Ilizarov ring fixator for a difficult case of ankle syndesmosis disruption.
Syndesmotic stabilization is recommended for tibiofibular diastasis, a Maisonneuve fracture, or syndesmotic instability after fixation of distal tibia-fibula fractures. In the case presented, a syndesmotic stabilization was performed with a screw inserted 2 cm above the tibiotalar joint Subsequent failure occurred due to the weight of the patient and a lack of compliance with the necessary nonweight bearing protocol. The Ilizarov frame was used to reduce and maintain a stable syndesmosis with a simple two-ring construct which allowed the patient to bear weight on the injured limb while his syndesmosis healed. This is not recommend as a routine method of treatment, but is presented as an extended indication of the Ilizarov frame for difficult cases.
Relwani
Jaikumar
J
Lewisham University Hospital, London, UK.
Lahoti
Om
O
Orakwe
Sam
S
D000328:Adult; D016512:Ankle Injuries / Q000150:complications / Q000601:surgery*; D001863:Bone Screws; D001864:Bone Wires; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D009765:Obesity / Q000150:complications; D017211:Treatment Failure