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KMID : 0386419890020020206
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Journal of the Korean Fracture Society
1989 Volume.2 No. 2 p.206 ~ p.210
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3 Cases of Open Comminuted Fracture of the Ankle with the Loss of the Lateral Malleolus
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Abstract
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The importance of fixation of the medial malleolus was stressed in the treatment of ankle joint fractures in the early 60´s; latermore attention was paid to the effects of the treatment of the lateral malleolus. Fibular integnty is essential in stabilizing of the ankle joint. Loss of lateral malleolus may result in separation of the inferior tibiofibular joint, ankle instability and talus displacement. Eventually this leads to traumatic arthritis.
The authors experienced 3 cases of loss of lateral malleolus which were treated at Yongdong Severance hospital, Yionsei University College of Medicine. The results were obtained as follows: total loss of lateral malleolus leads to adduction instability of talus and slightly lateral talar shift, and partial loss of lateral malleolus leads to no lateral talar shift. But the results, are obtained for short term and long term follow up is needed.
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