Der Unfallchirurg
-
Ankle fractures belong to the most frequent injuries to the human skeleton. Correct treatment requires knowledge of the trauma mechanism and thorough analysis of the injured bony and ligamentous components. ⋯ The most important prognostic factors after operative treatment are exact reconstruction of the articular surfaces and correct position of the distal fibula within the tibial incision after a mechanically relevant syndesmosis rupture. Besides malalignment, negative prognostic factors include delayed reduction, injury of several ankle components and hereditary or acquired neuropathy.