ABSTRACT
La luxación cerrada sin fractura asociada de tobillo es una entidad extremadamente rara. Se presenta el caso de un hombre de 35 años que se lesionó mientras jugaba fútbol. El tratamiento consistió en reducción cerrada seguido de inmovilización con una botina de yeso durante 6 semanas y descarga de la extremidad las primeras 10 semanas. A los 12 meses de seguimiento, el paciente había retomado la práctica deportiva con un rango de movimiento completo. Se revisó la bibliografía existente y se propone una nueva clasificación(AU)
Closed dislocation of ankle with no associated fracture is an extremely rare entity. A case of 35 year-old man who was injured while playing soccer is presented. The treatment consists of closed reduction followed by immobilization with a walking cast for 6 weeks and unloading of the injured extremity the first 10 weeks. At 12 months follow-up, the patient had reinitiated sport at full range of motion. The literature was reviewed and a new classification is proposed(AU)
La luxation fermée de cheville sans fracture associée est une affection très rare. Le cas d’un homme (35 ans) lésé en jouant au football est présenté. Le traitement a consisté en réduction fermée, suivie d’immobilisation par botte plâtrée pendant 6 semaines, et mise en décharge du membre inférieur les dix premières semaines. Douze mois après, le patient a repris la pratique sportive en un rang de mouvement complet. On a fait une revue de la littérature, et on propose une nouvelle classification(AU)
Subject(s)
Humans , Male , Adult , Athletic Injuries/etiology , Ankle Injuries , Joint Dislocations/classification , SoccerABSTRACT
INTRODUCTION: The most common cause of osteoarthritis of the ankle is post-traumatic, and although tibiotalar arthrodesis remains the surgical gold standard, a number of techniques have been described to preserve joint mobility, such as joint distraction arthroplasty or arthrodiastasis. OBJECTIVE: To evaluate the functional outcome and changes in Visual Analogue Scale (VAS) for pain after the application of the distraction arthroplasty for post-traumatic ankle osteoarthritis. PATIENTS AND METHODS: A prospective comparative study of a group of 10 young patients with post-traumatic ankle osteoarthritis treated by synovectomy and arthrodiastasis, compared to a control group of 10 patients treated by isolated synovectomy. Results were calculated using the AOFAS scale and the VAS for pain before and after treatment. RESULTS: As regards the pain measured by VAS, no difference was observed between the two groups before surgery (P=.99), but there was a difference at 3 months (P<.001), 6 months (P=.005), and 12 months (P=.006). No differences were observed in the AOFAS scale between the two groups before surgery (P=.99), or at 3 months (P<.99), but there was a difference at 6 months (P<.001). CONCLUSIONS: Ankle arthrodiastasis is effective in reducing pain in post-traumatic ankle arthropathy, and is superior to isolated synovectomy.
