Minimally Invasive Surgery for Ankle Fractures: Current Approaches

Understanding Ankle Fractures

Ankle fractures vary in complexity, from simple breaks to comminuted or displaced injuries. Treatment generally involves stabilisation of the joint and alignment of the bone. While traditional open procedures remain common, minimally invasive surgery for ankle fractures has gained attention for potentially reducing soft tissue disruption.

Case Study: Imaging and Internal Fixation

Slater and Bachmid (2024) presented a case involving a young adult who sustained a complex ankle injury, including a pilon fracture and fibula involvement. The treatment employed image-guided minimally invasive internal fixation along with distraction arthroplasty. This technique aimed to align bone fragments while limiting soft tissue exposure. Adjunctive support such as platelet-rich plasma was also used, which may contribute to tissue recovery in some contexts.

Features of Minimally Invasive Approaches

Minimally invasive techniques may involve smaller incisions, reduced surgical exposure, and fluoroscopic guidance. These methods are often developed to minimise surgical trauma. In some reports, patients undergoing such procedures have experienced shorter hospital stays, improved wound healing, and satisfactory cosmetic outcomes. However, further study is needed to evaluate their consistency across broader populations.

Emerging Trends in Surgical Orthopaedics

Minimally invasive surgery for ankle fractures reflects a broader shift toward less invasive orthopaedic interventions. These techniques may integrate intraoperative imaging, navigation systems, and biologic adjuncts to optimise outcomes. According to Slater and Moore (2019), surgical modifications continue to evolve with advances in technology and technique.

Conclusion

Minimally invasive surgery for ankle fractures is an evolving field that focuses on reducing tissue disruption and supporting recovery. While promising in individual cases, these techniques should be assessed within the context of larger clinical studies. Health professionals can provide personalised advice based on individual injury profiles and clinical evidence.

Reference List

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 health.

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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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