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Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. It has three categories: [1] Type A. Fracture of the fibula distal to the syndesmosis (the connection between the distal ends of the tibia and fibula). Typical features: below level of the ankle joint; tibiofibular ...
X-ray of trimalleolar fracture repair with plate and nails. Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits.
If patients still have pain and impaired ankle function after these measures, then other procedures such as ankle arthrodesis and ankle arthroplasty can be considered. [17] Nonunion is rare following surgical fixation of ankle fractures but can be managed with bone grafts and stable internal fixation. [17]
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [ 1 ] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.
The ankle remains externally rotated after the injury, making interpretation of X-rays difficult which can lead to misdiagnosis and incorrect treatment. [2] The injury is most commonly treated by open reduction internal fixation as closed reduction is made difficult by the entrapment of the fibula behind the tibia. [1]
Ankle radiographs are used to detect widening of the tibiofibular syndesmosis or medial clear space. The medial clear space is the area between the talus of the ankle and the medial malleolus. Damage to the deltoid ligament and syndesmotic ligaments result in mortise instability, causing the talus to laterally shift and widen the medial clear ...
Salter–Harris fractures; Other names: Growth plate fracture [1]: An X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus.Red arrow demonstrates fracture line while the blue arrow marks the growth plate.