Gustilo IIIA Open Bimalleolar Fracture Dislocation of Ankle with Ipsilateral Achilles Tendon Rupture: A Case Report and Review of Literature

JBJS Case Connect. 2021 May 21;11(2). doi: 10.2106/JBJS.CC.20.00435.


Case: Although rare, a medial malleolus fracture plus ipsilateral Achilles tendon rupture has been described in previous case reports. We present a unique case of an open bimalleolar fracture dislocation with ipsilateral Achilles tendon rupture after a motorcycle crash. His Achilles injury was diagnosed intraoperatively during external fixator placement. He presented in a delayed fashion to our institution, where he underwent open reduction internal fixation and Achilles tendon reconstruction.

Conclusion: Although most commonly described with isolated medial malleolus fractures, Achilles tendon injuries can also be associated with bimalleolar ankle fractures. These associated injuries are frequently missed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Achilles Tendon* / injuries
  • Achilles Tendon* / surgery
  • Ankle
  • Ankle Fractures* / complications
  • Ankle Fractures* / diagnostic imaging
  • Ankle Fractures* / surgery
  • Humans
  • Male
  • Rupture / complications
  • Rupture / surgery
  • Tendon Injuries* / diagnostic imaging
  • Tendon Injuries* / surgery