Injury of the ankles is considered to be one of the most common. Representatives of the fair sex very often get such damage because of their favorite, stylish beautiful, but such uncomfortable heels. Sometimes elegant shoes even cause a double-arm fracture with a subluxation and displacement. This is a very complex and serious damage, which, fortunately, occurs infrequently enough.
Treatment of a double-knee fracture with displacement and subluxation of the foot
Like common fractures, ankle injuries can be open and closed. With the latter, the skin at the site of damage remains intact. When the appearance of the injury is open, the broken bones tear the tissues and come out.
Closed double-arm fracture is much easier to treat. Therapy begins with immobilization. A gypsum strip of up to ten centimeters wide is applied to the shin. Its origin takes on the proximal border of the upper third of the shin, extends to the ankle and heel, and then along the lateral ankle rises to the lateral part of the ankle.
To make the gypsum stronger, in most cases, the tire is added to the injury site. The latter is located behind the ankle joint and extends from the top to the lower leg, descending the plantar zone of the foot.
Applying gypsum and tires in a double-arm fracture with a subluxation and displacement, the doctor must always take into account the color of the fingers of the injured person and how much his lower limb has swollen. After this, a repeated X-ray should be done - to make sure that the bones were connected correctly.
Before applying gypsum, injection of novocaine is very often done. It helps to relieve pain. That is important - at a bilateral reversal by nyxes it is necessary to anesthetize both traumas.
In a typical double-arm fracture, it is necessary to walk in a plaster for two months. More complex trauma with displacement and subluxation of the foot fuses longer - for 12 weeks.
Operation with a bi-articular fracture with displacement
To surgical treatment apply less often. Operations are conducted only in the most severe cases. Then, for example, when the doctor can not compare all the fragments of bones. Indications for surgical intervention are also considered secondary displacement and open fractures, accompanied by a large wound.
Sometimes the operation is done when the soft tissues are compressed in the case when conservative treatment is powerless. It is conducted under general anesthesia . Doctors bare bone tissue, connect all the fragments and twist them with special bolts or vitnickami. After osteosynthesis, the patient is shown inpatient treatment.
Rehabilitation after a double-fracture fracture with subluxation of the foot and with displacement
To restore the motor activity of the leg, it is necessary to conduct a full-scale complex of rehabilitation measures, including physiotherapy, gymnastics, and massage.
Physiotherapy exercises and gymnastic exercises can be done as early as the second day after getting injured. It is very useful to develop quadriceps femoris muscles, perform flexion and extension movements of the knee joint. In the second stage - after removing the gypsum - you can start performing rotational movements. The joint is allowed to give loads. But you need to walk, slowly. And only in the third stage you can go to walking on socks, squats.
Of the physiotherapy the most useful are:
- warm baths;
- ultrasound;
- iontophoresis;
- mud applications.
When you can wear heels after a double-arm fracture, you can not say for sure. On this issue you need to consult with a specialist individually.