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7 de abr. de 2021 · Ankle fractures are complex orthopaedic injuries associated with significant morbidity and mortality, especially in the perioperative period. It is therefore important to be conscious of the key perioperative factors that influence the care of these patients.
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Ankle fractures are complex orthopaedic injuries associated...
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7 de abr. de 2021 · This article provides an overview of the key perioperative factors that need to be considered in cases of ankle fracture and the relevant clinical guidelines. Anatomy of the ankle. Right...
This protocol is intended to guide clinicians through the post-operative course for an ankle fracture with ORIF. This protocol is time based (dependent on tissue healing) as well as criterion based. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making.
Surgical Procedure: Displaced, unstable fractures are often best served by open ORIF. Immediately following surgery, patients are typically restricted in weight bearing on the involved limb and wear a short leg splint, cast or boot for an average of 6-12 weeks, per the surgeon’s discretion.
23 de may. de 2013 · Stable fractures, where the alignment of the ankle joint is preserved, rarely need surgery. Unstable fractures typically require closed reduction or open reduction and internal fixation, depending on the patient’s co-morbidities and pre-injury functional status. There is an increasing trend toward operative management of unstable ankle fractures,
to weight-bear early after surgery and the use of virtual fracture clinics. This article provides an overview of the key perioperative factors that need to be considered in cases of ankle fracture and the relevant clinical guidelines.
Orthopaedic Trauma Association (OTA)
