Vincent Makori - Orthopedic and Trauma Officer

10/08/2025

My new website is live Explore my portfolio and discover my OrthoTrauma consultation services as well as graphic design solutions for all industries.
Visit: https://vincentmakori.co.ke/
your hub for expert care and creative design.

Certified Orthotrauma Officer and passionate Graphic Designer, combining healthcare and design to educate and inspire.

26/07/2025

Happy Weekend

24/07/2025

For Graphic Design Services Contact us

11/07/2025

Kenya Red Cross Training Institute
Training is next Month mark the Dates

27/06/2025

A painful sore throat is a signature symptom of an Omicron subvariant called NB.1.8.1, or Nimbus. It now makes up about a third of U.S. COVID-19 cases. Find out what you can do to get relief: https://wb.md/3TJiQg1

18/06/2025

15/06/2025

Congratulations, Clinton Kinanga
Winning the 2024/2025 championship with POLICE F.C is a big achievement.
Your hard work, commitment, and talent played a big role in the team's success. You’ve made history, and we’re proud of you.
Well done, champion
Rianyoka Ichuni ward nyaribari masaba constituency talent ipo

08/06/2025

As an Orthopedic and Trauma Officer, I frequently manage ankle injuries some simple, others complex. Ankle fractures are among the most common injuries we see in emergency settings and require proper diagnosis, timely treatment, and careful follow-up to avoid long-term issues.

What is an Ankle Fracture?
An ankle fracture involves a break in one or more bones that make up the ankle joint—mainly the tibia, fibula, and talus. These injuries can occur alone or alongside dislocations, where the bones are forced out of alignment.

How Do These Injuries Happen?
✓Most ankle fractures happen due to:
✓Twisting or rolling the ankle (e.g., during sports or falls)
✓Car accidents
✓High-impact trauma
✓Sometimes, the ankle can dislocate without a fracture, but that’s rare.

Types of Ankle Injuries
✓Simple fractures: Involving only one bone
✓Bimalleolar fractures: Both the inner and outer ankle bones are broken
✓Trimalleolar fractures: Involves three areas, usually more serious
✓Dislocations: Bones of the ankle joint shift out of place, often with fractures

Symptoms to Watch For
✓Severe pain
✓Swelling and bruising
✓Deformity or bone protruding through the skin
✓Inability to bear weight or walk

Diagnosis
A clinical exam plus X-rays are usually enough. Sometimes CT scans are needed for better detail, especially before surgery.

Treatment Options
1. Non-surgical: Minor fractures may heal with rest, immobilization in a boot or cast, and physical therapy.
2. Surgical: More serious or unstable fractures, especially those with dislocation, usually need surgery to realign and fix the bones.

Complications if Not Treated Properly
✓Persistent pain and swelling
✓Joint stiffness or instability
✓Malunion (bone heals incorrectly)
✓Osteoarthritis later in life

Recovery and Returning to Activity
Recovery times vary. Many patients begin to walk again after 6-8 weeks with gradual physical therapy. Athletes may need more time. Early rehab is key to regaining strength and movement.

Ankle fractures are common but treatable. Timely care, proper reduction (realignment), and follow-up can make a huge difference. If you ever suspect a serious ankle injury, seek medical attention immediately.
Stay safe and protect your ankles whether on the field or walking down the stairs

07/06/2025

The Salter-Harris classification, used to grade fractures involving growth plates in children, is eponymously named after R.B. Salter and W.R. Harris

06/06/2025

Calcaneus Fractures: Clinical Overview
Other Names
✓Calc Fracture
✓Displaced Intra-Articular Calcaneal Fracture (DIACF)
✓Lover's Fracture / Don Juan Fracture
✓Calcaneal Stress Fracture

Background
Calcaneus fractures involve disruption of the heel bone and may be acute or stress-related. These injuries were described as early as the time of Hippocrates. They represent a small but complex subset of musculoskeletal injuries due to the load-bearing nature of the calcaneus and its intricate articulation with surrounding structures.

Epidemiology
✓Account for 1–2% of all fractures
✓Represent 50–60% of tarsal fractures and 75% of foot fractures
✓10–17% are open fractures
✓75% are intra-articular
✓Peak incidence of calcaneal tuberosity fractures occurs in women in their 70s

Introduction

Mechanisms
Intra-articular fractures: Typically result from high-energy axial loading mechanisms such as falls from height or motor vehicle collisions.
Extra-articular fractures: Often involve avulsion injuries (e.g., tuberosity fractures) and may occur with low bone density or excessive muscular contraction.
Stress fractures: Seen in military recruits, runners, and individuals with increased repetitive heel-loading.

Associated Injuries
✓Lumbar/thoracic spine compression fractures (10%)
✓Tibial plateau fractures (10%)
✓Contralateral calcaneal fractures (10%)
✓Calcaneocuboid joint extension (63%)

Anatomy
The calcaneus, in conjunction with the talus, forms the hindfoot and is essential for weight transmission. It is the largest tarsal bone and forms part of the subtalar and calcaneocuboid joints.

Risk Factors
✓Osteoporosis
✓Diabetes Mellitus
✓Tobacco use

Differential Diagnosis
Includes fractures (tibia, fibula, talus), tendon injuries (Achilles, peroneal), ligament sprains, arthritis, and pediatric disorders (e.g., Sever’s disease).

Clinical Features
History & Physical Exam
✓Pain, swelling, and inability to bear weight are hallmark symptoms
✓Physical signs may include heel widening, bruising, tenderness, and Achilles tendon retraction in avulsion injuries
✓Evaluate for skin integrity and neurovascular compromise
✓Calcaneal Squeeze Test may assist in diagnosing stress fractures.

Evaluation
Radiographs
First-line imaging
Bohler’s Angle (145° or 2 mm), tongue-type fractures, or fractures causing malalignment
Options: ORIF, percutaneous pinning, or subtalar arthrodesis

Rehabilitation and Return to Play

Postoperative
NWB for 8–12 weeks
Gradual rehab with ROM and strengthening exercises
Radiographic monitoring for healing

Return to Play
Individualized
Based on fracture union, pain resolution, and restored function

Prognosis and Complications

Prognosis
Up to 40% complication rate
Sanders III fractures are 4 × more likely to require fusion than Sanders II at 10-year follow-up[^26]
Better prognosis: female s*x, younger age, light work, higher Bohler’s angle

Complications
Wound complications (up to 37%)
Compartment syndrome (10%)
Subtalar arthritis (more common with nonoperative treatment)
Chronic pain, malunion, osteomyelitis, tendon injury
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