Avtor/Urednik		Senekovič, Vladimir
Naslov		Zlomi gležnja
Prevedeni naslov		Malleolar fractures
Tip		članek
Vir		In: Komadina R, Senekovič V, Krajnc A, et al, editors. Zlomi v predelu zgornjega in spodnjega skočnega sklepa. Zbornik 4. Celjski dnevi; 2003 mar; Celje. Celje: Splošna in učna bolnišnica Celje,
Leto izdaje		2003
Obseg		str. 13-6
Jezik		slo
Abstrakt		Malleolar injuries are articular fractures. The treatment aims at restoring normal joint anatomy can be restored and providing sufficient stability for early movement. Open fractures are indications for operative treatment. All displaced ankle injuries which involve medial and lateral side or posterolateral corner of the tibia are likely to be unstable and accurate anatomical reduction can usually only be secured by open reduction and stable fixation. The ideal time for surgery is before any true swelling or fracture blisters due to edema have developed (within 6 - 8 hours after injury). In the presence of intradermal edema (peau d'orange), marked subcutaneus edema, or fracture blisters it is strongly advisable that surgery be delayed until the soft - tissue condition has improved (usually for 6 - 8 days). Soft tissue defects and septic complications need surgical treatment. Bad end results can also be managed surgically. These methods are endoprothetic ankle joint replacement, arthrodesis (open or arthroscopic) and arthroscopic resection of fibrotic tissue.
Deskriptorji		ANKLE INJURIES FRACTURES TIBIAL FRACTURES FIBULA TREATMENT OUTCOME