Ankle Fractures - An Evidence Based Review for FRCS

Description

This lecture features a comprehensive overview of ankle fractures presented by Lyndon Mason, a renowned foot and ankle trauma surgeon. Geared towards healthcare professionals in the fifty-eight society, the session delves into the anatomy, diagnosis, treatment, and post-surgical care of ankle fractures, excluding syndesmosis and posterior fractures while referencing additional resources available on the Liverpool channel for those topics.



Mr. Mason begins with the critical anatomy surrounding the ankle joint, discussing the roles of various ligaments, including the anterior talofibular and calcaneofibular ligaments, in providing stability. He emphasizes the importance of assessing the ankle's stability not just based on visible fractures but by understanding the underlying mechanics of joint behavior under stress. Throughout the talk, he references numerous studies and literature to substantiate claims and provide the audience with actionable insights regarding treatment methods.



The lecture also stresses the clinical significance of accurate diagnosis, introducing Ottawa Ankle Rules, and explains how they can expedite care by reducing unnecessary radiography. Highlighting the Weber classification, he outlines different fracture types and treatment approaches. Mr. Mason details both surgical and non-surgical management strategies for stable and unstable fractures, emphasizing the need for individualized patient care based on fracture type and patient factors.



In the latter parts of the lecture, Mr. Mason discusses postoperative recovery, complications including deep vein thrombosis, the influence of diabetes, and special considerations for elderly patients. He underscores the efficacy of early mobilization and weight-bearing rehabilitation as central to improved recovery outcomes, despite the necessity for initial immobilization.



The session concludes with a call for heightened awareness of the intricacies surrounding ankle fractures, promoting a balanced approach between surgical intervention and conservative management to enhance patient outcomes.

Specialties