Fixing Complex Ankle Fractures - More Than Just the Bones

Description

This educational presentation focuses on the complexities of ankle fractures, highlighting the current research and clinical practices in Liverpool regarding ligamentous stability. The speaker discusses different types of ankle injuries, their definitions, and the necessary interventions, including the importance of ligament repairs and the challenges associated with fixation techniques.



Key points include the distinction between various specialties in defining ankle instability, and how this impacts treatment approaches. There’s an emphasis on identifying the role of ligaments such as the ATFL (anterior talofibular ligament) and deltoid ligaments in maintaining ankle stability. Particular case studies are provided to illustrate how the absence of certain ligaments can lead to complications such as flat feet and instability even after surgery.



The speaker introduces biomechanical studies that support the need for repairing deltoid ligaments in cases of instability, along with evidence from recent literature showing improved functional outcomes with appropriate ligament reconstruction.



The discussion extends to syndesmosis injuries and their often overlooked implications for ankle stability, emphasizing the necessity of comprehensive repairs that engage not only fractures but also the surrounding ligaments. Surgical techniques are elaborated, demonstrating the importance of maintaining fibular length and ensuring correct alignment during the healing process.



Overall, the presentation aims to shed light on the intricacies of ankle injuries and the significance of a multidisciplinary approach in both surgical and therapeutic contexts.

Specialties