fractures of the tibia and pott’s fracture ankle · 10/1/2019 · pott’s fracture dislocation...
TRANSCRIPT
Fractures of the Tibia and Pott’s Fracture Ankle
Nasef Mohamed Nasef, M.D.
www.drnasef.com
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
www.drnasef.com
Fracture Shaft Tibia
Clinical PictureGeneral ? Vascular injury
Complications:OpenOsteomyelitisVascular Injury … Compartment Syndrome!!!!Malunion Nonunion No Muscles Tendons, less Blood Supply
www.drnasef.com
Fracture Shaft Tibia
TreatmentClosed Reduction and CastExternal Skeletal FixationOpen Reduction Internal Fixation Plate/ Nail
+/- Bone Graft
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Bimalleolar Fracture
Usually twisting Injury?? Sprain
All Ages… Beware Older Patients
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Trauma:According to Position of foot at time of
Injury, and Mechanism/ direction of Force
www.drnasef.com
Pott’s Fracture Dislocation AnkleSupination - External Rotation Fracture
Oblique Fracture Lateral Malleolus Fracture Posterior MalleolusTear Deltoid LigamentTransverse Fracture MedialMalleolusTrimalleolar Fracture
Dislocation
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Pronation – External Rotation Injury
Transverse Fracture Medial MalleolusRupture Deltoid LigamentSpiral Fracture Lateral Malleolus Posteroinf to anteriosupAvulsion of Posterior Malleolus
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Pronation – Abduction Injury
Avulsion Fracture Medial MalleolusSyndesmotic ligament injuryFracture Fibula Above Syndesmotic
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Supination – Adduction Injury
Avulsion Fracture Lateral Malleolus BELOW SyndesmosisVertical Fracture of Medial Malleolus
www.drnasef.com
Pott’s Fracture Dislocation Ankle
Vertical Fracture / Pilon Fracture
Fall From Height
www.drnasef.com
Pilon Fracture
www.drnasef.com
Pott’s Fracture Dislocation Ankle
ComplicationMalunionOsteoarthritisSudek’s Atrophy
www.drnasef.com
Pott’s Fracture Dislocation Ankle
TreatmentRestore AnatomyRestore Mechanism of Injury/ Direction of
Force
CastORIFPhysiotherapy
www.drnasef.com
