1. Case for small group discussion
Ankle fracture
Case for small group discussion
AOTrauma—Foot & Ankle
Module 1a: Ankle trauma—ankle fractures
Stefan Rammelt, DE

2. Case description 38-year-old patient fell from a ladder
Minimal soft-tissue swelling
Closed fracture
Treatment options?
Timing?
To discuss – is this a satisfactory fixation?

3. Postoperative x-rays Internal fixation performed Comments?
To discuss – is this satisfactory fixation?
Is more information needed?
Position of syndesmotic screw
Not enough compression medially?

4. Analysis

5. Now what?

6. Correction

7. Take-home messages Exact reduction of fibula into the tibial incisura
Direct vision of the syndesmosis
Essential to analyze the radiological landmarks to check the reduction
Check with postoperative CT scan or intraoperative 3-D fluoroscopy
Early correction to correct malreduction is required