title: [The ankle joint fork and tarsus].
abstract: Severe soft tissue injury occurring in sprains and dislocations may lead to painful disability after plaster-immobilisation for 6-12 weeks. Therefore, primary operation is indicated for ligamentous repair, osteochondral fracture-fixation and internal K-wire stabilization of dislocations after reduction. After 1 week of immobilisation, the patient should begin active daily muscle exercises; in the 2nd week patients are mobilized with support of a dynamic, partial weight-bearing splint, allowing continued muscle exercises until weight-bearing is possible 6-8 weeks after surgery. In 23 patients undergoing operations for acute dislocations excellent results were obtained in 14 (60%) and fair results in 7 (30%), while two patients (10%) had to have legs amputated because of arterial thrombosis and vascular disease.
authors.affiliation: Abteilung für Unfallchirurgie, Universitätsklinikum Essen.
authors.forename: K P
authors.initials: KP
authors.lastname: Schmit-Neuerburg
authors.forename: E
authors.initials: E
authors.lastname: Vogt
mesh_terms: D016512:Ankle Injuries; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries; D011379:Prognosis; D013180:Sprains and Strains / Q000601:surgery*
vernacular_title: Knöchelgabel mit Fusswurzel.