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Certain fracture patterns are stable and are thus treated without surgery similarly to ankle sprains. Unstable fractures require surgery, most often an open reduction and internal fixation (ORIF), which is usually performed with permanently implanted metal hardware that holds the bones in place while the natural healing process occurs.
X-ray of trimalleolar fracture repair with plate and nails. Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits.
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [ 1 ] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.
Exact incidence rates are unknown, but it is believed that the Maisonneuve fracture accounts for 5% of all ankle injuries treated in surgery. [9] [17] The Maisonneuve fracture has been reported in patients as young as 17–19 years old, and up to 42–70 years old. [7] [9] [11] The injury is mostly seen in male patients.
Le Fort's fracture of the ankle is a vertical fracture of the antero-medial part of the distal fibula with avulsion of the anterior tibiofibular ligament, [1] opposite to a Tillaux-Chaput avulsion fracture. The injury was described by Léon Clément Le Fort in 1886. [2]
823 Fracture of tibia and fibula; 824 Fracture of ankle; 825 Fracture of one or more tarsal and metatarsal bones; 826 Fracture of one or more phalanges of foot; 827 Other, multiple, and ill-defined fractures of lower limb; 828 Multiple fractures involving both lower limbs, lower with upper limb, and lower limb(s) with rib(s) and sternum; 829 ...
A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of ...
A Tillaux fracture is a Salter–Harris type III fracture through the anterolateral aspect of the distal tibial epiphysis. [1] It occurs in older adolescents between the ages of 12 and 15 when the medial epiphysis had closed but before the lateral side has done so, [2] due to an avulsion of the anterior inferior tibiofibular ligament, at the opposite end to a Wagstaffe-Le Fort avulsion fracture