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Fractures: Bone Repair

Fractures: Bone Repair

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 procedure...

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Related Experiment Video

Updated: Jul 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Clinical Outcomes of Single-Stage Surgical Intervention for Open Pronation-External Rotation Ankle

Qingkeng Wang¹, Chunfu Huang¹, Hongtai Wang¹

¹Department of Orthopedics, The 910(TH) hospital of PLA, No 180 huayuan road, Fengzhe Zone, Quanzhou, Fujian province, China 362300.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|June 30, 2026

Summary

Single-stage surgery for open pronation-external rotation ankle fractures shows high complication rates. Careful patient selection is crucial for managing these severe injuries.

Keywords:

Ankle fractures Open fracture Outcome Pronation-external rotation Surgical site infection Surgical treatment

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$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

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Last Updated: Jul 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Area of Science:

Orthopaedic Surgery
Trauma Surgery
Sports Medicine

Background:

Open pronation-external rotation (PER) ankle fracture-dislocations represent severe injuries demanding prompt surgical intervention.
Limited evidence exists regarding the efficacy and safety of single-stage management for these complex fractures.

Purpose of the Study:

To assess the clinical outcomes of single-stage surgical treatment for open PER ankle fracture-dislocations.
To evaluate functional recovery and complication rates in patients without neurovascular compromise.

Main Methods:

A retrospective case series of 58 patients with open PER ankle fracture-dislocations treated between December 2013 and July 2024.
All patients underwent emergency debridement, open reduction, and internal fixation in a single stage.
Outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Scale, with radiographic evaluation for complications.

Main Results:

The majority of surgeries (84.5%) were performed within 8 hours of injury.
Deep surgical site infection occurred in 12.1% of patients, and 32.8% required reoperation.
The mean AOFAS score was 76.3 ± 9.8, with post-traumatic arthritis developing in 15.5% of cases.

Conclusions:

Single-stage surgical management of open PER ankle fracture-dislocations is linked to elevated rates of infection, reoperation, and overall complications.
The findings suggest that meticulous patient selection and consideration of staged treatment protocols are essential for optimizing outcomes.