Purpose: The purpose of this study is to review the result of patients with Bosworth fracture dislocation of ankle.
Type Of Study: Retrospective case series.
Methods: Four patients with Bosworth fracture-dislocation of ankle are evaluated clinically and radiologically.
Result: All four cases have failed initial closed reduction of the ankle and open reduction is required. Three patients with delayed presentation suffered from post-traumatic ankle stiffness and subsequently developed ankle degeneration.
Conclusion: Early recognition and prompt reduction of the dislocated ankle is important in case of Bosworth fracture dislocation in order to prevent late complication. Closed reduction of dislocated ankle is usually not helpful and repeated attempts may be harmful. Emergency operation of open reduction and internal fixation is usually required to reduce the ankle joint without delay.
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http://dx.doi.org/10.1007/s00402-007-0352-5 | DOI Listing |
Trauma Case Rep
October 2024
Department of Orthopaedic Surgery, Misawa City Hospital, 164-65 Horiguchi, Misawa, Misawa-shi, Aomori 033-0022, Japan.
Bosworth fracture-dislocation presents a challenge in ankle joint injuries owing to its irreducible nature, requiring open reduction in most cases. Reports on successful outcomes following closed reduction are limited, necessitating exploration into alternative treatment approaches. Herein, we report a case of Bosworth fracture-dislocation in a 39-year-old man, with radiographic evidence of posterior displacement of the distal portion of the proximal fibular fragment incarcerated behind the tibia.
View Article and Find Full Text PDFEFORT Open Rev
June 2024
Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic.
Bosworth fracture (BF) is a special type of locked ankle fracture-dislocation, characterized by displacement of a fragment of the fractured fibula from the fibular notch behind the posterior surface of the distal tibia. BF is a complex injury affecting multiple structures of the ankle joint, which is still frequently misjudged even today, potentially leading to severe complications. CT examination, including 3D reconstructions, should be the diagnostic standard in BF, as it provides a complete picture of the fracture pathoanatomy, most prominently the morphology of the frequently associated posterior malleolar fracture.
View Article and Find Full Text PDFJ Orthop Case Rep
May 2024
Department of Orthopaedic Surgery, McLaren Greater Lansing, Lansing, Michigan, USA.
Introduction: The Bosworth fracture-dislocation is a rare injury originally described as an irreducible dislocation of a distal fibula fracture where the proximal fibular fragment becomes incarcerated behind the distal tibia. There have since been a few cases described of an intact distal fibula with dislocation and similar difficulties in closed reduction attempts, typically seen with associated injuries to the ankle or proximal fibula. Regardless of the specific fracture or dislocation pattern, closed reduction attempts have consistently failed in the significant majority of these cases, which can lead to complications including soft-tissue compromise, severe post-traumatic arthritis, compartment syndrome, avascular necrosis of the talus, and neurovascular compromise.
View Article and Find Full Text PDFMedicina (Kaunas)
April 2024
Department of Orthopaedic and Traumatology, Faculty of Medicine, Cukurova University, 01330 Sarıçam, Adana, Türkiye.
The incidence of hip fractures in people of advanced ages is increasing due to our aging society. Patient positioning for the intertrochanteric fractures of the femur can be performed in various ways. The aim of this study is to clinically and radiologically compare the use of the supine hemilithotomy position, the lateral decubitus position, and the traction table when performing proximal femoral nail (PFN) surgery for femoral intertrochanteric fractures in the geriatric age group.
View Article and Find Full Text PDFBosworth fracture (BF) is a rare, but a severe injury to the ankle, characterized by displacement of a fragment of the fractured fibula (mostly of Weber B type) from the tibiofibular incisure to the posterior surface of the distal tibia. In 70% of cases, it is associated with a fracture of the posterior malleolus. This injury is not quite well known, with only 175 cases described in the literature to date.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!