination of fractures has not yet been reported in the literature.

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Section: Discussionsupporting

confidence: 80%

Tibial pylon fracture associated with talus fracture and infrasindesmal spiral fibula. Case report and literature review

Nieto¹

2020

Int. J. Orthop. Sci.

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“…[3][4][5][6][7][8][9][10] As far as the outcomes of the treatment of unstable ankle fractures are concerned, most studies reported excellent or good results with these scores. 14,16,[18][19][20][21][24][25][26][29][30][31][32][33][34]39,43 Surgical fixation is mostly preferred over conservative treatment as it consistently returns better outcomes. 7,13,17,26,32,38,42 Particularly, surgery allows for shorter immobilization and earlier weight-bearing leading to better functional scores and higher rates of return to normal life.…”

Section: Discussionmentioning

confidence: 99%

“…Excellent and good results were 93.3%. 18 In 1985 Phillips proposed a 115-points system to document subjective and functional outcomes, including arthritis grading. 9 In this system, overall scores from 110 to 115 were classified as excellent, 96 to 109 as good, 70 to 95 as fair, and less than 70 as poor.…”

Section: Data Collectionmentioning

confidence: 99%

Outcomes After Unstable Fractures of the Ankle: What’s New? A Systematic Review

Monestier¹,

Riva²,

Zabetta

et al. 2022

Orthopedic Reviews

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Background Unstable ankle fractures are very frequent. Given the instability, they often require surgical treatment, but literature scarcely reports on the outcomes of their management. Questions/purposes For this systematic review we asked: (1) What are the outcomes in treatment of unstable ankle fractures? (2) What about complications of treatment in unstable fractures? (3) What factors influence the outcomes? (4) What about the role of the posterior malleolus? Methods The electronic databases PubMed, Scopus, and Embase were interrogated using the search terms “bimalleolar” or “trimalleolar” and “fracture”. Studies were included if they reported on: (1) bimalleolar or trimalleolar fracture in adults; (2) treatment; (3) outcomes reported by scales; (4) follow-up. The final review included 33 studies. The quality of the studies was evaluated with the Methodological Index for Non-randomized Studies (MINORS) questionnaire. Results All the outcomes of the thirty-three selected studies were analyzed. Discussion Surgical fixation of unstable ankle fractures should always be performed within the first 48 hours from the trauma, preventing instability and post-traumatic osteoarthritis. Surgeon should consider factor may influence functional outcomes. Posterior malleolar fractures should be fixed regardless the size, considering some individual factors.

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“…The common causes for such injure mainly include dysplasia of medial malleolus, insufficient talus coverage, ligament relaxation, and fibula muscle weakness. [ 2 ] Previous studies have reported that the incidence of isolated ankle dislocation approximately is 0.065%, and it is more common in male patients. [ 3 ] Actually, sports injuries and traffic accidents are the main causes of such injuries, [ 4 ] and forced inversion or eversion caused by high-energy violence is the main injury mechanisms.…”

Section: Discussionmentioning

confidence: 99%

“…Comparatively, isolated ankle joint dislocation without concomitant fractures of medial or lateral malleolus is uncommon in the clinical practice. [ 2 ] In the present study, we report a case of open total dislocation of ankle joint without fractures in a patient who obtained a satisfactory clinical result following early debridement and irrigation, one-stage repairment of ligaments, and plaster external fixation.…”

Section: Introductionmentioning

confidence: 96%

Open total dislocation of ankle joint without fractures

Chi

Gao

et al. 2021

Medicine

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Rationale: Open total dislocation of ankle joint is rare and often caused by high-energy injury. The present study describes a patient with open total lateral dislocation of ankle joint without fractures and obtained a satisfactory clinical result following early debridement and irrigation, one-stage repairment of ligaments, and plaster external fixation. Patient concerns: The patient, a 45-year-old male, complained of right foot pain with bleeding and limited motion. Physical examination showed a 15-cm open wound at the medial ankle region, with soft tissues impaired and ankle bones exposed. The 3 dimensional reconstruction computed tomography (CT) examination showed an open total dislocation of ankle joint without concomitant fractures. Diagnoses: open total lateral dislocation of ankle joint without fractures Interventions: Early modern wound care including thorough debridement and irrigation on the wound was performed to remove contaminated soft tissues. Subsequently, the dislocated ankle joint was reduced by hand and the medial and lateral collateral ligaments were repaired using wire anchors. Outcomes: The medial wound healed at 2 weeks after surgery, and several common complications such as infection and skin necrosis did not occur. The last follow-up showed a good range of metatarsal flexion and extension of the injured foot, and obvious signs of traumatic arthritis were not observed. According to Kaikkonen ankle function score, the patient was assessed with 90 points. Lessons: For open total dislocation of ankle joint, early treatment should focus on debridement and irrigation, reduction and fixation of the dislocated ankle, protection of the weak soft tissues, and stable external fixation to promote wound healing and reduce the incidence of related complications.

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Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis

Cited by 14 publications

References 15 publications

Tibial pylon fracture associated with talus fracture and infrasindesmal spiral fibula. Case report and literature review

Tibial pylon fracture associated with talus fracture and infrasindesmal spiral fibula. Case report and literature review

Outcomes After Unstable Fractures of the Ankle: What’s New? A Systematic Review

Open total dislocation of ankle joint without fractures

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