Laterally comminuted fracture-dislocation of the ankle

Area of Science:

• Orthopedic Surgery
• Traumatology
• Anatomy

Background:

• Laterally comminuted ankle fracture-dislocations are highly unstable.
• Anatomical reduction and restoration of fibular length/rotation are challenging.
• Existing surgical techniques and outcomes for these injuries are poorly documented.

Purpose of the Study:

• To describe a surgical technique for treating laterally comminuted ankle fracture-dislocations.
• To evaluate the clinical and radiographic results of this novel technique.

Main Methods:

• A surgical technique prioritizing medial malleolus fixation for talar stabilization.
• Anatomical positioning and fixation of the fibular malleolus to the talus.
• Bone grafting to address fibular discontinuity.

Main Results:

• The technique achieved anatomical stabilization of the talus.
• Satisfactory clinical and radiographic results were observed.
• Mean follow-up duration was thirty-four months.

Conclusions:

• The described surgical technique is effective for treating complex ankle fracture-dislocations.
• This approach yields highly satisfactory outcomes.
• Further research may validate this method for similar injuries.