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Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma
- Source :
- Case Reports in Orthopedics, Case Reports in Orthopedics, Vol 2019 (2019)
- Publication Year :
- 2019
- Publisher :
- Hindawi, 2019.
-
Abstract
- Introduction. A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture. Case Report. We present a case report of a patient with an unusual combination of a Bosworth injury with a pilon fracture and an open multifragmentary talus fracture and our approach for open reduction and internal fixation. At one year postoperative, the patient developed an invalidating tibiotalar and subtalar arthrosis that eventually required an ankle-hindfoot arthrodesis. A Bosworth injury is an infrequent entity and is even rarer when associated with other fractures. Careful preoperative planning is necessary, as the combination of these fractures is a surgical challenge. Special care must be taken to preserve the neurovascular bundle. Discussion. The present case highlights a Bosworth injury involving a severity that has never been described before and suggests adding an eighth stage to the classification presented by Perry et al.
- Subjects :
- 030222 orthopedics
medicine.medical_specialty
Preoperative planning
business.industry
medicine.medical_treatment
Arthrodesis
Case Report
030229 sport sciences
General Medicine
Neurovascular bundle
medicine.disease
Pilon fracture
Surgery
03 medical and health sciences
lcsh:RD701-811
0302 clinical medicine
medicine.anatomical_structure
lcsh:Orthopedic surgery
medicine
Internal fixation
Distal fibula
Ankle
business
Reduction (orthopedic surgery)
Subjects
Details
- Language :
- English
- ISSN :
- 20906757 and 20906749
- Volume :
- 2019
- Database :
- OpenAIRE
- Journal :
- Case Reports in Orthopedics
- Accession number :
- edsair.doi.dedup.....b73571ec4e1f10ec2e903d724bc1176b