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Ankle diastasis without fracture.

G S Edwards, J C DeLee

    Foot & Ankle
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Ankle diastasis without fracture presents in latent or frank forms. Frank ankle diastasis, categorized into four types, requires specific reduction methods, often involving surgical intervention for optimal outcomes.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Radiology

    Background:

    • Ankle diastasis without fracture can be latent (stress radiographs) or frank (visible on routine radiographs).
    • Latent diastasis requires casting, while frank diastasis necessitates anatomical reduction of the ankle mortise.

    Purpose of the Study:

    • To classify types of frank ankle diastasis without associated fracture.
    • To determine appropriate treatment strategies for each type of ankle diastasis.

    Main Methods:

    • Classification of frank ankle diastasis into four types based on fibular subluxation and deformation.
    • Surgical intervention including open reduction, fibular osteotomy, and internal fixation for Type I and II injuries.
    • Closed manipulation and immobilization for Type III and IV injuries.

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    Main Results:

    • Four types of frank ankle diastasis without fracture were identified.
    • Open reduction and internal fixation were used for Type I and II injuries, with two Type II cases requiring fibular osteotomy.
    • Good results were achieved in four patients, with two experiencing fair results due to stiffness and pain.

    Conclusions:

    • Ankle diastasis without fracture can be effectively classified into four distinct types.
    • Treatment should be tailored to the specific type, with surgical intervention often necessary for frank diastasis.
    • Anatomical reduction of the ankle mortise is achievable and maintainable with appropriate management.