Closed Reduction Ankle

Other Names

• Ankle Dislocation Reduction
• Ankle Fracture Reduction

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Background

• This page describes the technique to reduce an ankle fracture

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Indications

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

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Contraindications

• Stable ankle fractures
• Absence of dislocation

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Procedure

Demonstration of two person quigley maneuver

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

Technique

• Quigley Maneuver
  • 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)
• Confirmation of adequate reduction using mobile radiographs
• Patient is placed in a Posterior Short Leg Splint with Stirrup
  • Must hold carefully in reduced position

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Aftercare

• Aftercare Splint Directions
• Non-weight bearing with Crutches
• Follow up with Ortho

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Complications

• Acute Compartment Syndrome (rare)

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See Also

• Fracture Reductions (Main)
• Procedures (Main)
• Ankle Pain (Main)

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