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[The ankle joint fork and tarsus].

K P Schmit-Neuerburg1, E Vogt

  • 1Abteilung für Unfallchirurgie, Universitätsklinikum Essen.

Langenbecks Archiv Fur Chirurgie
|January 1, 1988
PubMed
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Primary surgical repair for severe dislocations and sprains offers better outcomes than prolonged immobilization. Early mobilization and dynamic splinting aid recovery, though surgical risks like arterial thrombosis exist.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Severe soft tissue injuries from sprains and dislocations can cause prolonged pain and disability.
  • Traditional plaster immobilization (6-12 weeks) may not be optimal for these injuries.

Purpose of the Study:

  • To evaluate the efficacy of primary surgical intervention for acute dislocations and severe soft tissue injuries.
  • To assess the outcomes of early mobilization and dynamic splinting post-surgery.

Main Methods:

  • Surgical repair of ligamentous injuries, osteochondral fractures, and K-wire stabilization for dislocations.
  • Post-operative protocol included 1 week immobilization, followed by active exercises and dynamic splinting for progressive weight-bearing (6-8 weeks).

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Main Results:

  • Excellent results in 60% (14/23) and fair results in 30% (7/23) of patients undergoing surgical repair.
  • Two patients (10%) experienced severe complications, including leg amputation due to arterial thrombosis and vascular disease.

Conclusions:

  • Primary surgical intervention is indicated for acute dislocations and severe soft tissue injuries.
  • While surgical repair shows high success rates, potential vascular complications necessitate careful patient selection and monitoring.