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Mandatory open reduction: its role in displaced ankle fractures
The Journal of Trauma
|August 1, 1979
Summary
Perfect anatomic reduction is crucial for displaced ankle fractures, especially those involving joint surfaces. Open reduction and internal fixation are recommended over closed reduction to prevent long-term disability and stiffness.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Ankle fractures extending into joint surfaces often lead to significant disability.
- Closed reduction techniques for displaced ankle fractures frequently result in suboptimal outcomes, including persistent pain and stiffness.
Purpose of the Study:
- To emphasize the necessity of anatomic reduction in displaced ankle fractures.
- To advocate for open reduction and internal fixation over closed reduction for improved patient outcomes.
Main Methods:
- Review of 300 cases of open and closed displaced ankle fractures treated with open reduction.
- Analysis of infection rates and incidence of degenerative arthritis post-treatment.
Main Results:
- Open reduction yielded an overall infection rate of 1%.
- The incidence of degenerative arthritis following open reduction was 3%.
Conclusions:
- Mandatory open reduction and rigid internal fixation are recommended for displaced ankle fractures.
- Anatomic reduction, particularly restoring fibular length, is critical and often unattainable with closed methods.