The Lauge Hansen classification of malleolar fractures

Yde, Johannes

Affiliations

¹Department of Orthopaedic Surgery, Hjerring Hospital, Hjerring, Denmark

Abstract and keywords

A total of 488 fractures of the ankle are described and classified into types and stages according to Lauge Hansen (1942). the classification was partly based on operative findings. the type division was: supination-eversion fractures 57.4 per cent, supination fractures 20.1 per cent, pronation and pronation-eversion fractures 20.1 per cent and pronation-dorsiflexion fractures 0.4 per cent.

A small percentage of the fractures (1.2) could not be fitted into this system, and two-thirds of these were found to have an isolated fracture of the posterior tibial margin. This fracture seems to be a special type of ankle fracture.

It was found that the stage 2 injury in pronation and pronation-eversion fractures is not fully explained by Lauge Hansen.

The classification of Lauge Hansen gives a very exact description of ankle fractures. This is very important for the operative treatment and also indispensable for the evaluation of the results of various methods of treatment.

Keywords: ankle fractures; ankle joint; fractures; articular

Links

DOI: 10.3109/17453678008990784

PubMed: 7376839

WoS: A1980JJ29800023

History

Accepted: 1979-09-26

Cited Works (4)

Year	Entry
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Cited By (10)

Year	Entry
1997	Taylor A, Morris A, Thomas P, Wallace A. Mechanisms of lower extremity injuries to front seat car occupants: an in depth accident analysis. In: Proceedings of the 1997 International IRCOBI Conference on the Biomechanics of Impact. September 24-26, 1997; Hannover, Germany.53-72.
1990	Nielsen JØ, Dons-Jensen H, Sørensen HT. Lauge-Hansen classification of malleolar fractures: an assessment of the reproducibility in 118 cases. Acta Orthop Scand. 1990;61(5):385-387.
2011	Funk JR. Ankle injury mechanisms: lessons learned from cadaveric studies. Clin Anat. April 2011;24(3):350-361.
1992	Stiehl JB, Skrade DA, Johnson RP. Experimentally produced ankle fractures in autopsy specimens. Clin Orthop Relat Res. December 1992;285:244-249.
1993	Burns WC II, Prakash K, Adelaar R, Beaudoin A, Krause W. Tibiotalar joint dynamics: indications for the syndesmotic screw: a cadaver study. Foot Ankle. March–April 1993;14(3):153-158.
1997	McBryde A, Chiasson B, Wilhelm A, Donovan F, Ray T, Bacilla P. Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int. May 1997;18(5):262-266.
1989	Boden SD, Labropoulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw: a cadaver study. J Bone Joint Surg. December 1989;71A(10):1548-1555.
2010	Kwon JY, Chacko AT, Kadzielski JJ, Appleton PT, Rodriguez EK. A novel methodology for the study of injury mechanism: ankle fracture analysis using injury videos posted on YouTube.com. J Orthop Trauma. 2010;24(8):477-482.
1985	Sclafani SJA. Ligamentous injury of the lower tibiofibular syndesmosis: radiographic evidence. Radiology. July 1985;156(1):21-27.
2011	Zahn RK, Frey S, Moritz M, Waschke J, Schneider P, Meffert RH. Die Supinations-Eversions-Verletzung des OSG in osteoporotischen Unterschenkelpräparaten: Experimentelle Induktion und Literaturübersicht [Supination external rotation lesions of the ankle joint in osteoporotic lower leg specimens: experimental induction and review of the literature]. Unfallchirurg. 2011;114(8):697-704.