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Ankle fractures

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https://www.readbyqxmd.com/read/30021553/a-risk-assessment-model-for-chronic-ankle-instability-indications-for-early-surgical-treatment-an-observational-prospective-cohort-study-protocol
#1
Gwendolyn Vuurberg, Lauren M Wink, Leendert Blankevoort, Daniel Haverkamp, Robert Hemke, Sjoerd Jens, Inger N Sierevelt, Mario Maas, Gino M M J Kerkhoffs
BACKGROUND: Chronic ankle instability (CAI) is a common result of an ankle sprain. Even though early surgical treatment yields the best results, overall only professional athletes are eligible for acute surgical stabilization. Treating all patients with early surgical stabilization leads to a high amount of unnecessary invasive interventions, as not all patients progress to CAI. If patients at risk of developing CAI can be identified, treatment policies may be applied more effectively and efficiently...
July 18, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30020123/a-prospective-evaluation-of-patient-reported-opioid-utilization-after-nonoperative-treatment-of-fractures-and-dislocations
#2
Hongyi Zhu, Yanchun Gao, Changqing Zhang, Xianyou Zheng
BACKGROUND: Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. METHODS: A total of 1,513 consecutive patients in China who underwent nonoperative treatment of a fracture and/or dislocation and who were prescribed opioids were studied over a 3-month period...
July 18, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/30018824/validation-of-activity-tracking-procedures-in-elderly-patients-after-operative-treatment-of-proximal-femur-fractures
#3
Hagen Schmal, Anders Holsgaard-Larsen, Kaywan Izadpanah, Jan Christian Brønd, Carsten Fladmose Madsen, Jens Lauritsen
Background: Early postoperative physical activity in elderly patients suffering from proximal femoral fractures may reduce mortality. We hypothesized that activity trackers can reliably and objectively monitor the in-hospital mobilization, correlating with functional independence and quality of life. Methods: Three different tracker types (Fitbit™ flex, Misfit™ Shine, and Axivity AX3) at three locations (wrist, ankle, and femur) recorded steps and signal vector magnitudes (SVM) in 22 patients...
2018: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/30017542/early-and-mid-term-results-of-transarticular-external-fixation-in-the-treatment-of-supination-external-rotation-type-iv-equivalent-ankle-fractures
#4
Bo-Hua Li, Shan-Xi Wang, Jun Li, Fu-Guo Huang, Zhou Xiang, Yue Fang, Gang Zhong, Min Yi, Xiao-Dan Zhao, Lei Liu
PURPOSE: To investigate the early and mid-term results of open reduction and internal fixation (ORIF) with transarticular external fixation (TEF) but no deltoid ligament repair (DLR) in the treatment of supination-external rotation type IV equivalent (SER IV E) ankle fractures (AO/OTA classification 44-B 3.1) and provide evidence for clinical practice. METHODS: This study cohort consisted of 22 patients with SER IV E ankle fractures that underwent ORIF with TEF but no DLR between December 2011 and December 2014...
June 2, 2018: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/30017422/routine-follow-up-radiographs-for-ankle-fractures-seldom-add-value-to-clinical-decision-making-a-retrospective-observational-study
#5
Pieter van Gerven, Nikki L Weil, Marco F Termaat, Sidney M Rubinstein, Mostafa El Moumni, Wietse P Zuidema, Jochem M Hoogendoorn, Hub G W M van der Meulen, Maurits W van Tulder, Inger B Schipper
Currently, the routine use of radiographs for uncomplicated ankle fractures represents good clinical practice. However, radiographs are associated with waiting time, radiation exposure, and costs. Studies have suggested that radiographs seldom alter the treatment strategy if no clinical indication for the imaging study was present. The objective of the present study was to evaluate the effect of routine radiographs on the treatment strategy during the follow-up period of ankle fractures. All patients aged ≥18 years, who had visited 1 of the participating clinics with an eligible ankle fracture in 2012 and with complete follow-up data were included...
July 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30016610/a-comparative-study-of-three-commonly-used-fixation-techniques-for-isolated-medial-malleolus-fracture
#6
Alauddin Kochai, Mehmet Türker, Özgür Çiçekli, Uğur Özdemir, Levent Bayram, Ünal Erkorkmaz, Erhan Şükür
OBJECTIVES: This study aims to compare the three most commonly used fixation techniques: tension-band wire fixation, partially threaded cannulated screws, and fully threaded cannulated headless compression screws. PATIENTS AND METHODS: Ninety patients with medial malleolus fractures were included in the study. Patients were divided into three groups. Group A included patients who underwent tension-band wire fixation (n=26), Group B partially threaded cannulated compression screws (n=32), and Group C fully threaded cannulated headless compression screws (n=32)...
