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-
1
Mitchell WG, Shaftan GW, Sclafani SJ: Mandatory open reduction: its role in displaced ankle fractures. J Trauma 19: 602, 1979.
-
2
Makwana NK, Bhowal B, Harper WM, et al.: Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age. A prospective, randomised study. J Bone Joint Surg Br 83: 525, 2001.
-
3
Hoiness P, Stromsoe K: Early complications of surgically managed ankle fractures related to the AO classification. A review of 118 ankle fractures treated with open reduction and internal fixation. Arch Orthop Trauma Surg 119: 276, 1999.
-
4
Przkora R, Kayser R, Ertel W, et al.: Temporary vertical transarticular-pin fixation of unstable ankle fractures with critical soft tissue conditions. Injury 37: 905, 2006.
-
5
Seibert F, Schatz B, Bratschitsch G, et al.: Temporary Kirschner wire ankle transfixation in the treatment of unstable ankle fractures. Foot Ankle Surg 7: 85, 2001.
-
6
Park J, Lee HB, Kim GL, et al.: Surgical treatment approach for pilon and talar dome fracture. JAPMA 110: Article_14, 2020.
-
7
Childress HM: Vertical transarticular-pin fixation for unstable ankle fractures. J Bone Joint Surg Am 47: 1323, 1965.
-
8
Childress HM: Vertical transarticular pin fixation for unstable ankle fractures: impressions after 16 years of experience. Clin Orthop Relat Res 120: 164, 1976.
-
9
Scioscia TN, Ziran BH: Use of a vertical transarticular pin for stabilization of severe ankle fractures. Am J Orthop (Belle Mead NJ) 32: 46, 2003.
-
10
Meier C, Schefold JC, Hug U, et al.: Temporary Kirschner wire ankle transfixation and delayed ORIF. Eur J Trauma 30: 371, 2004.
-
11
Gustilo RB, Anderson JT: JSBS classics. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones. Retrospective and prospective analyses. J Bone Joint Surg Am 84: 682, 2002.
-
12
Copeland-Halperin LR, Kaminsky AJ, Bluefeld N, et al.: Sample procurement for cultures of infected wounds: a systematic review. J Wound Care 25: S4, 2016.
-
13
Seibert FJ, Fankhauser F, Elliott B, et al.: External fixation in trauma of the foot and ankle. Clin Podiatr Med Surg 20: 159, 2003.
Staged Treatment for Unstable Open Fracture-Dislocation of the Ankle: A Case Report
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Unstable fracture-dislocation of the ankle is a common lower-extremity injury. Treatment is challenging when the fracture-dislocation is open and cannot be treated with conventional open reduction and internal fixation (ORIF). Immediate ORIF may not be possible for severe, unstable ankle injuries, such as those with ischemic foot because of a poor blood supply caused by soft-tissue injury, or open fracture-dislocation of the ankle with a deltoid ligament rupture. We describe a staged treatment for unstable open fracture-dislocation of the ankle with a deltoid ligament rupture. The first stage involves temporary vertical transarticular pinning combined with external fixation. The second stage involves delayed definitive plating with autogenous bone graft for the bone defect of the distal fibula. This staged management is useful in select emergency cases of unstable open fracture-dislocations of the ankle combined with deltoid ligament rupture for which conventional ORIF cannot be performed.
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