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Fractures of the Tibia and Pott’s Fracture Ankle
Nasef Mohamed Nasef, M.D.
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DefinitionIncidence Age
Trauma
Clinical Picture
Associated Injuries
Complications BoneNerveMuscle Deformity
Treatmentwww.drnasef.com
Fracture Shaft Tibia
- Common - All Ages
- Subcutaneous Commonly Open FractureTransverse ObliqueSpiralComminutedDouble Level
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Fracture Shaft Tibia
Clinical PictureGeneral ? Vascular injury
Complications:OpenOsteomyelitisVascular Injury … Compartment Syndrome!!!!Malunion Nonunion No Muscles Tendons, less Blood Supply
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Fracture Shaft Tibia
TreatmentClosed Reduction and CastExternal Skeletal FixationOpen Reduction Internal Fixation Plate/ Nail
+/- Bone Graft
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Pott’s Fracture Dislocation Ankle
Bimalleolar Fracture
Usually twisting Injury?? Sprain
All Ages… Beware Older Patients
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Pott’s Fracture Dislocation Ankle
Trauma:According to Position of foot at time of
Injury, and Mechanism/ direction of Force
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Pott’s Fracture Dislocation AnkleSupination - External Rotation Fracture
Oblique Fracture Lateral Malleolus Fracture Posterior MalleolusTear Deltoid LigamentTransverse Fracture MedialMalleolusTrimalleolar Fracture
Dislocation
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Pott’s Fracture Dislocation Ankle
Pronation – External Rotation Injury
Transverse Fracture Medial MalleolusRupture Deltoid LigamentSpiral Fracture Lateral Malleolus Posteroinf to anteriosupAvulsion of Posterior Malleolus
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Pott’s Fracture Dislocation Ankle
Pronation – Abduction Injury
Avulsion Fracture Medial MalleolusSyndesmotic ligament injuryFracture Fibula Above Syndesmotic
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Pott’s Fracture Dislocation Ankle
Supination – Adduction Injury
Avulsion Fracture Lateral Malleolus BELOW SyndesmosisVertical Fracture of Medial Malleolus
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Pott’s Fracture Dislocation Ankle
Vertical Fracture / Pilon Fracture
Fall From Height
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Pilon Fracture
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Pott’s Fracture Dislocation Ankle
ComplicationMalunionOsteoarthritisSudek’s Atrophy
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Pott’s Fracture Dislocation Ankle
TreatmentRestore AnatomyRestore Mechanism of Injury/ Direction of
Force
CastORIFPhysiotherapy
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