title: Arthroscopic-assisted fibular synthesis and syndesmotic stabilization of a complex unstable ankle injury.
abstract: Traditional treatment of complex ankle fracture consists of open reduction and internal fixation. Nevertheless, this treatment can delay fracture healing and cause prolonged oedema. The surgeon should consider necessity of early recovery when treating athletes, especially football players. In this light, it was decided to perform an arthroscopy-assisted percutaneous minimal osteosynthesis of a fibular fracture together with a syndesmotic disruption in order to permit the patient, a 24-year-old male, to resume quicker and easier full sport activities. The outcome was good and allowed patient to play soccer since 6 months following surgery. The complete and detailed articular evaluation provided by the arthroscope permitted to manage carefully a complex articular traumatism, avoiding the necessity of plating the fracture and improving a rapid full recovery of the joint function.
authors: Orthopaedics and Traumatology Department, Mellino Mellini Hospital Trust, Civil Hospital of Iseo, Brescia, Italy. andrea@orthopaedics.com
authors: Andrea Emilio
authors: AE
authors: Salvi
authors: Giovanni Pietro
authors: GP
authors: Metelli
authors: Rosita
authors: R
authors: Bettinsoli
authors: Steven Adam
authors: SA
authors: Hacking
mesh_terms: D016512:Ankle Injuries / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000601:surgery; D005360:Fibula / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008297:Male; D020127:Recovery of Function; D012916:Soccer / Q000293:injuries; D055815:Young Adult