• J Foot Ankle Surg · Nov 2016

    Case Reports

    Irreducible Ankle Fracture Dislocation Due to Tibialis Posterior Tendon Interposition: A Case Report.

    • James C Connors, Michael A Coyer, and Mark A Hardy.
    • Foot and Ankle Surgery, Mercy Health, Cleveland, OH. Electronic address: connorsjc2@gmail.com.
    • J Foot Ankle Surg. 2016 Nov 1; 55 (6): 1276-1281.

    AbstractTraumatic ankle fractures and dislocations that fail closed reduction present a challenging set of circumstances that can potentially lead to unnecessary complications and require surgical intervention. Interposition of adjacent tendons occurs rarely and can obstruct the anatomic realignment. Because of the potential for neurovascular compromise and possible skin tension necrosis, an irreducible fracture dislocation must be addressed with open reduction and internal fixation. The present case details an unusual, low-energy, external rotation ankle fracture and dislocation that was incapable of skeletal traction relocation. The present report also details the intraoperative finding of a complex injury pattern.Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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