Manuel Leyes, MD, PhD, Raúl Torres, MD, Pedro Guillén, MD, PhD 

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Presentation transcript:

Complications of open reduction and internal fixation of ankle fractures  Manuel Leyes, MD, PhD, Raúl Torres, MD, Pedro Guillén, MD, PhD  Foot and Ankle Clinics  Volume 8, Issue 1, Pages 131-147 (March 2003) DOI: 10.1016/S1083-7515(02)00162-6

Fig. 1 Implant loosening and redisplacement of the fracture in a noncompliant alcoholic patient who was full weight-bearing 1 week after surgery. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 2 Severe wound dehiscence and soft tissue necrosis in a 18-year-old patient who developed a compartment syndrome after ORIF of a high energy ankle fracture. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 3 (A) A 32-year-old male sustained a high energy fracture dislocation of his ankle. (B) Despite anatomic reduction of the fracture, radiological evidence of posttraumatic arthritis is observed 2 years after surgery. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 3 (A) A 32-year-old male sustained a high energy fracture dislocation of his ankle. (B) Despite anatomic reduction of the fracture, radiological evidence of posttraumatic arthritis is observed 2 years after surgery. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 4 Complication derived from poor surgical technique. (A) The distal tibiofibular syndesmosis was not adequately reduced. The syndesmotic screw was too short, cancellous, and placed too high. (B) Despite subsequent reduction of the syndesmosis (C) the patient developed degenerative osteoarthritis. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 4 Complication derived from poor surgical technique. (A) The distal tibiofibular syndesmosis was not adequately reduced. The syndesmotic screw was too short, cancellous, and placed too high. (B) Despite subsequent reduction of the syndesmosis (C) the patient developed degenerative osteoarthritis. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)

Fig. 4 Complication derived from poor surgical technique. (A) The distal tibiofibular syndesmosis was not adequately reduced. The syndesmotic screw was too short, cancellous, and placed too high. (B) Despite subsequent reduction of the syndesmosis (C) the patient developed degenerative osteoarthritis. Foot and Ankle Clinics 2003 8, 131-147DOI: (10.1016/S1083-7515(02)00162-6)