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An ankle fracture is a break of one or more of the bones that make up the ankle joint. [1] Symptoms may include pain, swelling, bruising , and an inability to walk on the injured leg. [ 1 ] Complications may include an associated high ankle sprain , compartment syndrome , stiffness, malunion , and post-traumatic arthritis .
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]
Types of bone fractures. A Maisonneuve fracture may be a simple fracture or comminuted fracture: [8] A simple fracture, in the case of a Maisonneuve fracture, only refers to the fibula being broken in one place without any damage being done to the surrounding tissues. A comminuted fracture is when the bone is broken in more than two places.
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
A fractured fibula in addition to detaching the medial malleolus will tear the tibiofibular syndesmosis. [2] The combined fracture of the medial malleolus, lateral malleolus, and the posterior margin of the distal end of the tibia is known as a "trimalleolar fracture". [3] An example of Pott's fracture would be in a sports tackling injury.
Fracture of the fibula at the level of the syndesmosis. Typical features: at the level of the ankle joint, extending superiorly and laterally up the fibula; tibiofibular syndesmosis intact or only partially torn, but no widening of the distal tibiofibular articulation; medial malleolus may be fractured or deltoid ligament may be torn; variable ...