After the fibula has been stabilized, its relationship to the tibia can be restored and reinforced with the TightRope system. This plate is held in place by surgical screws. The surgeon typically repairs the fibula by attaching a fixation plate. If bony fragments have broken loose from the fibula, they are either removed or stabilized, and if the fibula has separated, the pieces are realigned. In preparation for the procedure, the patient is positioned and anesthetized, and the surgeon makes an incision on the outer side of the ankle to access the joint. The TightRope system anchors the ends of the tibia and fibula together with a braided polyethylene cord, rather than with a rigid surgical screw, to restore the original position of the bones and to allow for proper healing. It can also be used to stabilize a fracture of the fibula. It can be used to repair a high ankle sprain, which damages the soft tissue structures between the tibia and fibula and causes these bones to separate. It does not store any personal data.This technique is used to stabilize an ankle after injury. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". I had all the hardware removed a few weeks ago and I suddenly have sensation where it was just numbmy new surgeon says that the plate was likely compressing nerves. These cookies ensure basic functionalities and security features of the website, anonymously. I had ORIF surgery for tib/fib fracture 12 years ago, and the top of my foot had been numb since then. Necessary cookies are absolutely essential for the website to function properly. Figure 3- Ankle fracture (Weber B) show on plain film radiograph, in AP and lateral views Management Figure 1 - The ankle is comprised of the tibia, fibula, and talus Classification The type of operative procedure performed depends on the specific type of ankle fracture sustained. Displaced bimalleolar or trimalleolar fractures.Ankle fractures that require an ORIF include: Open reduction and internal fixation (ORIF) is often required in ankle fractures to achieve stable anatomical reduction of the talus within the ankle mortise. Weber A fractures or Weber B fractures without talar shift.Non-displaced medial malleolus fractures.Request a repeat plain film radiography if the reduction is not adequate, repeat reduction attempts are required.Ĭonservative management will often be opted for in: You must then repeat and document the post-reduction neurovascular examination. Once reduced, the ankle should be placed in a below knee back slab. Any patients that have with evidence of an open fracture should be managed accordingly. Initial management requires immediate fracture reduction, usually performed under sedation in the Emergency Department, to realign the fracture to anatomical alignment. This system is based on the ankle position at the time of injury and the deforming force involved, and is much more detailed than the Weber classification. In orthopaedic practice, the Lauge-Hansen classification is more widely used. The more proximal the injury, the higher the likelihood of ankle instability consequently, Type C fractures almost always need surgical fixation.
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