Lazarettos Ioannis, Brilakis Emmanouil, Efstathopoulos Nicolaos
Second Department of Trauma and Orthopaedics, National and Kapodistrian University of Athens Medical School, Konstantopoulion General Hospital of Nea Ionia, Athens, Greece.
J Foot Ankle Surg. 2013 Jul-Aug;52(4):508-12. doi: 10.1053/j.jfas.2013.03.017. Epub 2013 Apr 24.
Open ankle dislocation without an associated fracture is an extremely rare injury. We present the case of a 24-year-old male athlete who had sprained his left ankle during volleyball playing. He sustained an open posteromedial dislocation of his left ankle, without an associated malleolar fracture. The treatment consisted of wound irrigation, debridement, reduction, and suture of the skin, followed by immobilization with a short leg cast. The ankle was immobilized in a neutral position for 8 weeks, and weight bearing was restricted for the first 6 weeks. At the 3-month follow-up visit, the patient reported that both ankle and feet had regained full, pain-free range of motion. At the 6-month follow-up visit, he returned to sports activities. At 9 months of follow-up, the patient participated in volleyball games at the same level as before his injury. At 2 years after the initial injury, he did not have any clinical complaints, and his ankle had no clinical or subjective signs of instability.
无相关骨折的开放性踝关节脱位是一种极其罕见的损伤。我们报告一例24岁男性运动员的病例，他在打排球时扭伤了左脚踝。他遭受了左踝关节开放性后内侧脱位，无相关的踝关节骨折。治疗包括伤口冲洗、清创、复位和皮肤缝合，随后用短腿石膏固定。踝关节在中立位固定8周，前6周限制负重。在3个月的随访中，患者报告踝关节和足部均已恢复完全、无痛的活动范围。在6个月的随访中，他恢复了体育活动。在随访9个月时，患者参加了与受伤前相同水平的排球比赛。在初次受伤2年后，他没有任何临床主诉，踝关节也没有临床或主观不稳定的迹象。
