A rare combination of closed fracture of right talar body Sneppen 2 with associated medial malleolus: A case report
| Autor: | Ahmad Nugroho, Ihsan Oesman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_treatment Physical examination Article 03 medical and health sciences Closed Fracture 0302 clinical medicine fluids and secretions medicine Internal fixation Medial malleolus Reduction (orthopedic surgery) Orthodontics Tension band wiring medicine.diagnostic_test business.industry fungi food and beverages equipment and supplies Talar body Sagittal plane Sneppen 2 Tarsal Bone medicine.anatomical_structure Fracture 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Ankle business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Talar fractures are uncommon. • Anatomic and stable reduction of talar fractures is of paramount importance. • ORIF plate screw and ORIF TBW can be used to treat talar fracture. • Good prognosis can be achieved by ORIF plate screw and ORIF TBW. Introduction Ankle fractures are common, with the incidence of up to 174 cases per 100,000 adults per year. The talus, the second largest tarsal bone, has distinctive imaging characteristics and injury patterns. The combination of talar body fracture in sagittal plane along with medial malleolus fracture is an unusual pattern of injury and rarely reported in the literature. Presentation of case We presented a case of nineteen-year old male with pain on the right ankle as a result from motorcycle accident twelve hours before admitted to Cipto Mangunkusumo Hospital. After the patient underwent close reduction and immobilization using back slab, patient then underwent open reduction surgery of the right ankle then fixated using plate and screw combined by tension band wiring (TBW) at the right medial malleolus. Discussion Talar and Medial malleolus fracture was initially evaluated by physical examination and radiographic imaging and classified by Sneppen classification. After the diagnosis was established the patient underwent ORIF plate, screw and tension band wiring. In post-operative x-ray examination, there was a significant improvement in talocrural angle and medial clear space but same result in tibiofibular overlap and tibiofibular. Conclusion Open reduction and internal fixation (ORIF) plate and screw combined by tension band wiring (TBW) is the right surgical treatment for patient with closed fracture of right talar body Sneppen 2 with associated medial malleolus fracture. The outcome of the treatment is excellent because the patient presented was able to fully recover to normal activity. |
| Databáze: | OpenAIRE |
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