Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report

We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail...

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Main Authors: Ming Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed., Ka Ki Stephanie Liu, M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644025000500
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author Ming Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
Ka Ki Stephanie Liu, M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
author_facet Ming Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
Ka Ki Stephanie Liu, M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
author_sort Ming Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
collection DOAJ
description We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.
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spelling doaj-art-264ba2bbfea0487ea45bc23fe675b5422025-08-20T03:45:02ZengElsevierTrauma Case Reports2352-64402025-05-015710117310.1016/j.tcr.2025.101173Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case reportMing Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.0Ka Ki Stephanie Liu, M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.1Corresponding author.; Department of Orthopaedics & Traumatology, Princess Margaret Hospital, Hong Kong SARDepartment of Orthopaedics & Traumatology, Princess Margaret Hospital, Hong Kong SARWe describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.http://www.sciencedirect.com/science/article/pii/S2352644025000500AnkleFractureAITFLQuadrimalleolarNailMinimally-invasive
spellingShingle Ming Hong Chau, M.B.Ch.B., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
Ka Ki Stephanie Liu, M.B.B.S., F.H.K.C.O.S., F.H.K.A.M. (Orthopaedic Surgery), F.R.C.S.Ed. (Orth.), M.R.C.S.Ed.
Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
Trauma Case Reports
Ankle
Fracture
AITFL
Quadrimalleolar
Nail
Minimally-invasive
title Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
title_full Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
title_fullStr Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
title_full_unstemmed Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
title_short Quadrimalleolar ankle fracture with syndesmosis disruption—a minimally invasive approach with arthroscopic repair of the anterior-inferior tibiofibular ligament (AITFL); a case report
title_sort quadrimalleolar ankle fracture with syndesmosis disruption a minimally invasive approach with arthroscopic repair of the anterior inferior tibiofibular ligament aitfl a case report
topic Ankle
Fracture
AITFL
Quadrimalleolar
Nail
Minimally-invasive
url http://www.sciencedirect.com/science/article/pii/S2352644025000500
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