EFFECTIVENESS OF OPEN REDUCTION AND INTERNAL FIXATION FOR Bosworth FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHU Hui , YUAN Feng , FAN Jian , CHEN Kai , MA Ning , YU Guangrong.

Department of Orthopaedics, Tongji Hospital, Tongji University, Shanghai, 200065, P.R.China. Corresponding author: YU Guangrong, E-mail: yuguangrong2002@126.com;

Corresponding author：

Keywords：

Bosworth fracture; Surgical treatment; Internal fixation

DOI：

10.7507/1002-1892.20130230

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Objective To explore the operative methods and effectiveness of open reduction and internal fixation for Bosworth fracture. Methods Between January 2005 and January 2012, 6 patients with Bosworth fractures caused by sprain were treated. There were 4 males and 2 females with an average age of 45.8 years (range, 24-73 years). The time from injury to operation was 1-5 days (mean, 1.8 days). They were all closed fractures. According to Lauge-Hansen classification, 6 cases were classified as supination-external rotation type. The surgical treatments included open reduction and internal fixation by plate and screws. Results Infection occurred in 1 case and was cured after dressing changing; primary healing of incision was obtained in the other 5 cases. Six patients were followed up 15 months on average (range, 12-24 months). The X-ray films showed fracture healing in all cases, with an average healing time of 9.5 weeks (range, 8-13 weeks). No loosening or breaking of internal fixator was observed during follow-up. The average full load-walking time was 12 weeks (range, 10-17 weeks). According to the ankle and hindfoot scale of American Orthopaedic Foot and Ankle Society (AOFAS), the average score was 89.5 (range, 81-94). Conclusion For Bosworth fractures, good results can be achieved by early diagnosis, open reduction and internal fixation.

Citation： ZHU Hui,YUAN Feng,FAN Jian,CHEN Kai,MA Ning,YU Guangrong.. EFFECTIVENESS OF OPEN REDUCTION AND INTERNAL FIXATION FOR Bosworth FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(9): 1054-1056. doi: 10.7507/1002-1892.20130230 Copy

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2.	Bosworth DM. Fracture-dislocation of the ankle with fixed displacement of the fibula behind the tibia. J Bone Joint Surg (Am), 1947, 29(1): 130-135.
3.	Kitaoka HB, Alexander IJ, Adelaar RS, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int, 1994, 15(7): 349-353.
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5.	Perry CR, Rice S, Rao A, et al. Posterior fracture-dislocation of the distal part of the fibula. Mechanism and staging of injury. J Bone Joint Surg (Am), 1983, 65(8): 1149-1157.
6.	Bartonicek J, Fric V, Svatos F, et al. Bosworth-type fibular entrapment injuries of the ankle: the Bosworth lesion. A report of 6 cases and literature review. J Orthop Trauma, 2007, 21(10): 710-717.
7.	Hoblitzell RM, Ebraheim NA, Merritt T, et al. Bosworth fracture-dislocation of the ankle. A case report and review of the literature. Clin Orthop Relat Res, 1990, (255): 257-262.
8.	Beekman R, Watson JT. Bosworth fracture-dislocation and resultant compartment syndrome. A case report. J Bone Joint Surg (Am), 2003, 85-A(11): 2211-2214.
9.	Szalay MD, Roberts JB. Compartment syndrome after Bosworth fracture-dislocation of the ankle: a case report. J Orthop Trauma, 2001, 15(4): 301-303.
10.	Lui TH, Chan KB, Kong CC, et al. Ankle stiffness after Bosworth fracture dislocation of the ankle. Arch Orthop Trauma Surg, 2008, 128(1): 49-53.

1. Schepers T, Hagenaars T, Den Hartog D. An irreducible ankle fracture dislocation: the Bosworth injury. J Foot Ankle Surg, 2012, 51(4): 501-503.
2. Bosworth DM. Fracture-dislocation of the ankle with fixed displacement of the fibula behind the tibia. J Bone Joint Surg (Am), 1947, 29(1): 130-135.
3. Kitaoka HB, Alexander IJ, Adelaar RS, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int, 1994, 15(7): 349-353.
4. Wright SE, Legg A, Davies MB. A contemporary approach to the management of a Bosworth injury. Injury, 2012, 43(2): 252-253.
5. Perry CR, Rice S, Rao A, et al. Posterior fracture-dislocation of the distal part of the fibula. Mechanism and staging of injury. J Bone Joint Surg (Am), 1983, 65(8): 1149-1157.
6. Bartonicek J, Fric V, Svatos F, et al. Bosworth-type fibular entrapment injuries of the ankle: the Bosworth lesion. A report of 6 cases and literature review. J Orthop Trauma, 2007, 21(10): 710-717.
7. Hoblitzell RM, Ebraheim NA, Merritt T, et al. Bosworth fracture-dislocation of the ankle. A case report and review of the literature. Clin Orthop Relat Res, 1990, (255): 257-262.
8. Beekman R, Watson JT. Bosworth fracture-dislocation and resultant compartment syndrome. A case report. J Bone Joint Surg (Am), 2003, 85-A(11): 2211-2214.
9. Szalay MD, Roberts JB. Compartment syndrome after Bosworth fracture-dislocation of the ankle: a case report. J Orthop Trauma, 2001, 15(4): 301-303.
10. Lui TH, Chan KB, Kong CC, et al. Ankle stiffness after Bosworth fracture dislocation of the ankle. Arch Orthop Trauma Surg, 2008, 128(1): 49-53.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF OPEN REDUCTION AND INTERNAL FIXATION FOR Bosworth FRACTURE

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