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The Journal of Bone and Joint Surgery, Vol 60, Issue 3 320-324, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc

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Fracture-dislocation of the ankle with posterior entrapment of the fibula behind the tibia

PJ Mayer and CM Evarts

Fracture-dislocation of the ankle with entrapment of the fibula behind the tibia is a rare condition. Prompt recognition and treatment are necessary to prevent permanent disability. In three of four patients, the injury was managed by closed reduction. If the injury is accurately diagnosed and if traction and medial rotation are applied to the foot while the fibular shaft is pushed laterally, a stable, satisfactory reduction may be achieved. If closed reduction fails, a lateral approach through a small vertical incision directly over the fractured fibular malleolus is sufficient to allow open reduction of the fibula.
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R. Beekman and J. T. Watson
Bosworth Fracture-Dislocation and Resultant Compartment Syndrome. A Case Report
J. Bone Joint Surg. Am., November 1, 2003; 85(11): 2211 - 2214.
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