AI Article Synopsis
- A 63-year-old man came to the emergency room with a serious right ankle injury—specifically a 5-day-old open fracture dislocation.
- After cleaning up the damaged tissue, doctors performed a primary ankle fusion using Kirschner wires and an external fixator.
- To help save the limb from amputation, they later provided soft tissue coverage with a latissimus dorsi free flap; this approach to treating such injuries is quite rare and has not been documented before.
Article Abstract
Primary ankle arthrodesis used to treat a neglected open ankle fracture dislocation is a unique decision. A 63-year-old man presented to the emergency department with a 5-day-old open fracture dislocation of his right ankle. After thorough soft tissue debridement, primary arthrodesis of the tibiotalar joint was performed using initial Kirschner wire fixation and an external fixator. Definitive soft tissue coverage was later achieved using a latissimus dorsi free flap. The fusion was consolidated to salvage the limb from amputation. The use of primary arthrodesis to treat a compound ankle fracture dislocation has not been previously described.
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| http://dx.doi.org/10.1053/j.jfas.2013.09.013 | DOI Listing |
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