High Energy Injury Ankle Fracture-Dislocation without Neurovascular Involvement

Pamudji Utomo, Zarkasyi Arimuqti, Asep Santoso, Tangkas SMHS Sibarani, Iwan Budiwan Anwar


Background: Open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neurovascular damage are rarely reported.

Case presentation: This study present a case of 55-year-old female with open tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture without neuro­vas­cu­lar injury treated with emergent debridement, open reduction, and internal fixation.

Results: Six months follow-up showed com­plete bone and soft tissue healing with excellent functional outcome.

Conclusion: Emergent debridement, open reduction, and internal fixation is needed to treat tibiotalar joint dislocation associated with medial malleolus and distal fibular fracture.

Keywords: high energy injury, ankle joint, fracture dislocation

Correspondence: Asep Santoso. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: asep­

Indonesian Journal of Medicine (2020), 05(03): 259-264

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