Table. Complications of ankle fractures.
Treatment | Timing | Diagnosis | Possible management |
---|---|---|---|
Conservative | short-term | compartment syndrome | fasciotomy |
dislocation | osteosynthesis | ||
inner pressure ulceration | osteosynthesis, arthrodesis, plastic surgical coverage | ||
CRPS | pain therapy, plexus block | ||
long-term | pain | arthrodesis, ankle prosthesis | |
limited range of motion | arthrodesis, ankle prosthesis | ||
Surgical | short-term | compartment syndrome | fasciotomy |
wound hematoma | wound revision | ||
impaired wound healing, infection | wound revision | ||
dislocation | reoperation | ||
malpositioned screw(s) | reoperation | ||
inadequate reduction | reoperation | ||
CRPS | pain therapy, plexus block | ||
long-term | non-union | resection and bone grafting | |
malposition | correction osteotomy, arthrodesis, ankle prosthesis | ||
impingement syndrome | arthroscopy | ||
limited range of motion | arthrodesis, ankle prosthesis | ||
arthrosis | arthrodesis, ankle prosthesis |
CRPS, complex regional pain syndrome