Review Question - QID 2830

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Ankle Fractures Treatment Operative QID: 2830 (OBQ09.17)

QID 2830 (Type "2830" in App Search)

A 34-year-old male falls off of a ladder and sustains the ankle injury shown in Figure. Which of the following is unique with this particular ankle fracture pattern and must be recognized by the operating surgeon to optimize outcomes?

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Marginal impaction of the anteromedial tibial plafond

77%

2113/2742

Syndesmosis diastasis

155/2742

Deltoid ligament tear

77/2742

Posterolateral osteochondral lesion of the talus

13%

347/2742

Fibular overlengthening

38/2742

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The radiograph demonstrates a Lauge-Hansen supination-adduction fracture-dislocation. There is a transverse fibula fracture and a vertical medial malleolus fracture.

McConnell and Tornetta performed a Level 4 review and found that nearly 50% of these injuries have marginal impaction of the anteromedial tibial plafond and they found that anatomic reduction of that aspect of the injury led to good to excellent outcomes.