title: Ankle stiffness after Bosworth fracture dislocation of the ankle.
abstract: OBJECTIVE
  The purpose of this study is to review the result of patients with Bosworth fracture dislocation of ankle.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Four patients with Bosworth fracture-dislocation of ankle are evaluated clinically and radiologically.
  
  
  RESULTS
  All four cases have failed initial closed reduction of the ankle and open reduction is required. Three patients with delayed presentation suffered from post-traumatic ankle stiffness and subsequently developed ankle degeneration.
  
  
  CONCLUSIONS
  Early recognition and prompt reduction of the dislocated ankle is important in case of Bosworth fracture dislocation in order to prevent late complication. Closed reduction of dislocated ankle is usually not helpful and repeated attempts may be harmful. Emergency operation of open reduction and internal fixation is usually required to reduce the ankle joint without delay.
authors.affiliation: Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road Sheung Shui, NT, Hong Kong SAR, China. luithderek@yahoo.co.uk
authors.forename: Tun Hing
authors.initials: TH
authors.lastname: Lui
authors.forename: Kwok Bill
authors.initials: KB
authors.lastname: Chan
authors.forename: Chi Chung
authors.initials: CC
authors.lastname: Kong
authors.forename: Wai Kit
authors.initials: WK
authors.lastname: Ngai
mesh_terms: D000058:Accidental Falls; D000328:Adult; D016512:Ankle Injuries / Q000503:physiopathology / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging; D001182:Arthroscopy; D002062:Bursitis / Q000000981:diagnostic imaging; D003286:Contracture / Q000000981:diagnostic imaging; D005260:Female; D005360:Fibula / Q000293:injuries; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012421:Rupture; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries