Advances in Minimally Invasive Techniques for Ankle Fracture Management

Introduction

Ankle fractures are common injuries that can significantly impair mobility and quality of life. Traditional open reduction and internal fixation (ORIF) have been the standard treatment; however, minimally invasive surgical techniques are gaining popularity due to their potential benefits, including reduced soft tissue damage, faster recovery, and decreased infection rates.[1]

Minimally Invasive Internal Fixation: A Case Study

A recent case study by Slater and Bachmid detailed the treatment of a 28-year-old woman who sustained a closed comminuted pilon fracture with a segmental fibula fracture following a horse-riding accident. The patient underwent minimally invasive image-guided internal fixation combined with distraction arthroplasty. This approach facilitated precise fracture alignment and stabilization while minimizing soft tissue disruption. The use of distraction arthroplasty promoted cartilage healing, and the incorporation of platelet-rich plasma (PRP) injections supported tissue regeneration.​[2]

Benefits of Minimally Invasive Techniques

  1. Reduced Soft Tissue Injury: Smaller incisions and precise instrumentation minimize damage to surrounding tissues.​
  2. Faster Recovery: Patients often experience shorter hospital stays and quicker return to daily activities.​
  3. Lower Infection Rates: Minimally invasive procedures reduce the exposure of internal tissues, decreasing the risk of postoperative infections.​
  4. Enhanced Cosmetic Outcomes: Smaller scars are more aesthetically pleasing to patients.​

Conclusion

The evolution of minimally invasive techniques in orthopedic surgery, particularly for ankle fractures, offers significant advantages over traditional methods. These approaches not only improve clinical outcomes but also enhance patient satisfaction by promoting faster recovery and reducing complications. Continued research and technological advancements are expected to further refine these techniques, making them more accessible and effective.​

Disclaimer: This blog is for informational purposes only and should not be considered medical advice. Please consult with your healthcare provider for any questions or concerns regarding your individual health.

References

[1] N. Moore and G. L. Slater, “Surgical Technique Update: Slater Modification of Minimally Invasive Brostrom Reconstruction,” ResearchGate, Apr. 01, 2019. Available: https://www.researchgate.net/publication/332656272_Surgical_Technique_Update_Slater_Modification_of_Minimally_Invasive_Brostrom_Reconstruction

[2] G. Slater and Zadane Bachmid, “Image Guided Minimally Invasive Internal Fixation Pilon Fracture with Distraction Arthroplasty,” Journal of Clinical Medical Research, vol. 5, no. 2, pp. 1–8, Jul. 2024, Available: https://www.researchgate.net/publication/382558217_Image_Guided_Minimally_Invasive_Internal_Fixation_Pilon_Fracture_with_Distraction_Arthroplasty

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Dr. Gordon Slater

Dr. Slater is one of the first foot and ankle surgeons in Australia to adopt minimally invasive surgical techniques. He routinely uses MIS to treat a range of conditions, including bunions.

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Dr Gordon Slater is a highly-skilled surgeon specialising in foot and ankle conditions and sports injuries. Dr Slater is one of the first foot and ankle surgeons in Australia to adopt minimally invasive surgical techniques. He routinely uses MIS to treat a range of conditions, including bunions. MIS  has many advantages including shorter operating times, reduced post-operative pain, reduced risk of infection, minimal scarring and better cosmetic outcomes.

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