Foot & Ankle: Approach to Ankle Fractures

Description

In this orthopedic surgery demonstration, Dr. Jensen Henry focuses on ankle fractures, specifically detailing the anatomy and surgical techniques related to the treatment of such injuries. Starting with an overview of the key bones making up the ankle, which includes the tibia and fibula, Dr. Henry explains the structure and function of the medial and lateral malleolus, as well as the talus bone that forms the ankle joint.



He highlights the importance of properly diagnosing ankle fractures, noting that not all fractures require surgical intervention; the treatment depends on the fracture's type and alignment. The dissection begins as Dr. Henry emphasizes the significance of respecting soft tissue structures during surgery.



With careful incision techniques to expose the fibula and surrounding structures, he demonstrates the dissection process to avoid damaging nearby nerves, like the superficial peroneal nerve. The fracture is explored, cleaned, and prepared for reduction—a critical step where the fractured bone fragments are brought back into alignment.



Following open reduction, internal fixation is performed using wire and a plate secured with screws, ensuring that the fracture is stable. Throughout the procedure, Dr. Henry provides instruction on the correct placement and alignment of screws using a drill, highlighting best practices for ensuring successful healing outcomes. In conclusion, the process illustrates a comprehensive method for fixing a fibula fracture, affirming the importance of both technique and anatomy in orthopedic surgery.

Specialties