Tratamento da fratura do tornozelo Weber-C com lesão da sindesmose

Authors

  • Leonardo Vinícius de Matos Moraes Hospital do Servidor Estadual de São Paulo
  • Vinícius Quadros Borges Hospital do Servidor Estadual de São Paulo
  • Gabriel Ferraz Ferreira Hospital do Servidor Estadual de São Paulo
  • Kelly Cristina Stéfani Hospital do Servidor Estadual de São Paulo

Keywords:

Ankle trauma, Internal fracture fixation, Joint ligaments

Abstract

Ankle fractures classified as Weber C (fracture line in the fibula above syndesmosis) are associated with the lesion of the syndesmosis ligaments. These are uncommon lesions, caused by high-energy trauma to young patients. Its treatment still today generates controversy among orthopedists, being imperative the surgical approach with correction of the length and rotation of the fibula through the reduction and fixation under direct visualization of the distal tibiofibular incision. We will present a case report of a young patient with Weber C ankle fracture with syndesmosis lesion, and the surgical treatment through open reduction and internal fixation with plates and screws.

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Author Biographies

Leonardo Vinícius de Matos Moraes, Hospital do Servidor Estadual de São Paulo

Médico Residente (R4) do Grupo de Pé e Tornozelo do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Vinícius Quadros Borges, Hospital do Servidor Estadual de São Paulo

Mestrando em Ciências da Saúde. Médico do Grupo de Pé e Tornozelo do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Kelly Cristina Stéfani, Hospital do Servidor Estadual de São Paulo

Doutoranda e Mestre em Ortopedia e Traumatologia. Médica Assistente do Grupo de Pé e Tornozelo Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

References

Zalavras C, Thordarson D. Ankle syndesmotic injury. J Am Acad Orthop Surg. 2007;15(6):330-9.

Hunt KJ. Syndesmosis injuries. Curr Rev Musculoskelet Med. 2013;6(4):304-12.

van den Bekerom MP, Lamme B, Hogervorst M, Bolhuis HW. Which ankle fractures require syndesmotic stabilization? J Foot Ankle Surg. 2007;46(6):456-63.

Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lydestadt J. Intraoperative diagnosis of syndesmosis injuries in external rotation ankle fractures. J Orthop Trauma. 2005;19(9):604-9.

Harper MC, Keller TS. A radiographic evaluation of the tibiofibular syndesmosis. Foot Ankle. 1989;10(3):156-60.

Wyss C, Zollinger H. The causes of subsequent arthrodesis of the ankle joint. Acta Orthop Belg. 1991;57 Suppl 1:22-7.

Published

2018-01-09

How to Cite

1.
Moraes LV de M, Borges VQ, Ferreira GF, Stéfani KC. Tratamento da fratura do tornozelo Weber-C com lesão da sindesmose. RTO [Internet]. 2018 Jan. 9 [cited 2025 Feb. 5];18(1):8-10. Available from: https://tecnicasemortopedia.com.br/revista/article/view/182

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Artigos