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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.
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.
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.
Transverse comminuted fracture of the fibula above the level of the syndesmosis; Pronation-External rotation: Medial malleolus transverse fracture or disruption of deltoid ligament; Anterior tibiofibular ligament disruption; Lateral short oblique or spiral fracture of fibula (anterosuperior to posteroinferior) above the level of the joint
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]
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.
Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion.
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