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

Authors

  • Prasanna Anaberu Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka
  • R. Prathik Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka http://orcid.org/0000-0001-6721-8344
  • R. Manish Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20185347

Keywords:

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

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.

Author Biographies

Prasanna Anaberu, Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka

Senate Member, Rajiv Gandhi Universty of Health Sciences. Karnataka, India

Professor and Unit cheif,  Department of Orthopaedics, J.J.M Medical college, Davangere, India.

R. Prathik, Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka

Resident, Department of Orthopaedics, J.J.M Medical college, Davangere, India

R. Manish, Department of Orthopaedics, J.J.M. Medical College, Davangere, Karnataka

Resident, Department of Orthopaedics, J.J.M Medical college, Davangere, India

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.

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Published

2018-12-25

Issue

Vol. 5 No. 1 (2019): January-February 2019

Section

Case Reports