Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame |
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Authors: | Nazzar Tellisi Jonathan T Deland MD S Robert Rozbruch MD |
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Institution: | (1) Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA;(2) Weill Medical College of Cornell University, New York, NY 10065, USA |
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Abstract: | With the advances in trauma care, chronic fracture dislocation of the ankle is not a condition commonly seen in modern clinical
practice. When encountered, it can be difficult to preserve the ankle joint. We present a case of a 65-year-old female, with
a chronic fracture dislocation of the ankle. The ankle joint was subluxated with posterior translation of the talus, displacement
of the posterior malleolus fragment, and a distal fibula fracture. A minimally traumatic approach was devised to treat this
complex fracture dislocation which included gradual reduction of the ankle with a Taylor spatial frame, followed by stabilization
with internal fixation and removal of the frame. Bony union and restoration of the ankle joint congruency was achieved. |
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Keywords: | ankle fracture ankle dislocation neglected ankle fracture Ilizarov Taylor spatial frame |
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