J Korean Foot Ankle Soc.  2023 Mar;27(1):7-11. 10.14193/jkfas.2023.27.1.7.

Arthroscopy for Rotational Ankle Fractures

• Kwon TH
• Choi YH
• Lee KM

• KMID: 2540400
• DOI: http://doi.org/10.14193/jkfas.2023.27.1.7

Abstract

Rotational ankle fractures are one of the most common injuries of lower limbs treated by orthopedic surgeons. Open reduction and internal fixation (ORIF) is considered a gold standard treatment for unstable ankle fractures, though adjunct ankle arthroscopy is being increasingly used in cases of ankle trauma. Although the role and use of ankle arthroscopy are expanding, the clinical outcomes and cost-effectiveness of arthroscopy remain undefined. Furthermore, despite the number of clinical research studies performed on arthroscopically assisted surgery for ankle fractures, no definite guidelines have been agreed, and no consensus has been reached regarding indications. This article reviews the role, indications, operative techniques, and complications of ankle arthroscopy and compares the clinical outcomes of conventional ORIF and arthroscopically assisted ORIF.

Keyword

Concomitant ankle injuries; Ankle fractures; Arthroscopy; Open reduction; Osteochondral fracture

Figure

• 

  Figure. 1 Arthroscopic findings in left trimalleolar fracture via anteromedial portal (A). a)Tibia plafond; b)articular surface of lateral malleolus; c)lateral dome of talus; d)avulsion fragment of distal fibula (osteochondral loose body), which are corresponding to axial (B) and coronal (C) CT images.

• 

  Figure. 2 Arthroscopic findings in a left ankle fracture (A); a)Tibia plafond; b)posterior malleolar fracture gap; c)posterior malleolar fracture fragment; d)PITFL (posterior inferior tibio-fibular ligament). These are corresponding to the axial (B) and sagittal (C) CT images showing incarcerated osteochondral fragment (a white arrow) at posterior malleolus.

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