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Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

Sung Hoon Choi MD, Jeong Min Hur MD, and Kyu-Tae Hwang MD, PhD
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The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

Department of Orthopaedic Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.

Corresponding author: Kyu-Tae Hwang, MD, PhD, Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea. (E-mail: md0713@hanmail.net)