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Journal of Bone and Joint Surgery, 1974;56:549-555.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Steinmann-Pin Fixation in the Treatment of Unstable Fractures of the Ankle

RICHARD S. LASKIN M.D.1

1 From the Division of Orthopaedic Surgery, State University of New York at Stony Brook, Nassau County Medical Center Campus, East Meadow and the Departments of Orthopaedic Surgery, Albert Einstein College of Medicine, Bronx, and Long Beach Memorial Hospital, Long Beach

While many unstable displaced fractures of the ankle are best treated by open reduction and internal fixation, situations arise in which a formal open operative procedure is contraindicated. Ulcerations about the ankle, severe peripheral atherosclerotic vascular disease, marked fracture blebs, and concomitant severe thoracic, abdominal, or neurological injury all contraindicate open reduction. In such patients a closed reduction supplemented by Steinmann-pin fixation proximally and distally has proved to be effective.


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