11
Feb
Transverse medial malleolar fractures may be fixed with 1 or 2 cancellous lag screws, tension band technique, or kirschner wire fixation. Surgical treatment is often recommended because these fractures make the ankle unstable.
You have sustained a fracture to your medial malleolus (bone on the inside of ankle).
Medial malleolar fracture treatment. Posterior malleolar fractures may be fixed with a posteriorly applied buttress plate or compression screws. Displaced medial malleolar fractures, either in isolation or as part of an unstable ankle fracture dislocation, are conventionally treated with internal fixation. If the fracture extends above the level of the ankle, then the syndesmosis is likely unstable and requires fixation (fig.
Approach this approach is indicated in cases of posterior comminution and/or posterior extension of a medial malleolar fracture. Medial malleolar fractures often occur with a fracture of the fibula (lateral malleolus), a fracture of the back of the tibia (posterior malleolus), or with an injury to the ankle ligaments. • the incision starts 1 cm distal and 1 cm anterior to the middle of the tip of the medial malleolus.
However, we estimated that during this study period approximately 10 patients with medial malleolar stress fracture had been treated conservatively. Please see the picture below to understand where this injury is. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability.
Surgical treatment seems to result in rapid healing of the fracture and return to sports. A medial malleolar osteotomy is first performed, and is a component of treatment in osteochondral defects and talar body fractures. A straight oblique fracture throught the medial malleolus (left) was repaired with percutaneous minimally invasive surgery with two surgical screws (right) that allow reductions and better healing of the fracture.
Stress fractures of the medial malleolus are relatively uncommon but have been identified as potentially leading to significant disability in running and jumping athletes. Medial malleolar, cc screw fixation and bone grafting, union radoilogically introduction isolated medial malleolus fracture accounts for about only 7% of ankle fractures which when occurs in combination with other fracture accounts for about 20% [14]. Symptoms of a medial malleolus stress fracture include pain on the inside of the ankle.
Crucial factor for successfully completed conservative treatment was early diagnosis and strict restrictions of exercise. About half of these 10 patients were athletes. There will be specific point tenderness over the medial malleolus or bony part on the inside of the ankle.
Surgical fixation of the medial malleolar fracture was performed using 1 or 2 stainless steel screws. Lateral and medial malleolus fractures are treated with the same surgical techniques as written above for each fracture listed. Treatment depends on the result of diagnostic imaging, displacement of the fracture, and demands of the athlete.
A medial malleolar fracture is corrected using large acutrak 2 4.7 screws. Treatment selection depends on the type and severity of the medial malleolus fracture and the condition of the patient. You may also have ankle swelling, but not in all cases.
This normally takes approximately 6 weeks to unite (heal) although pain and. Type a fractures, the fracture is fixed with a medial buttress plate. Surgical treatment is often recommended because these fractures make the ankle unstable.
2,14,15 multiple case series base their treatment on several factors such as timing within the season, pain, or presence of a fracture line on plain radiographs. 72.4).the medial side may be disrupted with a deltoid ligament injury or a medial malleolar fracture.repair of the deltoid ligament or stabilization of the medial malleolar fracture may assist in the reduction of the fibula (fig. Medial malleolus stress fracture symptoms.
The rationale for the use of the screw, radiographic evidence, and. Transverse medial malleolar fractures may be fixed with 1 or 2 cancellous lag screws, tension band technique, or kirschner wire fixation. One hundred forty patients were randomized to receive either 1 or 2 screws to reduce a medial malleolar fracture.
Pain is made worse by running and jumping activities. Most medial fractures require surgery even in minimal displaced fractures (in which there is 2 millimeters or more of separation of the. For medial malleolar fractures, a buttress plate may be used for shearing fractures.
The fracture of the medial malleolus has left a shoulder (or beak) on the tibia. You have sustained a fracture to your medial malleolus (bone on the inside of ankle). In our opinion early surgery should be considered especially in athletes.
Many displaced ankle injuries fall into this pattern. The injury may occur with medial malleolus avulsion fracture or deltoid ligament rupture, rupture of anterior talofibular ligament or avulsion of its insertion, as well as rupture of interosseous ligament, rupture of posterior tibiofibular ligament, or posterior malleolar fracture. If the fracture is not out of place or is a very low fracture with very small pieces, it can be treated without surgery.