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Lateral Malleolus Ankle Failed Fixation

  • Georgios Kotsarinis,
  • Peter V. Giannoudis

摘要

Ankle fractures are intraarticular and therefore require anatomic reduction to obtain satisfactory results. Even slight malreduction can lead to late instability, pain and arthrosis. Ankle syndesmosis complex consists of a significant component of the ankle joint biomechanics and should therefore accurately addressed. However, the amount of diastasis that can be tolerated is not universally accepted. Studies have shown as little as 1 mm of talar displacement can increase joint contact loads by as much as 42%. This chapter illustrates the sequence of a failed ankle fixation and its management.