Rare variants of Bosworth fracture-dislocation: Bosworth fracture-dislocation with medial malleolus adduction type fracture.
10.1016/j.cjtee.2018.12.001
- Author:
Wei REN
1
,
2
;
Yong-Cheng HU
2
,
3
;
Ji-Ke LU
4
Author Information
1. Department of Orthopedic Surgery, United Family Hospital, Beijing 100015, China
2. Tianjin Medical University, Tianjin 300070, China.
3. Department of Orthopedic, Tianjin Hospital, Tianjin 300211, China
4. Department of Orthopedic Surgery, United Family Hospital, Beijing 100015, China. Electronic address: jike.lu@ufh.com.cn.
- Publication Type:Case Reports
- Keywords:
Ankle injuries;
Complications;
Fracture dislocation;
Rotation;
Supination
- MeSH:
Acute Disease;
Ankle Fractures;
physiopathology;
surgery;
Ankle Injuries;
physiopathology;
surgery;
Compartment Syndromes;
Fracture Dislocation;
physiopathology;
surgery;
Fracture Fixation, Internal;
methods;
Humans;
Male;
Open Fracture Reduction;
methods;
Postoperative Complications;
Recovery of Function;
Rotation;
Supination;
Treatment Outcome;
Young Adult
- From:
Chinese Journal of Traumatology
2019;22(2):120-124
- CountryChina
- Language:English
-
Abstract:
Bosworth ankle fracture-dislocation is rare, known to be an irreducible type of ankle injury, with a high incidence of complication. We present two cases of even rarer variants of Bosworth ankle fracture-dislocation. The first case is a type of supination external rotation adduction, and the second case is a type of supination external rotation adduction. These types have not been described before. In both of the cases we failed to achieve close reduction, and therefore proceeded with emergency surgeries, with open reduction and internal fixation. Both of the cases were performed with a postero-lateral approach to reduce the dislocations, and fix the fractures successfully. Unfortunately in one of the cases, acute compartment syndrome developed post-surgically. However, both cases showed good functional outcomes.
