percutaneous

Fracture

Epidemiology

 

Young men

 

Aetiology

 

FOOSH

- axial load, dorsiflexion and radial deviation

 

DISI occurs in ulna deviation

 

Herbert Classification

 

Type A    Stable acute fracture

 

A1 Tubercle

Management

Goals

 

1. Equal leg lengths

- goal is mild to moderate isolated discrepancy

 

2. Unequal leg lengths

- goal with paralysis / equinus foot

- aim 1-2 cm short for clearance

 

3. Level Pelvis

- should use blocks to estimate functional correction

 

4. Vertical LS Spine

- vertical spine more important than level pelvis

 

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