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Specialty. Orthopedics. A trimalleolar fracture is a fracture of the ankle that involves the lateral malleolus, the medial malleolus, and the distal posterior aspect of the tibia, which can be termed the posterior malleolus. The trauma is sometimes accompanied by ligament damage and dislocation. [ 1 ]
Splinting, casting, surgery [ 1 ] Frequency. ~1 per 1000/year [ 2 ] An ankle fracture is a break of one or more of the bones that make up the ankle joint. [ 1 ] Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. [ 1 ] Complications may include an associated high ankle sprain, compartment syndrome ...
Bimalleolar fracture. Surgically treated bimalleolar fracture. Specialty. Orthopedics. 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.
Treatment. Orthopedic casting, ORIF, CRIF. The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament of the ankle.
Ligaments of the ankle. In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients ...
A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. [2] The combined fracture of the medial malleolus, lateral malleolus, and the posterior margin of the distal end of the tibia is known as a "trimalleolar fracture". [3] An example of Pott's fracture would be in a sports tackling injury.
Broström procedure. The Broström operation (or Broström-Gould technique) is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL) in the ankle. It is thought that the majority of patients regain most function in their ankles.
The talus is then resected, and the foot is placed so that the lateral malleolus rests opposite the calcaneocuboid joint, and the medial malleolus lies just above and behind the navicular bone. The foot is held in place with a surgical pin or with Kirschner wire. After the operation, the patient wears an above-knee cast for six weeks, followed ...