The two dominant classification systems for ankle fractures in use are the Lauge-Hansen and AO-Danis-Weber schemes. Each has certain advantages and disadvantages. Because of basic similarities, integration of these systems into one scheme involving three basic patterns with appropriate staging appears to be reasonable. This integration is based upon combining the pronation-abduction and pronation-external rotation injuries in Lauge-Hansen's scheme into one pronation-abduction-external rotation pattern. The resultant system would appear attractive in terms of combining relative simplicity with completeness.
Get full access to this article
View all access options for this article.
References
1.
DanisR.Les fractures malleolaires. InTheorie et Practique del'Osteosynthese.DanisR. (ed.), Paris, Masson, 1949, pp. 133–165.
2.
HamiltonW.C.Traumatic Disorders of the Ankle.New York, Springer-Verlag, 1984.
3.
Lauge-HansenN.Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigationsArch. Surg., 60: 957–985, 1950.
4.
ManterJ.T.Movements of the subtalar and transverse talar joints. Anat. Rec., 80: 397–410, 1941.
5.
MüllerM.E.AllgowerM.SchneiderR.WilleneggerH.Manual of Internal Fixation.2nd Ed.Heidelberg, Springer Verlag, 1979, pp. 282–299.
6.
WeberB.G.Die Verletzungen des Oberen Sprungelenkes.2nd Ed.Bern, Verlag Hans Huber, 1972.
7.
WrightD.G.DesaiM.E.HendersonW.H.Action of the subtalar and ankle-joint complex during the stance phase of walking. J. Bone Joint Surg., 46A: 361–382, 1965.
