Abstract

Objective: This clinical review aims to explore the recent advancements in minimally invasive surgical techniques for the management of ankle fractures, highlighting their efficacy, benefits, and potential complications compared to traditional open surgical methods.

Background: Ankle fractures are common injuries that can significantly impact a patient's mobility and quality of life. Traditional open reduction and internal fixation (ORIF) techniques have been the standard approach for surgical management. However, minimally invasive surgical (MIS) techniques have gained popularity due to their potential for reduced soft tissue damage, shorter recovery times, and lower complication rates.

Methods: A comprehensive literature search was conducted to identify studies published in the last decade that evaluated MIS techniques for ankle fractures. Relevant clinical trials, cohort studies, and case series were reviewed to compare outcomes such as fracture healing, functional recovery, complication rates, and patient satisfaction between MIS and traditional ORIF.

Results: The review indicates that MIS techniques, including percutaneous fixation, arthroscopic-assisted reduction, and minimally invasive plating, have shown promising results. These techniques are associated with reduced intraoperative blood loss, decreased postoperative pain, shorter hospital stays, and quicker return to weight-bearing and daily activities. Complication rates, including infection and wound complications, were generally lower in the MIS groups. However, some studies reported technical challenges and a learning curve associated with these techniques.

Conclusion: Advancements in minimally invasive surgical techniques offer significant benefits over traditional open methods for the treatment of ankle fractures. While the evidence supports the efficacy and safety of MIS, further high-quality randomized controlled trials are needed to establish standardized protocols and long-term outcomes. Clinicians should consider patient-specific factors and surgeon expertise when selecting the optimal surgical approach for ankle fractures.