ANKLE FRACTURES AND FRACTURE-DISLOCATION. - PowerPoint PPT Presentation

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ANKLE FRACTURES AND FRACTURE-DISLOCATION.

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The injury may be caused by direct trauma. ... We operate all ankle fractures except those with a minimally displaced lateral malleolus with no medial tenderness. – PowerPoint PPT presentation

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Title: ANKLE FRACTURES AND FRACTURE-DISLOCATION.


1
ANKLE FRACTURES AND FRACTURE-DISLOCATION.
  • Fractures and fracture-dislocation of the
    ankle are common.
  • Mechanisms twisting slipping.
  • The injury may be caused by direct trauma.

2
CLASSIFICATION.
  • Fractures of the ankle can be classified
    according to
  • Mechanism of injury. The Lauge-Hansen
    classification. This classification is very
    complex.
  • Anatomical . The relation of the fracture
    of the fibula to the syndesmosis Weber
    A , Weber B and Weber C.

3
CLINICAL FEATURES.
  • History of twisting the ankle.
  • Clinically the ankle is swollen, deformed (
    if there is fracture-dislocation), and
    tender.
  • Identify areas of tenderness because they
    are a clue to the diagnosis and treatment.
  • Commonly closed injuries.

4
INVESTIGATIONS.
  • A fracture-dislocation of an ankle is a
    clinical diagnosis. The dislocation must be
    reduced and the ankle immobilized before
    sending patient to X-rays.
  • You must request three X-rays AP, LATERAL
    AND OBLIQUE. Each X-ray film must include
    the ankle and knee joints.

5
PRINCIPLES OF TREATMENT.
  • Reduce fracture-dislocations urgently.
  • Always splint the ankle.
  • Elevate the ankle to decrease swelling.
  • We operate all ankle fractures except those
    with a minimally displaced lateral
    malleolus with no medial tenderness.
  • Fracture of an ankle unites in six weeks.

6
COMPLICATIONS.
  • EARLY
  • Skin breakdown esp. In fracture-dislocation.
  • Vascular damage.
  • Swelling plus blisters.

7
COMPLICATIONS ..
  • Late
  • Malunion.
  • Non-union.
  • Joint stiffness.
  • Osteo-arthritis.
  • Complex regional pain syndrome.
  • THE END.
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