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Closed Reduction Ankle

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Other Names

  • Ankle Dislocation Reduction
  • Ankle Fracture Reduction

Background


Indications

  • Ankle Fracture
    • Includes fractures, dislocations, subluxations, instability

Contraindications

  • Stable ankle fractures
  • Absence of dislocation

Procedure

Demonstration of two person quigley maneuver[1]

Equipment

  • Pre-reduction radiographs
    • Helpful to confirm correct diagnosis
    • Exclude mimics (i.e. subtalar dislocation, distal tibia fracture)
    • Not always required if soft tissue is at risk

Preparation

Anatomy

Technique

  • Quigley Maneuver[2]
    • Knee is placed in flexion (to relax the gastrocnemius-soleus complex)
    • Leg is placed in external rotation
    • Foot placed in adduction and supination (pull toe to ceiling)
  • Modified Quigley
    • Indicated for a single-person reduction
    • Needs to be updated (see this citation)[3]
  • Confirmation of adequate reduction using mobile radiographs
  • Patient is placed in a Posterior Short Leg Splint with Stirrup
    • Must hold carefully in reduced position

Aftercare


Complications


See Also


References

  1. https://journals.lww.com/em-news/blog/theproceduralpause/pages/post.aspx?PostID=107
  2. Quigley, T . A simple aid to the reduction of abduction-external rotation fractures of the ankle. Am J Surg. 1959;97(4):488–493.
  3. Skelley, NW, Ricci, WM. A single-person reduction and splinting technique for ankle injuries. J Orthop Trauma. 2015;29(4):e172–e177.
Created by:
John Kiel on 5 July 2021 18:39:03
Authors:
Last edited:
17 November 2022 18:39:00
Category: