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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 10,
1382-1384.
doi: 10.1302/0301-620X.90B10.21015 Copyright © 2008 by British Editorial Society of Bone and Joint Surgery Open medial dislocation of the ankle without fractureU. Tarantino, MD, Professor1; G. Cannata, MD, Assistant Professor1; E. Gasbarra, MD, Assistant Professor1; L. Bondi, PhD, Orthopaedic Surgeon1; M. Celi, MD1; and R. Iundusi, MD, Orthopaedic Surgeon11 Department of Orthopaedic Surgery, University of Rome "Tor Vergata", Oxford Street 81, 00133 Rome, Italy. Correspondence should be sent to Professor U. Tarantino; e-mail: umberto.tarantino{at}uniroma2.it
A 20-year-old man sustained an open medial dislocation of the ankle without an associated fracture after a low-energy inversion injury. Prompt debridement and reduction with primary wound closure of the skin were performed without suture of the capsule. Immobilisation in a non-weight-bearing cast for 30 days followed by ankle bracing for two weeks and subsequent physiotherapy, produced full functional recovery by three months. At follow-up at one year there was a full range of pain-free movement, although the radiographs and MR scan showed early post-traumatic degenerative change at the medial aspect of the tibiotalar and the calcaneocuboid joints.
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