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1. #Orif tib fib fracture hardware skin#
2. #Orif tib fib fracture hardware free#
3. #Orif tib fib fracture hardware crack#

Patients with ankle fractures usually present with pain, swelling, and bruising. Patients typically describe an acute twisting injury in which the foot is planted on the ground and the body rotates around it. Although the deltoid ligament cannot be "seen" on the x-ray, the injury is easily inferred, given the widening of the mortise nearby (white arrow). This force also applies traction to the deltoid ligament on the medial side. This type of injury allows the talus to remain anatomically positioned within the mortise, preventing displacement of the joint. Ankle fractures are classified as stable if the fracture is non-displaced or minimally displaced and the medial structures (deltoid ligament and medial malleolus) are intact.

#Orif tib fib fracture hardware skin#

Regarding the soft tissues, the single most important feature to note is whether the fracture is "open," that is, that the skin is broken.Īnother important consideration is the stability of the ankle joint (Figure 3).

It may be best, therefore to describe ankle fractures by the bones involved (i.e., isolated medial/lateral malleolar, bimalleolar, trimalleolar, etc.) and the presence of absence of soft tissue injury. There are many methods of classifying ankle fractures: some are too simple (and therefore not very informative), and others provide more detailed information (yet become unwieldy and unreliable).

#Orif tib fib fracture hardware crack#

The surface may crack and not bend in response to a new load. The loss of compliance makes the entire system more prone to damage. This new bone in turn makes the tissue below the cartilage more rigid (technically speaking less compliant). This is in accordance with Wolff's Law, which states that bone grows in response to load. Thus, a smaller area of contact for a given load leads to higher pressure. Recall that pressure is defined by the force (load) divided by area. This abnormal motion leads to focal pressure points which can be damaging.

#Orif tib fib fracture hardware free#

When the mortise is disrupted by a fracture, the talus is free to move more than it should. The anterior and posterior distal tibiofibular ligaments or syndesmosis, which connects the distal tibia and fibula above the tibio-talar joint line.The anterior and posterior talo-fibular, and calcaneo-fibular ligaments (collectively, the lateral collateral ligaments) and.The deltoid ligament medially, connecting the tibia to the talus and calcaneus medially.The ankle joint also contains three important ligament complexes: A fracture affecting both the medial and lateral malleoli is called a bimalleolar fracture, and one involving the medial, lateral, and posterior malleoli, the posterior aspect of the distal tibia, is called a trimalleolar fracture. The lateral malleolus is the distal end of the fibula, whereas the medial and posterior malleoli are part of the tibia. The tibia forms the superior and medial aspects of the joint, and the fibula its lateral aspect. The talus is a cube-shaped bone that sits above the calcaneus and below the tibial plafond. The distal ends of the fibula and tibia that overlap the talus are known as the malleoli (“little hammers”). The ankle joint is made up of the tibia, fibula, and talus (Figure 1). Some residual ankle arthrosis is therefore not uncommon, even if the bone heals perfectly. Ankle fractures directly or indirectly involve the ankle joint. Stable fractures typically heal with immobilization and protected weight-bearing whereas operative management is usually required for displaced or unstable fractures. These are designated as “pilon fractures," and are considered distinctly different injuries. Ankle fractures can be broadly divided into stable or unstable injuries. from a fall) is more apt to produce a fracture of the weight-bearing surface of the distal tibia (the plafond). Twisting with the foot planted on the ground and the body rotating around it is the most common mechanism of injury. Ankle fractures range from simple injuries of a single bone to complex ones involving multiple bones and ligaments. Occasionally, they involve the shaft of the fibula as well. Ankle fractures are breaks of the distal tibia or fibula (near or in the so-called malleolus) affecting the tibiotalar (ankle) joint.