A cadaver study revisiting the original methodology of Lauge-Hansen and a commentary on modern usage.

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Abstract

[Indexed for MEDLINE] 18. Foot Ankle Clin. 2008 Dec;13(4):593-610. doi: 10.1016/j.fcl.2008.09.003. A rational approach to ankle fractures. Clare MP(1). Author information: (1)Florida Orthopaedic Institute, 13020 Telecom Parkway North Tampa, FL 33637, USA. mpclare@verizon.net Ankle fractures involve a spectrum of injury patterns from simple to complex, such that these injuries are not always "just an ankle fracture." By combining the injury mechanism and the radiographic findings, the surgeon can apply the Lauge-Hansen classification in taking a rational approach to the management of these fractures. Syndesmotic instability and atypical patterns are becoming increasingly recognized, in part through the judicious use of CT scans. The goal of surgical stabilization includes atraumatic soft tissue management, rigid internal fixation, and early range of motion exercises in maximizing return of function. DOI: 10.1016/j.fcl.2008.09.003