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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.7K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.8K

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Updated: Apr 12, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Ankle arthroscopy for ankle fractures.

Thomas I Sherman1, Nick Casscells1, Joe Rabe2

  • 1Orthopaedic Surgery Department, MedStar Georgetown University Hospital, Washington, DC, U.S.A.

Arthroscopy Techniques
|May 15, 2015
PubMed
Summary
This summary is machine-generated.

Arthroscopy can reveal significant intra-articular ankle fracture pathology missed by open surgery. This technique aids in assessing and treating internal injuries, improving outcomes for ankle fracture patients.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Open reduction-internal fixation (ORIF) of ankle fractures often yields suboptimal clinical outcomes, even with radiographic anatomic reduction.
  • Undiagnosed intra-articular pathology, frequently associated with ankle fractures, is a potential cause of poor results after ORIF.
  • Traditional open approaches may fail to fully identify or address these internal joint injuries.

Purpose of the Study:

  • To evaluate the utility of arthroscopy in the acute operative management of ankle fractures.
  • To assess the prevalence and severity of intra-articular pathology in ankle fractures using arthroscopy.
  • To demonstrate the therapeutic potential of arthroscopy in managing associated intra-articular injuries.

Main Methods:

  • Arthroscopic assessment was performed in all surgically managed ankle fractures.
  • Techniques included debridement of loose bodies, fracture reduction assistance, microfracture for chondral defects, and syndesmotic stability evaluation.
  • A retrospective review of cases was conducted to analyze findings and outcomes.

Main Results:

  • Arthroscopy revealed significant intra-articular pathology in a high percentage of ankle fractures, even those with seemingly simple radiographic appearances.
  • The technique allowed for direct visualization and intervention for injuries not apparent on standard imaging or during open procedures.
  • Specific findings included loose fragments, chondral damage, and syndesmotic injuries requiring arthroscopic management.

Conclusions:

  • Arthroscopy is a valuable tool for comprehensive assessment and treatment of intra-articular pathology in acute ankle fractures.
  • Its routine use can identify and manage injuries that may otherwise be overlooked, potentially improving clinical outcomes.
  • Further studies are needed to fully define indications, but arthroscopic assessment is recommended for all surgically treated ankle fractures.