Abstract: Neglected fracture dislocation of the ankle is commonly encountered in developing countries. Treatment for these cases is challenging and opinion varies widely regarding the treatment options. It is difficult to obtain an anatomical reduction of these long standing injuries with the associated fibrosis and adhesions. Also, concomitant articular cartilage damage of ankle joint, osteonecrosis and arthrosis foretell a poor prognosis for these cases. Chiu et al. In their study of 13 cases of neglected ankle fractures treated by open reduction and internal fixation or osteotomy, found that cases presenting earlier than six months had better results2. Cheng et al.Also treated 49 cases of untreated and poorly treated, ankle fractures with salvage surgery. They found that these neglected cases with no articular cartilage damage treated by anatomic reduction, rigid stabilization and early mobilization had good functional results. They recommended ankle arthrodesis in cases with arthritis or severe articular cartilage damage to achieve a stable painless plantigrade foot2 . We are presenting a one year old case of neglected infected trimalleolar fracture dislocation in a 30 yr old female. The patient was treated with tibiotalar arthrodesis with cannulated cancellous screws to achieve compression arthrodesis with bone grafting and stabilized with external fixator which has not been previously described in the literature.
Title: Tibiotalar Arthrodesis in Neglected and Infected Fracture Dislocation of the Ankle: A Case Report
Author: Amrit Goyal, Suneel Kumar
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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