Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
Ming Hong Chau M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed., Ka Ki Stephanie Liu M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
{"title":"Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report","authors":"Ming Hong Chau M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed., Ka Ki Stephanie Liu M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.","doi":"10.1016/j.tcr.2025.101173","DOIUrl":null,"url":null,"abstract":"<div><div>We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"57 ","pages":"Article 101173"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352644025000500","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.
期刊介绍:
Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.