ABSTRACT

Neglected unreduced ankle fracture dislocation is a rare presentation and seldom seen. In India people still prefer to take native treatment from the traditional bone setter and later come to hospital with complications. Because of the late presentation to the hospital, early reduction of the dislocation is not achieved, resulting in poor prognosis. Dislocations have to be reduced at the earliest to prevent complication. In old unreduced dislocation cases the soft tissue release has to be carried out from the posterior, lateral and anterior medial aspects of the ankle. It is difficult to surgically correct this old unreduced dislocation due to soft tissue contractures, mal uniting fibula fracture and sometimes interposition of postero medical structures into the ankle joint. Preserving the soft tissue attachments and the periostium is important to prevent cartilage damages and avascular necrosis of the Talus. We present a case of 1 and 1/2 months old neglected unreduced fracture fibula with syndesmotic injury and posterolateral dislocation of the talus in relation to the distal tibia. The clinical presentation and surgical treatment are discussed. Keywords: fracture fibila, fracture dislocation, syndesmosis, medial collateral ligaments, ORIF, plate fixation, syndesmotic screw, Bosworth
Publication date: 1/1/21

https://ijbpas.com/pdf/2021/January/MS_IJBPAS_2021_JAN_SPCL_1015.pdf

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https://doi.org/10.31032/IJBPAS/2021/10.1.1015