Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury

Early diagnosis of traumatic injuries significantly changes patient outcomes. This statement remains true for the ankle since delay in treatment of ankle injuries can hinder its proper function. For these reasons, the case of a 29-year-old patient of rural origin treated at the Dr. Gustavo Aldereguí...

Full description

Bibliographic Details
Main Authors: Yaniel Truffin Rodriguez, Rafael Esmandy Gámez Arregoitía, Osmany Pérez Martínez
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2015-12-01
Series:Medisur
Subjects:
Online Access:http://medisur.sld.cu/index.php/medisur/article/view/2917
_version_ 1797277931062427648
author Yaniel Truffin Rodriguez
Rafael Esmandy Gámez Arregoitía
Osmany Pérez Martínez
author_facet Yaniel Truffin Rodriguez
Rafael Esmandy Gámez Arregoitía
Osmany Pérez Martínez
author_sort Yaniel Truffin Rodriguez
collection DOAJ
description Early diagnosis of traumatic injuries significantly changes patient outcomes. This statement remains true for the ankle since delay in treatment of ankle injuries can hinder its proper function. For these reasons, the case of a 29-year-old patient of rural origin treated at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos is presented. The patient stated that he had suffered a horse fall six weeks earlier and presented with functional disability in addition to pain in his right ankle. A supra-syndesmotic fibular fracture, a medial malleolar fracture and a posterior malleolar fracture were diagnosed. To repair this injury, the Gatellier-Chastang approach was used for reduction and adequate fixation of the posterior malleolus. Osteosynthesis of the supra-syndesmotic fracture with a plate and screws was subsequently performed. Finally, the medial malleolar fracture was fixed with a malleolar screw. Six months after the surgery, the ankle showed normal ranges of dorsiflexion and plantar flexion; the edema was not significant and there was no pain when walking or resting.
first_indexed 2024-03-07T15:56:19Z
format Article
id doaj.art-81a2a307c5594a19ae917c1fcfc95562
institution Directory Open Access Journal
issn 1727-897X
language Spanish
last_indexed 2024-03-07T15:56:19Z
publishDate 2015-12-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
record_format Article
series Medisur
spelling doaj.art-81a2a307c5594a19ae917c1fcfc955622024-03-04T23:09:44ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2015-12-011367747781251Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the InjuryYaniel Truffin Rodriguez0Rafael Esmandy Gámez Arregoitía1Osmany Pérez Martínez2Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Early diagnosis of traumatic injuries significantly changes patient outcomes. This statement remains true for the ankle since delay in treatment of ankle injuries can hinder its proper function. For these reasons, the case of a 29-year-old patient of rural origin treated at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos is presented. The patient stated that he had suffered a horse fall six weeks earlier and presented with functional disability in addition to pain in his right ankle. A supra-syndesmotic fibular fracture, a medial malleolar fracture and a posterior malleolar fracture were diagnosed. To repair this injury, the Gatellier-Chastang approach was used for reduction and adequate fixation of the posterior malleolus. Osteosynthesis of the supra-syndesmotic fracture with a plate and screws was subsequently performed. Finally, the medial malleolar fracture was fixed with a malleolar screw. Six months after the surgery, the ankle showed normal ranges of dorsiflexion and plantar flexion; the edema was not significant and there was no pain when walking or resting.http://medisur.sld.cu/index.php/medisur/article/view/2917fracturas de tobillotraumatismos del tobilloprocedimientos quirúrgicos operativosfijación de fractura
spellingShingle Yaniel Truffin Rodriguez
Rafael Esmandy Gámez Arregoitía
Osmany Pérez Martínez
Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
Medisur
fracturas de tobillo
traumatismos del tobillo
procedimientos quirúrgicos operativos
fijación de fractura
title Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
title_full Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
title_fullStr Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
title_full_unstemmed Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
title_short Surgical Treatment of a Trimalleolar Ankle Fracture Diagnosed Six Weeks after the Injury
title_sort surgical treatment of a trimalleolar ankle fracture diagnosed six weeks after the injury
topic fracturas de tobillo
traumatismos del tobillo
procedimientos quirúrgicos operativos
fijación de fractura
url http://medisur.sld.cu/index.php/medisur/article/view/2917
work_keys_str_mv AT yanieltruffinrodriguez surgicaltreatmentofatrimalleolaranklefracturediagnosedsixweeksaftertheinjury
AT rafaelesmandygamezarregoitia surgicaltreatmentofatrimalleolaranklefracturediagnosedsixweeksaftertheinjury
AT osmanyperezmartinez surgicaltreatmentofatrimalleolaranklefracturediagnosedsixweeksaftertheinjury