Open ankle fracture-dislocation and tibia fracture
Keywords:
ankle fracture-dislocation, open fracture of the tibia.Abstract
Introduction: The incidence of open ankle fracture-dislocation is low, which makes its combination with a fracture of the distal third of the tibia serious and very complex to treat. It is an entity caused by high-energy trauma and is associated with neurovascular injuries.Objective: To present a serious and complex case of open ankle fracture-dislocation and fracture of the distal third of the tibia.
Clinical case: A 33-year-old male patient, who was admitted to the emergency orthopedics and traumatology service, for having suffered direct trauma in the coupling of two train cars. He presented an open tibiotalar fracture-dislocation III-B, associated with an oblique fracture of the distal third of the tibia and fibula, of the left lower limb. He underwent emergency surgery; Extensive surgical debridement, reduction of the dislocation, fixation of the tibial malleolus, primary repair of the ligamentous injuries, and external stabilization for early arthrodesis were performed. The patient evolved with infection of the surgical wound, for which he needed sequential dressings and hyperbaric oxygenation. Full recovery at 8 months.
Conclusions: Open ankle fracture-dislocation and fracture of the distal third of the tibia is a rare, serious and complex combination to treat. Due to high energy trauma. Emergency surgery, antimicrobial prophylaxis, and hyperbaric oxygenation contributed to the definitive treatment of this patient.
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References
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4. Alvarez López A, Fuentes Véjar R, Soto Carrasco SR. Luxación pura del tobillo: presentación de un caso. Cuba Arch Med Camag. 2021 [acceso: 13/02/2022]; 25(2): e7003. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552021000200012&lng=es
5. Morejón Trofimova Y, Ferrer Lozano Y, Díaz Paz D. Luxofractura tarsometatarsiana asociada a luxación mediotarsiana y subastragalina. Rev Cubana Ortop Traumatol. 2018 [acceso: 13/02/2022]; 32(1): 1-8. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2018000100005&lng=es
6. Conrado Cruz C. Tratamiento fisioterapéutico en fractura y luxación de tobillo. [Tesis de grado]. Perú: Univ Inca Garcil Vega, Facul Tecnolog Méd; 2017. [acceso: 13/02/2022] Disponible en: http://repositorio.uigv.edu.pe/bitstream/handle/20.500.11818/1964/TRAB.SUF-.PROF.%20CORONADO%20LA%20CRUZ%2C%20Cristian.pdf?sequence=2-&isAllowed=y
7. Rodríguez Ordoñez C. Fijación externa en fracturas de tobillo en el paciente geriátrico. [Tesis de grado]. España: Univ Catanabria Facul Medic; 2019. [acceso: 13/02/2022] Disponible en: https://repositorio.unican.es/xmlui/bitstream/handle/10902/16694/RodriguezOrd-%C3%B3%C3%B1ezCovadonga.pdf?sequence=1
8. Acebrón A, Blasco MC, Silvestre A. Fractura luxación de calcáneo. Presentación de un caso y revisión bibliográfica. Rev Pie Tobillo. 2018 [acceso: 13/02/2022]; 32(2): 109-16. Disponible en: https://mail.fondoscience.com/sites/default/files/articles/pdf/rpt.3202.fs1704008-fractura-luxacion-de-calcaneo.pdf
10. Guerrero Sierra B, Proaño Portero P, Aynaguano Pérez E, Ortiz Gavilanes M, Ortega Castro V. Luxación talo navicular asociada a fractura de pilón tibial con inestabilidad del tobillo. Mediciencias UTA. 2020 [acceso: 13/02/2022]; 4(1): 28-33. Disponible en: https://revistas.uta.edu.ec/erevista/index.php/medi/article/view/1362/1171
Published
2022-07-28
How to Cite
1.
Nápoles Mengana JL. Open ankle fracture-dislocation and tibia fracture. Rev Cubana Med Milit [Internet]. 2022 Jul. 28 [cited 2025 Feb. 20];51(4):e02201903. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1903
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