E-ISSN 2149-9934
Traumatic Posterior Tibial Tendon Rupture After Bimalleolar Fracture: Case Report and Review of the Literature
1 Dr.Münif İslamoğlu Kastamonu Devlet Hastanesi, Ortopedi ve Travmatoloji, Kastamonu, Türkiye  
2 Süleyman Demirel Üniversitesi, Tıp Fakültesi Ortopedi ve Travmatoloji, Isparta, Türkiye  
3 Dr. Münif İslamoğlu Devlet Hastanesi Acil Servisi, Kastamonu  
JEMCR 2011; 2: 23-25
DOI: 10.5505/jaemcr.2011.65265
Key Words: Malleolar fractures, ankle, posterior tibial tendon, traumatic rupture

INTRODUCTION: Rupture of the posterior tibial tendon associated with closed ankle fractures is seen rarely been and such cases in the literature are usually reported as case reports. 

CASE REPORT: Bimalleolar fracture was determined in a 49 years old man after a fall from stairs. Management was consisted of open reduction-internal fixation of the fractures and primer repair of the tibialis posterior tendon. After 12 months follow-up, the patient had adequate ankle range of motion and comfortable walking. Significant major complication was not noted. 

DISCUSSION-CONCLUSION: However it is a rare condition, rupture of tibialis posterior tendon should not be overlooked after ankle fractures. These ruptures can be diagnosed only at surgery since pain inhibit clinical examination. Misdiagnosed and untreated cases can cause major complications such as ankle defomity, ankle joint arthrosis and chronic pain. In this case report, we aimed to share our unique experience of a posterior tibial tendon rupture associated with ankle fracture and to present a comprehensive review of the literature.

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