Wagstaffe-Le Fort Fracture in a Patient With an Ankle Fracture-Dislocation. Quadrimalleolar Equivalent. Case Report

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Published: Aug 20, 2024
DOI: https://doi.org/10.15417/issn.1852-7434.2024.89.4.1915
Keywords:
Ankle fracture, Wagstaffe-Le Fort, anteroinferior tibiofibular ligament, trimalleolar fracture-dislocation, malleolus, quadrimalleolar

Main Article Content

Juan Manuel Romero Ante
Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia
https://orcid.org/0000-0002-9390-9496
Felipe Carrasco Vélez
Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia
https://orcid.org/0000-0003-3831-5115

Abstract

In this article, we present the case of a patient who suffered a fracture-dislocation of the left ankle with trimalleolar involvement. However, the preoperative tomography revealed the additional involvement of the Wagstaffe-Le Fort tubercle, so it was decided to approach it as a quadrimalleolar equivalent different from those previously described, with involvement of the anterolateral fragment of the tibia (Tillaux-Chaput). This case allows for a 360° approach to ankle injuries that disrupt joint congruence, and an osteo-ligament analysis is proposed for its definitive treatment, prioritizing anatomical repairs to reduce the need for syndesmotic transfixation, without compromising surgical outcomes.

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How to Cite
Romero Ante, J. M., & Carrasco Vélez, F. (2024). Wagstaffe-Le Fort Fracture in a Patient With an Ankle Fracture-Dislocation. Quadrimalleolar Equivalent. Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(4), 419-424. https://doi.org/10.15417/issn.1852-7434.2024.89.4.1915
Issue
Vol 89 No 4 (2024)
Section
Case Presentations
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Author Biographies

Juan Manuel Romero Ante, Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia

Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia

Felipe Carrasco Vélez, Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia

Orthopedics and Traumatology Service, Hospital Alma Máter de Antioquia, Medellín, Colombia

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