fractures of the tibia and pott’s fracture ankle · 10/1/2019  · pott’s fracture dislocation...

Fractures of the Tibia and Pott’s Fracture Ankle

Nasef Mohamed Nasef, M.D.

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DefinitionIncidence Age

Trauma

Clinical Picture

Associated Injuries

Complications BoneNerveMuscle Deformity

Treatmentwww.drnasef.com

Fracture Shaft Tibia

- Common - All Ages

- Subcutaneous Commonly Open FractureTransverse ObliqueSpiralComminutedDouble Level

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Fracture Shaft Tibia

Clinical PictureGeneral ? Vascular injury

Complications:OpenOsteomyelitisVascular Injury … Compartment Syndrome!!!!Malunion Nonunion No Muscles Tendons, less Blood Supply

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Fracture Shaft Tibia

TreatmentClosed Reduction and CastExternal Skeletal FixationOpen Reduction Internal Fixation Plate/ Nail

+/- Bone Graft

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Pott’s Fracture Dislocation Ankle

Bimalleolar Fracture

Usually twisting Injury?? Sprain

All Ages… Beware Older Patients

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Pott’s Fracture Dislocation Ankle

Trauma:According to Position of foot at time of

Injury, and Mechanism/ direction of Force

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Pott’s Fracture Dislocation AnkleSupination - External Rotation Fracture

Oblique Fracture Lateral Malleolus Fracture Posterior MalleolusTear Deltoid LigamentTransverse Fracture MedialMalleolusTrimalleolar Fracture

Dislocation

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Pott’s Fracture Dislocation Ankle

Pronation – External Rotation Injury

Transverse Fracture Medial MalleolusRupture Deltoid LigamentSpiral Fracture Lateral Malleolus Posteroinf to anteriosupAvulsion of Posterior Malleolus

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Pott’s Fracture Dislocation Ankle

Pronation – Abduction Injury

Avulsion Fracture Medial MalleolusSyndesmotic ligament injuryFracture Fibula Above Syndesmotic

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Pott’s Fracture Dislocation Ankle

Supination – Adduction Injury

Avulsion Fracture Lateral Malleolus BELOW SyndesmosisVertical Fracture of Medial Malleolus

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Pott’s Fracture Dislocation Ankle

Vertical Fracture / Pilon Fracture

Fall From Height

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Pilon Fracture

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Pott’s Fracture Dislocation Ankle

ComplicationMalunionOsteoarthritisSudek’s Atrophy

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Pott’s Fracture Dislocation Ankle

TreatmentRestore AnatomyRestore Mechanism of Injury/ Direction of

Force

CastORIFPhysiotherapy

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