SU1134187A1 - Method of reposition of malleolus fractures with fragments shift - Google Patents

Description

The invention relates to medicine, namely to traumatology and orthopedics.

There is a method of reposition of ankle fractures with displacement of fragments 5 by traction along the axis of the foot, lower leg, counter traction, moving the foot inward, compression of the tibia and immobilization [jl

However, during reposition, I press 10 with one hand on the foot in the direction from the outside to the inside, and with the other apply force to the inner surface of the lower leg above the ankle joint from the inside out. The force acting on the inner ankle is applied parallel or at a slight angle to the fracture surface. Therefore, it is not always possible to compare fragments. After the edema subsides, a space forms under the plaster cast. There is a secondary displacement under the plaster cast.

The aim of the invention is a more accurate comparison of fragments. 25

The goal is achieved by the fact that according to the method of repositioning ankle fractures with smearing (using fragments by stretching the foot along the axis of the shin, counter traction, moving the foot inward, compressing the tibia and immobilizing, reposition the inner ankle through a window cut out in a plaster cast after the swelling has subsided by affecting the tip of the ankle perpendicular to the surface of the fracture.

The method is as follows.

Under intraosseous anesthesia, reposition is performed in a known manner. An x-ray examination is performed. If there is a displacement of the inner ankle after the edema subsides, a window is cut out in the plaster cast 45 in the region of the inner ankle. Perform local anesthesia. Press with a finger on the top of the inner ankle perpendicular to the fracture surface. Prepare a plot of plaster casts, equal in size to the cut out hole in the plaster cast. A plaster cast in the ankle joint is moistened with water. Soak the prepared .55 section of the span and place it vocally in a plaster cast. Continue to press on the top of the bottom 1134187 1 through the span and fix it with plaster bandages.

An example. Patient S., medical history No. 15440. Diagnosis: closed fracture of the ankles of the left lower leg with displacement of fragments and subluxation of the talus outward. On the day of admission under intraosseous anesthesia, reposition was performed according to a known method. The limb was immobilized with a plaster cast. On radiographs, the displacement of the ankles and subluxation of the talus outward was determined, which decreased. Then, the reposition was performed as described above: traction over the foot along the axis of the shin, counter traction, movement of the foot inward, compression of the tibial joint, which was continued after immobilization with longets and plaster bandages. On the control radiographs: the subluxation of the talus was eliminated, the standing of the ankle is correct, there is a displacement of the inner ankle. After the edema subsided, a window was cut out in a plaster cast in the area of the inner ankle. Anesthetized the fracture area. Pressing a finger on the top of the inner ankle perpendicular to the surface of the fracture. We prepared a plot of plaster casts, * equal in size to the cut out hole in the dressing. Soaked the prepared section of the casts in water, placed it in the hole in the plaster cast. They continued to press on the top of the ankle through the span. We recorded a section of the longy, placed in a window in a plaster cast, continuing ’pressure on the top of the ankle until it hardens. On radiographs, the correct standing of the fragments is determined. After 7 days, a repeated x-ray examination was performed. The position of the fragments has remained the same. Plaster cast immobilization was continued for 6 weeks. On radiographs performed after removing the bandage, fusion is shown. Then, paraffin baths, massage, exercise therapy were performed. After 4 weeks, the full range of motion in the ankle joint was restored. Examined a year after the injury. Walks, fully loads the limb, no complaints. On radiographs - consolidation.

The proposed method allows for accurate comparison of fragments.

Claims (1)

- METHOD FOR REPRESENTING ANKELIC FRACTURES WITH DISPLACEMENT OF FRACTURES by stretching the foot along the axis of the leg, counter traction, moving the foot inwards, compressing the tibia and immobilizing, characterized in that, in order to more accurately compare the fragments, they reposition the inner ankle through the window, cut out bandage after the swelling has subsided by exposing the top of the ankle perpendicular to the fracture surface.