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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. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve ...
In terms of fracture type, isolated malleolar fractures are most common (two-thirds of fractures); bimalleolar fractures occur in roughly 25% of patients while trimalleolar fractures occur in 5-10%. [10] Open fractures are rare, compromising 2% of all ankle fractures. [23] In children, ankle fractures occur in about 1 per 1000 per year. [3]
This is most common in long bones such as the femur. [10] Delayed union: healing times vary depending on the location of a fracture and the age of a patient. Delayed union is characterised by 'persistence of the fracture line and a scarcity or absence of callus formation' on x-ray. Healing is still occurring but at a much slower rate than ...
Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients with unclear ankle injuries do not have bone fractures. [1] As a result, many unnecessary X-rays were taken, which was costly, time-consuming and a slight health risk due to radiation exposure.
The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987 [1] by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the ...
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Linear fracture – a fracture that is parallel to the bone's long axis; Transverse fracture – a fracture that is at a right angle to the bone's long axis; Oblique fracture – a fracture that is diagonal to a bone's long axis (more than 30°) Spiral fracture – a fracture where at least one part of the bone has been twisted
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.