الفهرس 
OSTEOLOGY OF ANKLE JOINTOnly 14 pages are availabe for public view
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Abstract
Malleolar fractures are one of the most common fractures in orthopaedic traumatology. Malleolar fractures include injuries of bones(malleoli)and with or without ligamentous injuries. As with all intra articular fractures, malleolar fractures necessitate accurat
reduction and stable internal fixation.When malleolar fractures are not reduced accurately, this may lead to traumatic painful restriction of motion, osteoarthritis or both. Understanding of the ankle anatomy, mechanism of the injury, interpretation of the radiographs and adherence to basic principles of fracture management are the basis for a good result.Traditional sub-periosteal plating techniques strip the remaining soft tissue from the fracture, making the fragments extremely difficult to align, interfere with the blood supply and thus, bone healing affection.Extra-periosteal plate fixation of ankle provide effective method of stabilization that leads to less periosteal stripping, and maintains the soft-tissue attachments to the fracture fragments and predictable union of the fibular fracture. In this prospective study, we present 21 patients with closed ankle fractures, managed by plate fixation through extra-periosteal
technique, in the period between August 2017 and August 2018 at the orthopedic surgery department, Tanta University Hospitals.Supination-external rotation injury account for 71% of ankle fractures, The functional outcome of these cases was assessed(after at least six-month follow-up)by the Baird and Jackson scoring system.