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Open total dislocation of ankle joint without fractures: A case report
Yu-Lei Chi1, Xu Gao2, Ying-Jie Xu1
1Department of Clinical Medicine, Jining Medical University, Jining City.
Medicine
|June 4, 2021
Summary
This study presents a case of open total ankle dislocation without fractures, successfully treated with early debridement, ligament repair, and external fixation. The patient achieved excellent functional recovery, highlighting the importance of prompt intervention for this rare injury.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Ankle Biomechanics
Background:
- Open total ankle dislocation is a rare, high-energy injury.
- Prompt management is crucial for favorable outcomes.
Observation:
- A 45-year-old male presented with an open total lateral ankle dislocation without fractures.
- Examination revealed a large open wound with exposed ankle bones.
Findings:
- The patient underwent early debridement, irrigation, ligament repair, and external fixation.
- The wound healed without complications, and the patient regained good ankle function (90 points on Kaikkonen score).
Implications:
- Early surgical intervention, including thorough wound care and joint stabilization, is vital for treating open total ankle dislocations.
- This approach can prevent complications and restore ankle function.
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