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Review
. 2023 Aug 12;8(3):24730114231195058.
doi: 10.1177/24730114231195058. eCollection 2023 Jul.

Republication of "Ankle Fracture-Dislocations: A Review"

Kevin A Lawson  1 , Alfonso E Ayala  2 , Matthew L Morin  1 , L Daniel Latt  1 , Jason R Wild  1
Affiliations
Review

Republication of "Ankle Fracture-Dislocations: A Review"

Kevin A Lawson et al. Foot Ankle Orthop. .

Abstract

Ankle fractures are common musculoskeletal injuries that may result in tibiotalar joint dislocations. Ankle fracture-dislocations occur via similar mechanisms as ankle fractures, although the persistence or magnitude of the deforming force is sufficient to disrupt any remaining bony or soft-tissue stability. Ankle fracture-dislocations likely represent distinct clinical entities, as the pathology, management, and patient outcomes following these injuries differ from those seen in more common ankle fractures without dislocation. Ankle fracture-dislocations have higher rates of concomitant injury including open fractures, chondral lesions, and intra-articular loose bodies. Long-term outcomes in ankle fracture-dislocations are worse than ankle fractures without dislocation. Higher rates of posttraumatic osteoarthritis and chronic pain have also been reported. In this review, we discuss the current literature regarding the history, management, and outcomes of ankle-fracture dislocations and highlight the need for future study.

Keywords: ankle dislocations; osteochondral lesions; tibiotalar dislocations.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. ICMJE forms for all authors are available online

Figures

Figure 1.
Figure 1.
(A) Anteroposterior and (B) lateral views of the ankle joint highlighting the skeletal and ligamentous components. Reprinted with permission from Hunt KJ, Phisitkul P, Pirolo J, Amendola A. High ankle sprains and syndesmotic injuries in athletes. J Am Acad Orthop Surg. 2015;23(11):661-673.
Figure 2.
Figure 2.
(A) Trimalleolar ankle fracture dislocation. (B) Postreduction and splinting radiographs. (C) Computed tomography scan ordered to assess posterior malleolar fragment demonstrated retained intra-articular fragment. (D) Operative approach was tailored to address this fragment. Final ankle construct images are demonstrated.
Figure 3.
Figure 3.
Modified Quigley maneuver for single-person reduction and splinting of ankle fracture-dislocations. Full technique described by Skelley and Ricci.
See this image and copyright information in PMC

Corrected and republished from

References

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