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The Role of Arthroscopy in Ankle Fracture Fixation
Pablo Aragoneses López1, Gloria López Hernández1, Francesc Malagelada2
1Lower Limb Orthopaedic Department, Hospital Fremap Majadahonda. Madrid, Spain.
Abstract:
The incidence of intra-articular injuries associated with ankle fractures is high. Several studies demonstrated the role of ankle arthroscopy to aid in anatomic reduction, limit surgical exposure, and soft tissue trauma. It also acts as a reliable mean of diagnosis and intervention of intra-articular pathology associated with ankle fractures. There is insufficient evidence to suggest its use in all cases of ankle fracture fixation but it can be a very useful adjunct in the treatment of certain fractures. We present our experience in the use of this technique in the management of ankle fracture fixation.
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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...