![]() ![]() An external fixator is a device made up of pins that are put in your femur (thigh bone) and tibia (leg bone) and bars that connect the pins together. Sometimes the break is so bad you need to be taken to the operating room to have an external fixator put on. Either way you will not be able to walk or put weight on the leg. Often, you will be put into a brace or a splint. Depending on how bad the break is, you may be able to go home or you may be admitted to the hospital. In the emergency room you will get x-rays as well as a CT scan. You will likely need to go to an emergency room because of the pain. Initial TreatmentĪfter you break your tibial plateau it will be very painful, and you will most likely not be able to walk on it. The knee in on the right is very swollen after suffering a break in the bone after a fall. Disaster Management and Emergency Preparednessįigure 4: Photograph showing the swelling and bruising that is seen after a tibial plateau fracture.OTA Support of Federal Grant Applications.Video Library: Annual Meeting & Conferences.The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Figure 3- Ankle fracture (Weber B) show on plain film radiograph, in AP and lateral views Management Figure 1 - The ankle is comprised of the tibia, fibula, and talus Classification The type of operative procedure performed depends on the specific type of ankle fracture sustained. Displaced bimalleolar or trimalleolar fractures.Ankle fractures that require an ORIF include: Open reduction and internal fixation (ORIF) is often required in ankle fractures to achieve stable anatomical reduction of the talus within the ankle mortise. Weber A fractures or Weber B fractures without talar shift.Non-displaced medial malleolus fractures.Request a repeat plain film radiography if the reduction is not adequate, repeat reduction attempts are required.Ĭonservative management will often be opted for in: You must then repeat and document the post-reduction neurovascular examination. Once reduced, the ankle should be placed in a below knee back slab. Any patients that have with evidence of an open fracture should be managed accordingly. Initial management requires immediate fracture reduction, usually performed under sedation in the Emergency Department, to realign the fracture to anatomical alignment. This system is based on the ankle position at the time of injury and the deforming force involved, and is much more detailed than the Weber classification. ![]() In orthopaedic practice, the Lauge-Hansen classification is more widely used. The more proximal the injury, the higher the likelihood of ankle instability consequently, Type C fractures almost always need surgical fixation. Type C = above the level of the syndesmosis.Type B = at the level of the syndesmosis.The most common classification used, especially within the Emergency Department, is the Weber classification, which classifies lateral malleolus fractures: Crudely, they can be described as isolated lateral malleolar fractures, isolated medial malleolar fractures, bimalleolar fractures ( = medial + lateral malleolar fracture), and trimalleolar fractures ( = medial + lateral + posterior malleolar fracture). Figure 1 – The ankle is comprised of the tibia, fibula, and talus ClassificationĪnkle fractures can be described anatomically. ![]()
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