Abstract
The primary objective in the treatment of unstable ankle fractures is to restore the ankle mortise to an anatomic, stable position so as to maximize the function and longevity of the ankle joint. The ankle has a very limited capacity to accommodate even subtle asymmetry within the ankle mortise. Failure to restore the ankle mortise typically leads to rapid destruction of the ankle joint. Weight-bearing radiographs and CT scan provide invaluable information as to the original fracture pattern, extent of displacement, and salvageability of the ankle. Tibial-foot axis is a useful clinical tool to assess rotational alignment of the ankle and foot. Restoration of fibular length and rotation is crucial to ankle mortise stability. Malunited fractures can be re-created along the original fracture line(s), and certain corrective techniques can be employed to restore alignment and facilitate stability of the ankle, even in the instance of early post-traumatic arthritis.
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Clare MP. unpublished data.
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Clare, M.P. (2020). Revision Surgery of the Malreduced/Malunited Ankle Fracture. In: Berkowitz, M., Clare, M., Fortin, P., Schon, L., Sanders, R. (eds) Revision Surgery of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29969-9_7
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DOI: https://doi.org/10.1007/978-3-030-29969-9_7
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