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Article
January 1931

THE CLOSED METHOD OF TREATMENT OF FRACTURES OF THE ANKLE JOINT

Author Affiliations

Assistant at the Surgical Clinic, University of Milan MILAN, ITALY

Arch Surg. 1931;22(1):121-136. doi:10.1001/archsurg.1931.01160010126008
Abstract

My object in this paper is to report the methods and discuss the results obtained in the closed reduction of recent fractures of the ankle joint at the surgical clinic of the University of Milan.

The choice of methods to be employed in the treatment of these fractures is still a matter of discussion. Lambotte,1 Lane,2 Leclerc,3 Alglave,4 Berard, Picot,5 Duval,6 Basset7 and Juvara advocated operative reduction in the fracture with marked displacement, for the following reasons: (1) A better reduction can be obtained, and the fragments are maintained in better apposition; (2) the time required for union is less, and (3) function is more quickly reestablished.

Guillembot, Tuffier, Delbet,8 Lusena, Matti,9 Lussana,10 Leveuf, Girode, Monard and Monod prefer, as a rule, closed reduction. They expressed the belief, however, that operative reduction is not infrequently indicated, as, for instance, in

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