The role of arthroscopy in the management of fractures about the ankle.


Journal Article (Review)

Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management has been proposed. The use of arthroscopic reduction and internal fixation (ARIF) is surgeon-dependent. Reported indications for ARIF include transchondral talar dome fracture, talar fracture, low-grade fracture of the distal tibia, syndesmotic disruption, malleolar fracture, and chronic pain following definitive management of fracture about the ankle. Among the potential benefits are less extensive exposure, preservation of blood supply, and improved visualization of the pathology. Although arthroscopy is increasingly used in the setting of trauma, the effectiveness of ARIF compared with ORIF for management of fractures of the distal tibia, malleolus, displaced talar neck, and talar body has yet to be determined. Most of these fractures are effectively managed with open procedures.

Full Text

Duke Authors

Cited Authors

  • Bonasia, DE; Rossi, R; Saltzman, CL; Amendola, A

Published Date

  • April 2011

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • 226 - 235

PubMed ID

  • 21464216

Pubmed Central ID

  • 21464216

International Standard Serial Number (ISSN)

  • 1067-151X

Digital Object Identifier (DOI)

  • 10.5435/00124635-201104000-00007


  • eng

Conference Location

  • United States