How to treat tibiofibular ankle fractures

Most people have heard of or are aware of a physical injury called tibiofibular ankle fracture, which is most often caused by violence and occurs in young people who are prone to conflict. But this situation also occurs to a very small number of people, such as workers working on construction sites. Patients experience severe pain when they suffer this injury. How is a tibiofibular ankle fracture treated?

First, how to treat tibiofibular ankle fractures? The treatment of this disease mainly includes the following aspects: 1. Manual reduction and external fixation After anesthesia, two assistants perform countertraction on the knee and ankle respectively. The surgeon pushes, squeezes and pinches the broken bone ends with both hands at the fracture ends according to the direction of displacement under fluoroscopy to reduce the fracture. After reduction, a small splint or long leg plaster can be used for fixation. 2. Bone traction: For cases of oblique, spiral, comminuted tibia and fibula fractures, the bone ends are very unstable, it is difficult to maintain good alignment after reduction, and there are wounds, skin abrasions and severe swelling of the limbs at the fracture site. The limbs must be closely observed and cannot be fixed immediately with a small splint or plaster splint. It is best to use continuous traction on the calcaneus.

Second, tibia and fibula fractures are prone to delayed union or nonunion. Unstable fractures are particularly prone to displacement. Local external fixation often fails. In traumatic tibia and fibula fractures, most of them are caused by severe violence, and are often combined with injuries to other parts of the body and internal organs. After tibia and fibula fractures are combined with vascular damage, the muscle-rich calf muscle tissue is extremely susceptible to involvement because skeletal muscle is more sensitive to ischemia. It is generally believed that limb muscle tissue can degenerate and necrotize after 6 to 8 hours of ischemia. Severe soft tissue injuries and sepsis caused by postoperative wound infection also greatly increase the risk of amputation.

How to treat tibiofibular ankle fractures? Tibiofibular fractures are prone to delayed healing or non-union. Unstable fractures are particularly prone to displacement. Local external fixation often fails. In traumatic tibia and fibula fractures, most of them are caused by severe violence, and are often combined with injuries to other parts of the body and internal organs. After tibia and fibula fractures are combined with vascular damage, the muscle-rich calf muscle tissue is extremely susceptible to involvement because skeletal muscle is more sensitive to ischemia. It is generally believed that limb muscle tissue can degenerate and necrotize after 6 to 8 hours of ischemia. Severe soft tissue injuries and sepsis caused by postoperative wound infection also greatly increase the risk of amputation.