![]() It is formed by the articulation between three bones distal tibia, distal fibula, and talus bone. The ankle joint is a hinge synovial joint that moves in one plane to produce dorsiflexion and plantar flexion. Treatment of these fractures aims to restore joint stability and alignment to reduce the risk of post-traumatic ankle arthritis. Employ interprofessional team strategies to enhance care delivery and improve outcomes for patients with acute ankle fractures.Īnkle fractures are common injuries that could result from a trivial twisting injury in old frail patients up to high energy trauma in a young population.Explain the treatment options for acute ankle fractures.Explain how to evaluate for an acute ankle fracture.State the etiology of acute ankle fractures.This activity reviews the evaluation, classification, and management of acute ankle fractures and highlights the role of an interprofessional team in collaborating to provide well-coordinated care to affected patients. Classification systems can help delineate the mechanism of injury and the structures damaged, which is vital in determining the best management modality. Acute ankle fractures can affect many different structures. Rush rods versus plate osteosyntheses for unstable ankle fractures in the elderly. The Dorsal Antiglide Plate in the Treatment of Danis-Weber Type-B Fractures of the Distal Fibula. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. įractures of the Ankle and the Distal Part of the Tibia. ![]() routine exploration of medial side of the ankle is not necessary unless there is evidence that portion of the deltoid ligament has entered the joint and is blocking reduction of the talus Ĭomparison mortise views in neutral dorsiflexion Ĭomparison of two conservative methods of treating an isolated fracture of the lateral malleolus. treat as bimalleolar frxs, w/ ORIF of lateral malleolus presence of medial tenderness, > 5 mm of medial clear space is seen on static or stress radiograph, indicates injury of the deltoid ligament it has been observed that x-rays tend to over-estimate displacement (as compared to CT scans) and because the apparent displacement may be mostly due to internal rotation of the proximal fibula as compared to pathologic external rotation of the external fibula ![]() isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is up to 3 mm of fibular displacement there may be an assoc impaction frx of lateral tibial plafond, metaphysis of the tibia ( Pilon frx), & medial malleolus Ĭomparison of two conservative methods of treating an isolated fracture of the lateral malleolus. comminution alters landmarks & complicates rotation and length assessment comminuted fractures of the fibula are often high energy injures resulting from direct lateral trauma or vertical loading when lateral malleolus is displaced, posterior tibiofibular ligament either ruptures or avulses posterior tibial tubercle from back of fibular notch ī2 w/ medial lesion (malleolus or ligament)ī3 w/ a medial lesion and fracture of posterolateral tibia occasionally anterior tibial tubercle is avulsed, producing fragment of Tilaux, or avulsion is from fibular attachment, producing fragment of Wagstaff frx of fibula by external rotation or abduction injury, is preceded by rupture of anterior tibiofibular ligament anterior syndesmotic lig are partially or completely torn in about 50% of type B injuries, while posterior syndesmosis ligaments usually remain attached to the posterior aspect of distal fibular fragment most common type of frx of fibula is caused by external rotation, resulting in oblique frx at level of sydesmosis ( Weber B) which is equivalent to a supination eversion injury Type B: fibula frx at level of syndesmosis-transsyndesmosis
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