Theo,
I could find no statistics to show how often compound ankle fractures
occur. I did find statistical injury sites, but they don't
differentiate between ankle fractures and compound ankle fractures.
However, here are some recent cases of compound fractures and how
they occured. I have also thrown in some accounts from WWII. (These
stories are extremely interesting to read in full) I am sure there are
plenty of military cases around the world, but I could find no
published reports of comprehensive statistics.
I hope these are of some use! They should help to answer your
question as stated in your last clarification:
"Has there been any compound ankle fractures in the last 3 years? what
was the cause? what about in the military?
===========
Golfer: (2003)
-------
"Paul Higaki's win was quite exceptional as well. He's still
recovering from a compound fracture to his right ankle."
"Paradise Valley - Kooman Boycheff Memorial." University of California
Golf Club. (2003)
http://www.ucgc.org/2003/05-10_kboycheff_paradise_valley/
Military
---------
"Cohen compared Brashear's struggles to those of the sailors on the
Cole, particularly one sailor with a leg injury who wished to attend a
memorial for 17 shipmates killed in the Oct. 12 terrorist bombing of
the destroyer. That sailor, whom Cohen did not identify, said, "I'll
have my leg amputated after the ceremony is over," Cohen said. The
sailor had a compound ankle fracture that had become infected."
From "Cohen honors black Navy diver." CNN Online (October 22, 2000)
http://www.cnn.com/2000/US/10/22/cohen.navy.award.ap/
Shark attack: (1989)
-------------------
"Surgeon John Leonard reported, "Upon arrival at the hospital's
emergency room, Tisserand was alert and in a mild state of shock. He
had suffered 11 multiple tooth punctures to the lower left leg, with a
*traumatic compound fracture dislocation [near- amputation] of the
left ankle,
with only 30 to 40% of the tissue and epidermis on the inside of the
ankle intact."
From "Unprovoked White Shark Attacks on Divers." Shark Research
Committee
http://www.sharkresearchcommittee.com/unprovoked_diver.htm
Motorcycle Accident: (2001)
---------------------------
"He sustained a compound fracture and dislocation of his right
ankle.."
"Crash ends Hislop title chase." Motorcycling. (2001)
http://news.bbc.co.uk/sport1/hi/motorsport/motorbikes/1571787.stm
Falling down an embankment: (2002)
----------------------------------
"Last August Colonial Heights Fire & EMS, A-Shift, under the
supervision of Battalion Chief Craig Bride, responded to a call near
Yacht Basin Drive where a land surveyor had fallen down a steep
embankment and landed in a concrete pipe. Several firefighters
descended the hill, immobilized the victim and placed him in a special
stretcher. Others used their technical rescue skills training to rig a
rope haul system that enabled the rescuers to lift the injured worker
up the steep embankment. He suffered a compound fracture of the left
ankle."
Quarterly Dispatch. Volume 10 No. 1.
http://www.colonial-heights.com/FireEMSQuarterly3.htm
Skydiving (2003)
-----------------
"A jumper with 156 jumps was flying downwind and attempted a turn at
approximately 60 to 80 feet AGL in an effort to face back into the
wind. He struck the ground while still in a turn and suffered a
compound fracture of his left ankle.
"Incident Reports." United States Parchute Association
http://www.uspa.org/safety/incident.htm
Automobile Accident
-------------------
"It's hard not to feel good for Oklahoma defensive back Michael
Thompson, the recipient of a key fake punt pass in the Sooners' 20-13
win Saturday at Alabama. Two years ago, Thompson was in a
life-threatening car crash that left him with a compound fracture in
his ankle and a broken bone in his leg."
"Running risky for top QBs," by Adam Thompson, Denver Post (September
2003)
http://www.denverpost.com/Stories/0,1413,36%257E87%257E1619347,00.html
Playing Cricket (2003)
----------------------
"South African all-rounder Nicky Boje will be out of action for at
least four months after undergoing an operation on a broken leg. Boje
had a two-and-a-half hour operation in Nottingham to repair the
compound fracture in his left ankle. He had a metal plate and screws
inserted into the ankle, which was broken in four places."
