DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20185347

Open anterolateral fracture dislocation of ankle joint: a rare case report

Prasanna Anaberu, R. Prathik, R. Manish

Abstract


Anterior ankle dislocation with associated compound bi-malleolar fracture is a rare injury. Ankle fracture dislocations most frequently occurs in young males caused by high energy trauma. The direction of the joint dislocation is determined by the position of the foot and the direction of the force being applied. A middle aged male presented to us with history of road traffic accident and was diagnosed to have anterior dislocation of right ankle joint with compound bi-malleolar fracture. Patient was taken to emergency operation theatre for wound debridement and immediate ankle reduction done under sedation. Due to wound contamination fracture fixation was delayed, once the wound healed bi-malleolar fracture fixation was done.


Keywords


Ankle joint, Compound fracture, Anterior dislocation, Bi-malleolar fracture

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References


Southerland JT (ed). McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery, 4th Edition. Lippincott Williams & Wilkins; 2013.

Karampinas PK, Stathopoulos IP, Vlamis J, Polyzois VD, Pneumatikos SG. Conservative treatment of an anterior-lateral ankle dislocation without an associated fracture in a diabetic patient: a case report. Diabet Foot Ankle. 2012;3:10.3402/dfa.v3i0.18411.

roble RR, Nepola JV, Malvitz TA. Ankle dislocation without fracture. Foot Ankle. 1988;9:64-74.

Rivera F, Bertone C, De Martino M, Pietrobono D, Ghisellini F. Pure dislocation of the ankle: three case reports and literature review. Clin Orthop. 2001;382:179–84.

Ortolani A, Bevoni R, Russo A, Marcacci M, Girolami M. Posterior tibial tendon displacement behind the tibia and its interposition in an irreducible isolated ankle dislocation: a case report and literature review. Joints. 2016;4(3):183-8.

Bohler L. the treatment of Fractures, English ed. 4, William Wood Publishers, Baltimore; 1936: 453.

Giordana CP, Koval KJ. Treatment of fracture blisters: a prospective study of 53 cases. Orthop Trauma. 1995;9:171-6.

Saied A, Ziayie A. Neglected ankle dislocation. J Foot Ankle Surg. 2007;46:307-9.