踝关节脱位复位.pdfVIP

Ankle Dislocation Reduction 105 Katrina John, Jeffrey Kile, and Amish Aghera 105.1 Indications • Stockinette • Padding • Dislocation of the ankle joint. This is defi ned by the artic- • Elastic bandage ulation of the talus with the mortise that is formed by the • Tape distal tibia and fi bula. Dislocations can be posterior, ante- • Sheet rior, superior, or lateral and are classifi ed by the position of the talus in relation to the tibial mortise. 105.4 Procedure 105.2 Contraindications 1. Check the neurovascular status of the affected foot and ankle. • Relative 2. If there is no evidence of critical neurovascular compromise, – Open dislocations where there is no evidence of acute obtain a lateral and an anteroposterior radiograph of the neurovascular compromise are better managed defi ni- affected ankle. tively in the operating room to avoid further 3. Ensure adequate parenteral sedation and analgesia to contamination. maximize success and limit pain and suffering. 4. Position the patient on a stretcher with the knee fl exed at 9