Yesterday we got one patient, motorvehicle accident. The ankle look deform, probably fracture. Several X-ray was done.
Ankle X ray come back and shocked me. A little excited too. Its fracture dislocation of right ankle. Otherwise, neurovascular was intact.
Should ED team reduce it?
We should devide any dislocation into
- Non complicated
- Complicated (which is fracture)
Non complicated dislocation should be reduce by ED team.
While complicated/frcature dislocation should be reduce by orthopedic surgeon. Unless there is vascular compromise.
Tintinalli 8th edition; chapter 276, ankle injuries, page 1873