Treatment of Intra-articular Fractures

There are several patterns of intra-articular fractures (Fig 1) but the exact patterns need not be known by emergency physicians as all these injuries will be referred to orthopaedic surgeons for further management. They will usually be admitted and investigated further by CT (Fig 2).

There are a variety of treatment options including reconstructive surgery (Fig 3). There is usually severe disruption of the subtalar joint and stiffness and arthritis of this joint is very common.

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