Journal of Korean Foot and Ankle Society  2014;18(4):217-221

doi:10.14193/jkfas.2014.18.4.217

Failure of Reduction for Ankle Fracture-Dislocation Caused by Tibialis Posterior Tendon Interposition: A Case Report.

Dong Jun HA 1 ; Heui Chul GWAK ; Dong Woo JEONG ; Sang Myung ROH

Affiliations

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Keywords

Ankle fracture; Tibialis posterior tendon; Arthroscopy; Trauma

Country

Republic of Korea

Language

Korean

Abstract

Fracture and fracture-dislocation of the ankle may be caused by a variety of mechanisms. In addition to the fracture, injury of soft tissue such as ligaments, tendons, nerves, and muscles may occur. Among these, tibialis posterior tendon injury is difficult to identify due to swelling and pain at the fracture site. There is no clear finding in radiological examination, therefore, it is found during surgery. In this case, irreducible fracture-dislocation of the ankle due to tibialis posterior tendon interposition was observed after the primary operation. The authors obtained satisfactory results in performance of a secondary operation assisted with arthroscopy.