![]() In some cases, blood may accumulate around the joint - a condition called hemarthrosis. ![]() With an ankle fracture, there is immediate swelling and pain around the ankle as well as impaired mobility. What are the Symptoms of an Ankle Fracture? What are the Common Causes of Ankle Fractures?Īnkle fractures can occur from excessive rolling and twisting of the ankle - usually from an accident or activities such as jumping or falling, which cause sudden stress to the joint. The joint is protected by a fibrous membrane called a joint capsule and filled with synovial fluid to enable smooth movement. The ends of the fibula and tibia (lower leg bones) form the inner and outer malleolus, which are the bony protrusions of the ankle joint that you can feel and see on either side of the ankle. The ankle joint is composed of three bones: the tibia, fibula, and talus, which articulate together. The ankle joint is stabilized by different ligaments and other soft tissues, which may also be injured during an ankle fracture. Pain after ankle injuries can either be from a torn ligament (ankle sprain) or broken bone (ankle fracture).Īn ankle fracture is a painful condition where there is a break in one or more bones forming the ankle joint. Contact Anthony Yi, MD’s team for an appointment today! What is an Ankle Fracture?Īnkle injuries are very common in athletes and individuals performing physical work often resulting in severe pain and impaired mobility. Anthony Yi, MD provides expert diagnosis and individualized non-operative and operative treatments for ankle fractures in Washington. It occurs from excessive rolling and twisting of the ankle often resulting in swelling, severe pain around the ankle and impaired mobility. In conclusion, lateral fixation of AO type-B2 ankle fractures by APCS offers several advantages including stable fixation, a small surgical wound, less dissection of soft tissue, no palpable hardware, and easy application with a short operating time.Ankle fracture is a condition where there is a break in one or more bones forming the ankle joint. ![]() No patient complained of symptomatic hardware. Good to excellent results were obtained in 21 (91.3%) patients. At the final follow-up, the ankle scores of the patients were evaluated for functional outcomes. All the ankle fractures showed radiographic evidence of healing within four months. Evaluation of postoperative roentgenograms for adequacy of reduction revealed a good reduction in 22 of 23 (95.7%) patients. Twenty-three patients with AO type- B2 ankle fractures treated with lateral fixation by an APCS were retrospectively reviewed. The characteristics of the APCS include fully-threaded length, headless, cannulated, and variable thread pitch. The Acutrak plus compression screw (APCS) (Acumed Inc., Beaverton, OR, USA) is an intramedullary implant which can achieve stable fixation with minimum soft tissue dissection. Especially in elderly patients, patients with chronic comorbidity, and patients with compromised soft tissue, IMF may be preferred over PF. IMF of distal fibular fractures resulted in fewer wound-related complications, implant removals, and nonunions compared with PF. Results of this study apply to a select group of patients, in which the advantages of minimal soft tissue damage by IMF are preferable to optimal fracture reduction by PF. 11) and the Olerud Molander Ankle Score for long-term functional outcome (mean difference, 9.56 95% CI, 1.24 to 20.37 p =. No differences were found regarding malunion (OR, 0.45 95% CI, 0.17 to 1.21 p =. IMF was associated with significantly fewer wound related complications (odds ratio, 0.11 95% confidence interval, 0.04 to 0.25 p <. Meta-analysis was performed on 8 comparative studies, including subgroup and sensitivity analyses on all outcomes. A total of 26 studies was included, reporting on 1710 patients with a mean age of 51.6 years. The PubMed/MEDLINE, Embase, Cochrane, and CINAHL databases were searched for both randomized controlled trials and observational studies. A systematic review and meta-analysis was performed. The objective was to compare postoperative complications and functional outcomes of intramedullary versus plate fixation (PF) in distal fibular fractures. Intramedullary fixation (IMF) has been described as a minimally invasive alternative to open reduction and internal fixation for operative treatment of distal fibular fractures in case of compromised soft tissue or severe comorbidities.
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