J Korean Orthop Assoc.  1974 Jun;9(2):198-208. 10.4055/jkoa.1974.9.2.198.

Clinical Study of the Ankle Fracture

• Kim ID
• Kim YB

• KMID: 2471504
• DOI: http://doi.org/10.4055/jkoa.1974.9.2.198

Abstract

One hundred and twenty three cases of the ankle fracture have been treated and managed in the Department of Orthopedic Surgery, Kyungpook University Hospital during the period from January. 1968 to December, 1573. One hundred and twenty three patients were analyzed clinically according to Lauge-Hansen and Ashhurst-Bromer classification and results obtained were as follow. 1. The causes of ankle fractures were mostly due to automobile accident (61%). 2. The incidence of trauma was in the young man, most frequent in 3rd decade. 3. In classification of our materials according to Lauge-Hansen and Ashhurst-Bromer, the type of lateral rotation is most common type in this series and the stage II of lateral rotation is more common than other stages. 4. The average duration of cost Immobilization is 10.1 weeks after closed reduction was performed, and 8.2 weeks after open reduction. 5. Anatomical reduction was obtained in 99 patients (80.4%) and good objective clinical results in 74%. 6. The quality of clinical results depends mostly on the accuracy of the reduction, to a lesser extent on the degree of initial displacements, and least on the type of fracture and age of patient.

MeSH Terms

Ankle Fractures*
Ankle*
Automobiles
Classification
Clinical Study*
Gyeongsangbuk-do
Humans
Immobilization
Incidence
Orthopedics

Figure

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  Fig. 1 Diagrams of the Ligaments of the Ankle and Subtalar Joints in Medial and Lateral Views.

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  Fig. 2 The Common Types of Fracture in the I auge Hansen Classification. A: SE-Supination External Rotation B: PE-Pronation External Rotation C: SA-Supination Adduction D: PA-Pronation Abduction

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  Fig. 3-A The Common Types of Fractures in the Ashhurst and Bromer Classification Fig. 3-A Injuries caused by lateral rotation of foot A-Tearing of anterior talotibial fibers of the deltoid B-Tearing of posterior talofibula ligament C-Disruption of tibiofibular syndesmosis

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  Fig. 3-B Injuries caused by eversion of the foot A-Tearing of the deltoid ligament B-The talus strikes the medial aspect of the fibular malleolus. C-Tearing of the interossous ligament and membrane

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  Fig. 3-C Injurjes caused by inversion of the foot A-Tearing of the lateral collateral ligament B-The junction of the superior and medial articular surfaces of the talus strikes the tibia at the mortise angle and splitting the tibia longitudinally.

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  Fig. 4 Mechanism of Fracture due to a Compression Force A-The impact is directed against the articular surface of the tibia and at right angles to it. B-The impact is on the metatarsal heads and is transmitted upward and posteriorly C-The force is directed upward and anter iorly from the calcaneus through the talus D-The broad anterior portion of the body of the talus is pushed forcefully between the malleoli.

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  Fig. 5 Showing the Normal Radiological Clear Spaces Between the Talus and the Tibia, and the Alteration that Occurs in the Displaced Fracture.

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