PMC8286194_01
AP, mortise, and lateral radiographs at the time of initial presentation showing the neglected fracture-dislocation of the ankle.
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fig1
Upon presentation to the emergency room four weeks later, the following clinical and radiographic appearance was documented (Figures 1 and 2).
Clinical photos of the patient's ankle prior to surgery showing open ankle dislocation.
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fig2
Upon presentation to the emergency room four weeks later, the following clinical and radiographic appearance was documented (Figures 1 and 2). Ankle imaging demonstrated a chronic dislocation, with typical posterior translation of the talus with respect to the tibia, along with concomitant posterior translation of the distal fibular segment (Figure 2).
Photographs of the Open Compressor device (Synthes, Paoli, PA). The device's foot plate is at the bottom of each figure.
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fig3
An Open Compressor device (Synthes, Paoli, PA) was placed abutting the rod-to-pin connector nearest the talus (Figure 3).
External-fixator construct used to facilitate reduction of chronic ankle dislocation.
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fig4
The final construct is depicted in Figure 4.
Final intraoperative imaging.
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fig5
Final intraoperative radiographs are depicted in Figure 5.
Radiographs approximately 3.5 weeks postoperatively.
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fig6
Radiographs confirmed an appropriate reduction (Figure 6).