ankle fx Flashcards
vertical fx medial malleolus?
SAD
Mueller classification of medial mal fx
A=avulsion
B=transverse at level of mortise
C=Oblique
D=vertical
Tillaux chaput
AITFL avulsion anterolateral tibia
wagstaff fx
AITFL avulsion from anteromedial fib
Volkman
PITFL avulsion from posterior lat tubercle
Bosworth
PITFL avulsion from posterior med tub.
Maisonneuve fx
weber C
Potts fx
bimalleolar
Destrot
trimalleolar
dupuytren fx
bimalleolar fx when talus gets lodged btwn tib and fib
vassal principle
fix fibula ret falls into place
Medial Clear space=
<4mm
tib fib overlap
> 10 mm
hook/cotton test
try to widen/open fibula
lateral malleolus fx fixation
2.7 or 3.5 mm cortical screw
or
5-6 cortices proximal and 3-4 distal
Neutralization plate
transfer of E through plate
anti-glide plate
compress and realignment of fx bone w out violating ankle joint ( ONLY SER2)
Buttress plate
reconstruction of fx pieces, reduces load
locking plate
internal external fixation
coonrad bug trapping
can’t reduce medial mal fx because PT in way. have to go medial
pilon fx definition
nonrotational fx of distal tib with intraarticular involvement (85% have fib fx)
Ruedi and allgower classification
- minimal displacement
- significant displacement
- comminution
AO pilon
A. extra articular
B. partial articular
C. Complete articular