"Boje out for months." Cricket. (2003)
http://news.bbc.co.uk/sport1/hi/cricket/3055671.stm
Football (2001)
--------------
"The win came at a price. UNK junior linebacker Mike Cordes suffered a
compound fracture of his right ankle in the first half.
"Kickoff return sparks Lopers to win." Mike Cahill. The Independent
(2001)
http://www.theindependent.com/stories/102801/spo_lopers28.html
Longer than three years ago:
=============================
Paramedic Splint Data
---------------------
The following data
TABLE: Data accumulated from a field trial with the REEL Splint
Ankle
(C:2)
(CD:1)
(O:3)
(ST:2)
C = closed injury
0 = open (compound) injury
ST = soft tissue injury
From "The Reel Splint: Experience with a New Traction Splint Apparatus
in the Prehospital Setting." Annals of Emergency Medicine (1984)
http://www.splints.com/annals.html
Fall into a ditch
-----------------
"Those worries came to fruition when Jeremy was in seventh grade.
Swinging on tree branches with his friend Michael Chavis, Hammond lost
his grip and fell into a ditch, suffering a compound fracture in his
ankle
"Bryan Co. star won't give in to disability," by Donald Heath.
Savannah Morning News (2001)
http://www.savannahnow.com/stories/040601/SPThammondfeech.shtml
Fall on the Ice
---------------
"Early in my legal career, before I gave it up as a bad job, I
represented a 4 months-pregnant lady who, while walking home from work
one evening, fell on ice on Beacon Hill and ended up with a compound
ankle fracture."
Recta Ratio http://www.rectaratio.blogspot.com/2003_01_05_rectaratio_archive.html
Military - Explosion (1945)
---------------------------
Aldrich, Herbert - "Severly injured in explosion - Compound comminuted
fracture of the left ankle - He was a Flight Engineer who arrived on
the scene immediately after the first explosion. He attempted to move
airplane and when this was impossible he ran from the scene and was
injured by flying shrapnel.
From "Secret." Headquarters 40 Bombardment Group. Office of the
Historical Officer (1945)
http://40thbombgroup.org/Archives/40thBG_Files/40th_Jan45.pdf
Military - Battle of Brisbane (1942
-----------------------------------
6. "Private Richard Ledson (35 years old) had a compound fracture of
the left ankle and was wounded in the left thigh and left hand."
From "The Battle of Brisbane."
http://home.st.net.au/~dunn/ozatwar/bob.htm
Military (WWII)
---------------
"Sgt. David McCready, a tail gunner aboard a B-25, was rescued after
being shot down by Japanese bombers. A letter he wrote to his parents
shortly afterwards tried to calm their fears: "I have second-degree
burns on my arms and a compound fracture of my right ankle. I am
getting along nicely so don't worry. I am through flying for a long
time."
From "Vacaville boys go to another war," by Sally Miller Wyatt. The
Reporter.
http://www.thereporter.com/Specials/Century/1940/story02.html
Military (WWII)
----------------
"The Germans put the two wounded prisoners in a straw pile overnight,
doing little to treat their wounds or protect them from winter's
frigid winds. "They just wrapped our wounds with paper-type wrapping.
My left leg had been amputated but it wasn't really bleeding because
it sort of took on a cauterized condition when it was wrapped so
tight. In addition, my right leg had a compound fracture at the
ankle."
From "Wounded Survivor: James A Duncan."
http://heronextdoor.homestead.com/duncan.html
AndreaDoria Passenger List
----------------------------
Rev. Antonio Contento 45 years "Boarded in Naples. Treated at St.
Clare's Hospital for a compound fracture of the right ankle."
From Andrea Doria Tourist Class A-D.
http://www.andreadoria.org/TheSouls/TouristClassA-D.htm
=====
Again, I hope these accounts of compound ankle fractures prove useful
in some way. All I can say is, "Ouch"!!!
Sincerely,
umiat
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