Akademik Veri Yönetim Sistemi
World Academic Congress of Emergency Medicine 2023, Antalya, Türkiye, 28 - 31 Ekim 2023, ss.974-975
Introduction and Purpose: Cotton Fracture; The terminology used frequently when naming ankle fractures is called “Trimalleolar Fracture”, in fact, it is a nomenclature that does not have an anatomical counterpart. The clinical nomenclature of fractures located in the posterior of the tibia accompanying the malleoli of the tibia and fibula in the ankle is made in this way. Especially in patients over 65 years of age, these fractures can be encountered quite frequently in domestic falls, motor vehicle accidents and sports injuries. “Cotton fracture”, which is an unstable fracture, should be treated with surgical methods.
Materials and Methods: A 56-year-old male patient came to the emergency department after falling in the bathroom. On his arrival, his general condition was good, his GCS were 15, vitals were stable. In his history, he described pain in her right ankle. He had no known chronic disease and drug use. On examination, there was tenderness, swelling and deformity in the right ankle. Neurovascular examination of the patient who had no open wound was normal. External systemic examination was unremarkable. Fracture and accompanying tibiotalar dislocation were observed in the medial malleolus, lateral malleolus and posterior end of the tibia in the extremity X-ray and CT.[Figure 1-2] The patient was consulted to the Orthopedics and Traumatology Clinic. He was discharged after recovery.
Results and Conclusion: Trimalleolar fractures are unstable and require surgical fixation.
Patients should be splinted so that the ankle joint is 90 degrees and should not carry weight.After
detection in the emergency room, patients should be consulted with the orthopedics department.