There are many types of ankle injuries, and a variety of treatment options available to patients. In this article, we are going to take a look at a few instances of high energy ankle trauma and strategies for addressing these painful injuries.

High Energy Ankle Trauma

This young man suffered high energy trauma in which he sustained a dislocation of his left ankle, and a fracture-dislocation of his right midfoot. A tibiotalar dislocation is unusual, and a LisFranc midfoot injury is well described, but usually not this severe. Both injuries were “open” – in which bone was “sticking out”. This is a limb-threatening injury, which will require several surgeries, many months of recovery, and a lot of patience. Luckily, this champion has an incredible and inspiring attitude, and a ton of support from his loving family. He is also surrounded by highly trained caregivers from multiple specialties at the Hartford HealthCare Bone and Joint Institute. This allows coordinated access to orthopedics, plastic surgery, physical therapy, nursing, woundcare, nutrition, social work, and much more! This entire team is necessary for the successful rehab of these high energy patients. He is now walking on his left ankle!

I’m proud to be a part of the HHC Bone and Joint Institute and Orthopedic Associates of Hartford, PC team, grateful for my training, privileged to help train UConn orthopedic residents and future subspecialists, and humbled by my patients’ trust!

3-D Reconstruction CT Scan

This 3-D reconstruction CT scan shows the crushing effects of a high-energy fracture of the tibial bone, just above the ankle joint. This is known as a “Pilon Fracture”, and it has a bad reputation in Orthopedics! They are difficult injuries to fix, and often leave the patient with ankle arthritis. This 3-D CT technology allows surgeons to “subtract” the surrounding bones, and rotate the image to better understand the fracture pattern. This unusual “head-over-heels” rotational view helps us understand the impact on the joint cartilage surface, and why ankles are often never the same after a Pilon fracture.

This technology, and the highly trained surgical team and unit that surrounds it, is what makes Hartford HealthCare Bone and Joint Institute our region’s best resource for patients with these devastating injuries. I’m proud to be a part of this incredible orthopedic trauma team, and honored to care for our community’s most severely injured.

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