Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame

With the advances in trauma care, chronic fracture dislocation of the ankle is not a condition commonly seen in modern clinical practice. When encountered, it can be difficult to preserve the ankle joint. We present a case of a 65-year-old female, with a chronic fracture dislocation of the ankle. Th...

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Bibliographic Details
Published in:HSS journal 2011-02, Vol.7 (1), p.85-88
Main Authors: Tellisi, Nazzar, Deland, Jonathan T., Rozbruch, S. Robert
Format: Article
Language:English
Subjects:
Anesthesiology
Case Report
Imaging
Medicine
Medicine & Public Health
Orthopedics
Radiology
Rheumatology
Sports Medicine
Surgical Orthopedics
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Summary:With the advances in trauma care, chronic fracture dislocation of the ankle is not a condition commonly seen in modern clinical practice. When encountered, it can be difficult to preserve the ankle joint. We present a case of a 65-year-old female, with a chronic fracture dislocation of the ankle. The ankle joint was subluxated with posterior translation of the talus, displacement of the posterior malleolus fragment, and a distal fibula fracture. A minimally traumatic approach was devised to treat this complex fracture dislocation which included gradual reduction of the ankle with a Taylor spatial frame, followed by stabilization with internal fixation and removal of the frame. Bony union and restoration of the ankle joint congruency was achieved.
ISSN:1556-3316
1556-3324
DOI:10.1007/s11420-010-9166-z