Case report

HSS Journal

, Volume 7, Issue 1, pp 85-88

Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame

  • Nazzar TellisiAffiliated withHospital for Special SurgeryWeill Medical College of Cornell University Email author 
  • , Jonathan T. DelandAffiliated withHospital for Special SurgeryWeill Medical College of Cornell University
  • , S. Robert RozbruchAffiliated withHospital for Special SurgeryWeill Medical College of Cornell University

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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.

Keywords

ankle fracture ankle dislocation neglected ankle fracture Ilizarov Taylor spatial frame