Ankle fracture reduction and internal fixation

Ankle fractures include single ankle, double ankle, three ankle fractures, supraankle fractures, and fractures of the anterior border of the subtibia. These fractures can be combined with rupture of the medial and lateral collateral ligaments, tibiofibular joint ligament, and subtibia and fibula joint dissection, or talar dislocation. Ankle fractures have intra-articular fractures except for supraankle fractures. In addition, the ankle joint face is smaller than the hip and knee joints, but the load is greater than the hip and knee joints. Therefore, if the ankle fracture is not treated properly, it can easily cause traumatic arthritis. Due to the above reasons, the treatment of ankle fractures requires anatomical reduction as much as possible, and functional exercises as early as possible, so that the fracture site can often be molded by the talar body, so that the fracture can more meet the requirements of joint activity after healing. Therefore, manual reduction and small splint fixation can better meet the above requirements and can be used as the first choice for the treatment of ankle fractures. However, manual reduction failure and old fractures still need surgery.