Elsayed Hassan, Thalava Ramesh, Afifi Hytham, Khan Mohammad
Tameside NHS hospital, Ashton-under-Lyne, United Kingdom.
Trauma Case Rep. 2017 Jan 4;8:20-23. doi: 10.1016/j.tcr.2017.01.015. eCollection 2017 Apr.
Open ankle dislocation without an associated fracture is an extremely rare injury [1]. We present a case of a 17-years old male who sustained a serious injury of his right ankle during jumping downstairs. He twisted his ankle and sustained an open posteromedial dislocation of his right ankle, without an associated malleolar fracture. The treatment consisted of wound debridement and irrigation open relocation with repair of anterior talo-fibular ligament, and primary closure of the skin post operatively the limb was immobilised in short leg cast for six weeks in a neutral position allowing partial weight bearing. At the 3-month follow-up visit, the patient reported that both ankle and feet had regained full, pain-free range of motion and he returned to full activity.
无相关骨折的开放性踝关节脱位是一种极其罕见的损伤[1]。我们报告一例17岁男性患者，他在从楼梯上跳下时右脚踝严重受伤。他扭伤了脚踝，导致右踝关节开放性后内侧脱位，无相关的踝关节骨折。治疗包括伤口清创冲洗、开放复位并修复距腓前韧带，术后一期缝合皮肤。肢体在中立位用短腿石膏固定六周，允许部分负重。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，并恢复了全部活动。
