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Year : 1980  |  Volume : 14  |  Issue : 2  |  Page : 192-200

Fracture-Dislocation Of Ankle In Children


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K. M Pathi


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Fracture dislocation of the ankle joint is an uncommon injury in children. Since Pott’s original description of ankle injury, the importance of anatomical restoration of the mortice to prevent arthrosis of the injured joint has been emphasized repeatedly in adults. Despite the wealth of literature the main division is still between internal and external fixation. Colton (1971) stated that non-operative treatment could produce highest standard of functional results. which was more true for children as nature helped in restoring the alignment by remodeling process. Operative manoeuvres may affect growth epiphysis resulting in deformity of ankle. Lane (1914) was first to emphasise the importance of accurate reduction. Many authors have advocated the importance of open reduction, internal fixation and early mobilization (Jergesen 1959, Denham 1964, Burwell and Charnley 1965). Despite so much reported work in adults, there is very little reference in literature about fracture dislocation of ankle in children. It was, therefore thought worth while to present our experience about the treatment of this uncommon injury and to demonstrate that lack of anatomical reduction initially could lead to osteoarthritic changes even at the young age of twenties.


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