Open medical tibiotalar (ankle) dislocation without an associated fracture!!! Th…

Open medical tibiotalar (ankle) dislocation without an associated fracture!!!
This is an extremely rare injury due to the strength of the collateral ligaments and the capsular reinforcements of the mortise capsule, which may exceed that of the malleolus and hence in high energy trauma.
This is a young adult who sustained a serious injury of his right ankle during jumping downstairs. He twisted his ankle and sustained an open posteromedial dislocation of his right ankle, without an associated malleolar fracture. The treatment consisted of wound debridement and irrigation open relocation with repair of anterior talo-fibular ligament, and primary closure of the skin. Post operatively the limb was immobilised with an external fixation.

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