2016, Number 3
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Medisur 2016; 14 (3)
Treatment of a fracture-dislocation of the ankle using RALCA® External Fixator
Truffin RY, Requeiro MJJ, Gerardo ÁT
Language: Spanish
References: 21
Page: 328-333
PDF size: 210.88 Kb.
ABSTRACT
The association of ankle fractures with a dislocation modifies their therapeutic management since the joint must not remain in such abnormal position for more than six hours and therefore, urgent surgical treatment is needed. The case of a 30-year-old woman treated at the "Dr. Gustavo Aldereguía Lima" Hospital in Cienfuegos is presented. The patient presented with a severe fracture-dislocation of the right ankle with a supra-syndesmotic fibular fracture, a syndesmotic injury, a deltoid ligament injury and a tibial plafond fracture resulting from a bicycle fall. The fracture-dislocation was stabilized by using a RALCA
® external mini-fixator. Full recovery was achieved five months after surgery. In our service, we may not have the devices most commonly used for fixation of ankle injuries at a given moment; therefore, external fixation becomes a viable option to correct this type of fractures. For this reason, we decided to present this case that demonstrates the effectiveness of the RALCA
® external fixator.
REFERENCES
Jensen SL, Andresen BK, Mencke S, Nielsen PT. Epidemiology of ankle fractures. A prospective population-based study of 212 cases in Aalborg, Denmark. Acta Orthop Scand. 1998;69(1):48-50
Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future. Bone. 2002;31(3):430-3
Ahl T, Dalen N, SelviK G. Ankle fractures: a clinical and roentgenographic stereophotogrammetric study. Clin Orthop Relat Res. 1989;(245):246-55
Yablon IG, Heller FG, Shouse L. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg Am. 1977;59(2):169-73
Yablon IG. Ankle fractures: internal fixation, I: reduction of displaced bimalleolar ankle fractures. Instr Course Lect. 1979;28:72
Tornetta P, Creevy W. Lag screw only fixation on the lateral malleolus. J Orthop Trauma. 2001;15(2):119-21
Boden SD, Labropoulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw. A cadaver study. J Bone Joint Surg. 1989;71(10):1548-55
Warner WC, Farber LA. Trimalleolar fractures. South Med J. 1965;58(10):1292-5
Kim SK, Oh JK. One or two lag screws for fixation of Danis-Weber type B fractures of the ankle. J Trauma. 1999;46(6):1039-44
Marsh JL, Muehling V, Dirschl D, Hurwitz S, Brown TD, Nepola J. Tibial plafond fractures treated by articulated external fixation: a randomized trial of postoperative motion versus nonmotion. J Orthop Trauma. 2006;20(8):536-41
Laskin RS. Steinmann pin fixation in the treatment of unstable fractures of the ankle. J Bone Joint Surg. 1974;56A:549
Kaye RA. Stabilization of ankle syndesmosis injuries with a syndesmosis screw. Foot Ankle. 1989;9(6):290-3
Borens O, Kloen P, Richmond J, Roederer G, Levine DS, Helfet DL. Minimally invasive treatment of pilon fractures with a low profile plate: preliminary results in 17 cases. Arch Orthop Trauma Surg. 2009;129(5):649-59
Anglen JO. Early outcome of hybrid external fixation for fracture of the distal tibia. J Orthop Trauma. 1999;13(2):92-7
Brown OL, Dirschl DR, Obremskey WT. Incidence of hardware-related pain and its effect on functional outcomes after open reduction and internal fixation of ankle fractures. J Orthop Trauma. 2001;15(4):271-4
Tile ON. Fractures of the ankle. En: Schatzker J, Tile ON, editores. The rationale of operative fracture care. New York: Springer-Verlag; 1987. p. 234-40
Koval KJ, Petraco DM, Kummer FJ, Bharam S. A new technique for complex fibula fracture fixation in the elderly: a clinical and biomechanical evaluation. J Orthop Trauma. 1997;11(1):28-33
Ostrum RF. Posterior plating of displaced Weber B fibula fractures. J Orthop Trauma. 1996;10(3):199-203
McLennan JG, Ungersma J. Evaluation of the treatment of ankle fractures with the Inyo nail. J Orthop Trauma. 1988;2(4):272-6
Hovis WD, Bucholz RW. Polyglycolide bioabsorbable screws in the treatment of ankle fractures. Foot Ankle Int. 1997;18(3):128-131
Juutilainen T, Patiala H, Ruuskanen M, Rokkanen P. Comparison of costs in ankle fractures treated with absorbable or metallic fixation devices. Arch Orthop Trauma Surg. 1997;116(4):204-8