article · Journal of Science and Diseases
Ankle joint fracture-dislocations commonly result from high-energy trauma or sports injuries in younger individuals, as well as low-energy incidents in older populations. Open variations of these injuries are uncommon and demand prompt care, while open medial fracture-dislocations presenting with an intact syndesmosis are particularly rare. This case involves a middle-aged man who sustained an open medial fracture-dislocation with an intact syndesmosis following a road traffic accident, presenting for treatment several days after the initial injury occurred. The patient received definitive management using a triangular makeshift external fixation approach. Clinical evaluation at twelve weeks following the intervention demonstrated acceptable results, illustrating an alternative management strategy for this rare injury pattern.
Severe open ankle injuries require prompt, effective stabilisation to ensure proper healing and prevent complications. Demonstrating that a triangular makeshift external fixator can provide acceptable outcomes at twelve weeks offers an alternative clinical solution for orthopaedic surgeons managing complex open ankle injuries, particularly when patients present late or when standard surgical fixation resources may be limited.
The abstract outlines an applied clinical technique used by orthopaedic surgeons to manage a rare trauma case. While it demonstrates the feasibility of an improvised external fixation approach in a single patient, it does not describe a standardised product, proprietary device, or defined commercial pathway.
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Ankle joint Fracture-Dislocation is relatively frequent phenomenon usually from high energy trauma and sports accident in young or low energy in the old. These injuries are uncommonly open and necessitate early total care. Rarely do we have open medial Fracture-Dislocations and an intact syndesmosis. We present a case of open Medial Fractures-dislocation in a middle age man from road traffic accidents with an intact syndesmosis seen a few days after injury. Definitive treatment of triangular makeshift external fixation was done with acceptable results at 12 weeks of review.
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DOI: 10.64294/jsd.v3i2.95
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