Name: Trimalleolar Ankle Fracture Dislocation
Uploaded: 2018-10-04T00:00:00Z
Channel: Arthrex
Description: Andre J. Pagliaro, MD, (Mercerville, NJ) presents a trimalleolar ankle fracture dislocation with syndesmosis injury case. The Titanium Ankle Fracture system offers long fibula plates, Syndesmosis TightRope ® implant-compatible plate holes, and cannulated 4.0 mm screws.

<p>Andre J. Pagliaro, MD, (Mercerville, NJ) presents a trimalleolar ankle fracture dislocation with syndesmosis injury case. The Titanium Ankle Fracture system offers long fibula plates, Syndesmosis TightRope<sup>®</sup> implant-compatible plate holes, and cannulated 4.0 mm screws.</p>

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VID1-01454-EN | A | Trimalleolar Ankle Fracture Dislocation

Andre J. Pagliaro

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Trimalleolar Ankle Fracture Dislocation

Hello, my name is Andre Pagliaro. I'm an orthopedic foot and ankle surgeon from Mercerville, new Jersey, and I'm here to share a case with you of a TRIMANO ankle fracture. Patient is a 37 year old who fell from a ladder at work and sustained a closed trimalleolar fracture dislocation of the left ankle. In addition, he had a small intra-articular fracture of the lateral left Taylor Dome, which was treated at the same time. As you can see on the initial radiographs, he had a highly comminuted high fibula fracture. There was an associated medial malleolar fracture which was displaced and not readily apparent as a small posterior malleolar fracture fragment involving the posterior inferior tib fib ligament. We fix this with a standard anterior and medial approach in a supine position. This allowed us to address the fibular fracture with a long plate to reestablish appropriate length and rotation of the distal fibula. To correct the biomechanics of the ankle preoperatively, we took radiographs of the contralateral ankle for comparison. The medial malleolar fixation was with standard screws, and then the distal tib fib joint was addressed with the TightRope fixation. During the operative procedure, we checked the distal tib fib joint for stability using both the cotton test and the internal and external rotation tests that we utilized with the talus to ensure that we have rotational stability as well. The patient went on to heal uneventfully and was back to work at approximately six months without incident. Thank you very much. For.

Trimalleolar Ankle Fracture Dislocation

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