- Treatment Considerations:
- it is essential to reduce the dislocation in the ER, so as to avoid tenting of the skin over the anterior tibia;
- w/ a trimalleolar frx-dislocation, consider a posterior approach using an antiglide plate and fixation of the posterior malleolar fragment (which can be accomplished through the posterior incision);
- in absence of a medial malleolar frx, routine exploration of medial side of the ankle is not necessary unless there is evidence that portion of the deltoid ligament or the tibialis posterior has entered the joint and is blocking reduction of the talus;
- Case Examples:
Surgical treatment of fracture-dislocations of the ankle joint with biodegradable implants: a prospective randomized study.
An alternative to crutches and wheelchairs. The Roll-A-Bout fully supports the lower leg guaranteeing 100% non-weight-bearing.