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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2001, Number 6

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Acta Ortop Mex 2001; 15 (6)

Ankle fractures. Treatment with external fixators

Reyes GJ, Ordaz CAI, Acuña CM
Full text How to cite this article

Language: Spanish
References: 8
Page: 271-273
PDF size: 55.95 Kb.


Key words:

ankle fracture, external fixator, dislocation.

ABSTRACT

Fifty-one patients with ankle fracture-dislocation were treated through closed reduction and external fixator. Twenty two male cases (43%) and 29 female (57%) were included, being the right extremity more affected (28 cases, 55%) than the left one (25 cases, 45%). Higher incidence was for type B fracture with 32 cases (63%), type C with 14 cases (27%) and type A with five cases (10%). According to the number of components the bimalleolar was the most frequent with 23 cases (45%), unimalleolar with 22 cases (43%) and trimalleolar with six cases (12%). Patients’ age is between 23 and 70 years (average 40 years) and the surgery time ranged from 25 to 70 minutes with an average of 53 minutes. The results were excellent at short and mid term, finding in this procedure an alternative to the treatment of the ankle fracture dislocation since it stabilizes and keeps the length of the structure, allowing an early movement and weight-bearing.


REFERENCES

  1. Lindsjo U: Classification of ankle fractures: The Laguen-Hansen or AO. Clin Orthop 1985; 199: 12-6.

  2. Bone L, Stegemann P, McNamara K, Seibel R: The use of external fixation in severe fractures about the ankle. Orthop Trans 1990; 14: 265.

  3. Weber BG: Injuries of the ankle. Ed 2. Bern, Hans Huber Verlang 1972.

  4. Bonar SB, Marsh JL: Unilateral external fixation for severe pilon fractures. Foot Ankle 1993; 14: 57-64.

  5. DiChristina D, Reimer BL, Butterfield SL, et al: Pilon fractures treated with an articulated external fixator: A preliminary report. Orthopedics 1996; 19: 1019.

  6. Gaudinez RF, Mallik AR, Szporn M: Hybrid external fixation in tibial plafond fractures. Clin Orthop 1996; 329: 223.

  7. Herzenberg JE, Paley D: Ilizarov applications for foot and ankle surgery. Adv Orthop Surg 1992; 16: 162.

  8. Marsh JL, Bonar S, Nepola JV, et al: Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg 1995; 77(A): 1498.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2001 Nov-Dic;15