Surgical management of malunited fracture-dislocation of the ankle

ABSTRACT

The aim of the paper is to present the experience gained in surgical treatment of malunited fracture dislocation of the ankle. Between 1989 and 1993, five patients with malunited fracture-dislocation of the ankle [one pylon fracture] were treated surgically. All five cases were males with age range 20-50 years. They were received 6-12 weeks after injury. During the period of delav three cases had primary inefficient treatment and two did not have any treatment. The patients' complaint was deformity and loss of function. Surgery was in the form of corrective osteotomy of the malleoli, reduction of the fragments, and restoration of alignment. Internal fixation was carried out using AO refined rules and was dictated by the fracture profile. were evaluated according to the Weber Scoring System as modified by Marti etal and was found to be excellent in one, good in two and fair in two cases