Bosworth ankle dislocation fracture − current concept review

Czech version

Authors: J. Bartoníček ¹; M. Tuček ¹; J. Malík ²
Authors‘ workplace: Klinika ortopedie, 1. lékařská fakulta Univerzity Karlovy a Ústřední vojenské nemocnice – Vojenská fakultní nemocnice Praha, Česká republika ¹; Radiodiagnostické oddělení, Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha, Česká republika ²
Published in: Rozhl. Chir., 2023, roč. 102, č. 12, s. 444-452.
Category: Review
doi: https://doi.org/10.33699/PIS.2023.102.12.444–452

Overview

Bosworth fracture (BF) is a rare, but a severe injury to the ankle, characterized by displacement of a fragment of the fractured fibula (mostly of Weber B type) from the tibiofibular incisure to the posterior surface of the distal tibia. In 70% of cases, it is associated with a fracture of the posterior malleolus. This injury is not quite well known, with only 175 cases described in the literature to date. BF requires CT examination, including 3D reconstructions. Closed reduction almost always fails as there is an increased risk of compartment syndrome, mainly after repeated attempts at closed reduction. Therefore, operative treatment is indicated as a standard. The outcome of the operation should be always checked by postoperative CT examination.

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2023 Issue 12