Implants are compatible with the body and rarely cause an allergic reaction. If a joint is to be replaced, rather than fixed, these implants can also be made of cobalt and chrome. The implants used for internal fixation are made from stainless steel and titanium, which are durable and strong. Internal fixation means hardware (such as wires, screws, pins, or plates. Open reduction means the bones will be put back into the correct position. It connects your heel bone with the tibia and fibula (lower leg bones) to form the ankle. The talus is a square, flat bone on top of the heel bone. Internal fixation allows shorter hospital stays, enables patients to return to function earlier, and reduces the incidence of nonunion (improper healing) and malunion (healing in improper position) of broken bones. You may need surgery to repair a talar fracture. They are held together with special implants, such as plates, screws, nails and wires. Stable, non-displaced fractures are typically managed non-operatively, while displaced, unstable ankle fractures typically require open reduction and internal fixation. The advent of sterile surgical procedures reduced the risk of infection, allowing doctors to internally set and stabilize fractured bones.ĭuring a surgical procedure to set a fracture, the bone fragments are first repositioned (reduced) into their normal alignment. Open reduction and internal fixation (ORIF) is often required in ankle fractures to achieve stable anatomical reduction of the talus within the ankle mortise. Until the last century, physicians relied on casts and splints to support and stabilize the bone from outside the body. 33.3).A broken bone must be carefully stabilized and supported until it is strong enough to handle the body's weight and movement. In addition, fibular shortening will lead to incongruity in a line drawn along the tibial plafond and the medial border of the distal fibula ( Fig. Finally, the length of the fibula is assessed by evaluating the talocrural angle, which on average should measure 83 ±4 degrees and can be compared with the contralateral ankle ( Fig. On the AP view, the fibula should overlap the tibia by 6 mm, or 42 % of the fibular width, and there should be at least 1 mm of overlap between the fibula and tibia on the mortise view. The distance between the medial border of the fibula and the incisura should be less than 6 mm on both the anteroposterior (AP) and mortise view. Dr Daniel Dean, a foot and ankle surgeon in Western Springs, New Lenox, Hinsdale, Joliet and Chicago, IL offers open reduction and internal fixation to. Specific measurements may vary depending on the ankle rotation and angle of the x-ray beam. This is measured 1 cm proximal to the tibial plafond. The position of the distal fibula with respect to the incisura should be carefully evaluated. Equal medial, lateral, and superior joint space should be seen surrounding the talus on the mortise view. The physician must understand the normal radiographic landmarks and relationship of the fibula with the distal tibia. There are three bones that make up the ankle joint. You might need this procedure to treat your broken ankle. Occasionally, contralateral radiographs are useful to evaluate unusual abnormalities. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Using ice regularly and elevation (foot and ankle above the level of the. We prefer a careful evaluation of high-quality plain x-rays in the absence of plaster, which may obscure important findings. While swelling is a normal response to the surgery, it can contribute to your pain.
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