Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma
Introduction. A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture. Case Report. We pres...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/6316137 |
| _version_ | 1798044783812280320 |
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| author | Kevin Moerenhout Georgios Gkagkalis Rayan Baalbaki Xavier Crevoisier |
| author_facet | Kevin Moerenhout Georgios Gkagkalis Rayan Baalbaki Xavier Crevoisier |
| author_sort | Kevin Moerenhout |
| collection | DOAJ |
| description | Introduction. A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture. Case Report. We present a case report of a patient with an unusual combination of a Bosworth injury with a pilon fracture and an open multifragmentary talus fracture and our approach for open reduction and internal fixation. At one year postoperative, the patient developed an invalidating tibiotalar and subtalar arthrosis that eventually required an ankle-hindfoot arthrodesis. A Bosworth injury is an infrequent entity and is even rarer when associated with other fractures. Careful preoperative planning is necessary, as the combination of these fractures is a surgical challenge. Special care must be taken to preserve the neurovascular bundle. Discussion. The present case highlights a Bosworth injury involving a severity that has never been described before and suggests adding an eighth stage to the classification presented by Perry et al. |
| first_indexed | 2024-04-11T23:09:52Z |
| format | Article |
| id | doaj.art-6928f447b0734d8287edc4827962569f |
| institution | Directory Open Access Journal |
| issn | 2090-6749 2090-6757 |
| language | English |
| last_indexed | 2024-04-11T23:09:52Z |
| publishDate | 2019-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj.art-6928f447b0734d8287edc4827962569f2022-12-22T03:57:52ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/63161376316137Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle TraumaKevin Moerenhout0Georgios Gkagkalis1Rayan Baalbaki2Xavier Crevoisier3Service of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, SwitzerlandService of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, SwitzerlandService of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, SwitzerlandService of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, SwitzerlandIntroduction. A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture. Case Report. We present a case report of a patient with an unusual combination of a Bosworth injury with a pilon fracture and an open multifragmentary talus fracture and our approach for open reduction and internal fixation. At one year postoperative, the patient developed an invalidating tibiotalar and subtalar arthrosis that eventually required an ankle-hindfoot arthrodesis. A Bosworth injury is an infrequent entity and is even rarer when associated with other fractures. Careful preoperative planning is necessary, as the combination of these fractures is a surgical challenge. Special care must be taken to preserve the neurovascular bundle. Discussion. The present case highlights a Bosworth injury involving a severity that has never been described before and suggests adding an eighth stage to the classification presented by Perry et al.http://dx.doi.org/10.1155/2019/6316137 |
| spellingShingle | Kevin Moerenhout Georgios Gkagkalis Rayan Baalbaki Xavier Crevoisier Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma Case Reports in Orthopedics |
| title | Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma |
| title_full | Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma |
| title_fullStr | Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma |
| title_full_unstemmed | Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma |
| title_short | Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma |
| title_sort | association of bosworth pilon and open talus fractures a very unusual ankle trauma |
| url | http://dx.doi.org/10.1155/2019/6316137 |
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