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Open medial dislocation of the ankle without fracture

¹ 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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