Bosworth fracture-dislocation of the ankle is a rare injury in which the proximal fibular fragment is entrapped behind the tibia. Closed reduction is extremely difficult to achieve. Early open reduction and internal fixation enables a better outcome by minimising soft-tissue damage. We report on a 36-year-old man who underwent open reduction and internal fixation for a Bosworth fracture-dislocation of the ankle complicated by severe soft-tissue swelling and an impending risk of skin necrosis after failed closed reduction.
BartonicekJFricVSvatosFLunacekL. Bosworth-type fibular entrapment injuries of the ankle: The Bosworth lesion. A report of 6 cases and literature review. J Orthop Trauma2007;21:710–7.
2.
LuiTHChanKBKongCCNgaiWK. Ankle stiffness after Bosworth fracture dislocation of the ankle. Arch Orthop Trauma Surg2008;128:49–53.
3.
WrightSELeggADaviesMB. A contemporary approach to the management of a Bosworth injury. Injury2012;43:252–3.
4.
CheungKYChoiSHWongMS. Bosworth fracture dislocation of the ankle. Hong Kong J Orthop Surg2001;5:113–6.