August 2018: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/30016609/can-distal-radius-or-vertebra-fractures-due-to-low-energy-trauma-be-a-harbinger-of-a-hip-fracture
#7
Hasan Hüseyin Bozkurt, O Şahap Atik, M Ali Tokgöz
OBJECTIVES: This study aims to investigate whether or not low-energy distal radius or vertebra fractures are harbingers of hip fracture. PATIENTS AND METHODS: A total of 142 patients had surgical treatment due to hip fracture in our clinic between February 2013 and January 2017. The patients had low-energy fractures before hip fracture, and they received either medical treatment for osteoporosis or not before hip fracture developed. RESULTS: Of 142 patients, 32 had distal radius, humeral neck, ankle, vertebra fractures and 15 had a second hip fracture...
August 2018: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/30015505/outcomes-following-posterior-and-posterolateral-plating-of-distal-fibula-fractures
#8
Danica D Vance, Hasani W Swindell, Justin K Greisberg, James T Vosseller
Ankle fractures are common orthopaedic injuries often requiring open reduction and internal fixation. A variety of positions for plate placement exist for surgical fixation of distal fibula fractures, including direct lateral, posterior, or posterolateral. Direct lateral is more common, despite evidence that posterior and posterolateral placement is mechanically superior. However, concern for peroneal tendon injury from posterior plating remains. Our study investigates clinical and functional outcomes of patients who underwent operative fixation of distal fibula fractures with posterior or posterolateral plating over a 3-year period...
July 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/30013873/impact-of-a-canadian-pediatric-society-position-statement-on-trampoline-related-injuries-at-iwk-health-centre-halifax-nova-scotia
#9
Graham Wilson, Colleen Sameoto, Eleanor Fitzpatrick, Katrina F Hurley
INTRODUCTION: In 2007, the Canadian Pediatric Society (CPS) advised against the recreational use of trampolines at home and reaffirmed that statement in 2013. We evaluated the impact of this position statement on trampoline-related injuries at the IWK Health Centre in Halifax, Nova Scotia. METHODS: We completed a retrospective analysis (2001-2015) using the IWK Health Centre's Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database. The time frame was divided into a pre-statement, post-statement, and post-reaffirmed statement...
May 10, 2018: Curēus
https://www.readbyqxmd.com/read/30005967/factors-associated-with-wound-and-implant-related-complications-after-surgical-treatment-of-ankle-fractures
#10
Diederik P J Smeeing, Jan P Briet, Charlotte S van Kessel, Michiel M Segers, Egbert J Verleisdonk, Luke P H Leenen, Roderick M Houwert, Falco Hietbrink
We have described the epidemiology of complications after surgical treatment of ankle fractures and assessed which factors are associated with the most frequent complications. We conducted a retrospective cohort study at 2 level 2 and 1 level 1 trauma center in a single trauma region in the Netherlands. The study variables were collected from the electronic medical patient records; all ankle fractures were classified using the Lauge-Hansen classification, and the complications were recorded. A total of 989 patients were included from 3 hospitals, with 173 complications in 156 patients (15...
July 10, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/30003805/extra-articular-medial-impression-fracture-of-the-talus-a-previously-undescribed-injury
#11
Olivier Wijers, Rosa C Looijen, Jens A Halm, Tim Schepers
BACKGROUND: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. METHODS: This study includes a retrospective case series of patients with an extra-articular medial impression fracture of the talus...
July 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/30002787/insufficiency-fractures-a-rare-cause-of-foot-and-ankle-pain-in-three-patients-with-rheumatoid-arthritis
#12
Katherine C L Hillyard, Shabnam Shabbir, Udawattage Nadeeka Sirisena, Maxine Hogarth, Ajay Sahu
Insufficiency fractures are recognized but rare complications in patients with longstanding rheumatoid arthritis. Such fractures are typically solitary and are rarely seen to affect the foot and ankle. We describe 3 women with longstanding rheumatoid arthritis, treated with one, or a combination of, corticosteroids, DMARDs and anti-TNF, presenting with foot and ankle pain with no prior history of trauma. MRIs showed rare multiple florid insufficiency fractures of the foot and ankle, in 2 cases bilaterally, which were managed conservatively...
August 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29992987/demographic-and-socioeconomic-factors-influencing-the-incidence-of-ankle-fractures-a-national-population-based-survey-of-512187-individuals
#13
Song Liu, Yanbin Zhu, Wei Chen, Lin Wang, Xiaolin Zhang, Yingze Zhang
This study aimed to investigate the population-based incidence rate of ankle fracture and associated risk factors in China. All the data on ankle fractures were available from the China National Fracture Survey (CNFS) conducted between January and May in 2015. All eligible household members were sampled from 8 provinces, 24 urban cities and 24 rural counties in China, using stratified random sampling and the probability proportional to size method. Questionnaires were sent to every participant for data collection and quality control was accomplished by our quality control team members...
July 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29992464/avulsion-fracture-of-the-distal-fibula-is-associated-with-recurrent-sprain-after-ankle-sprain-in-children
#14
Satoshi Yamaguchi, Ryuichiro Akagi, Seiji Kimura, Aya Sadamasu, Ryosuke Nakagawa, Yasunori Sato, Makoto Kamegaya, Takahisa Sasho, Seiji Ohtori
PURPOSE: The purpose of this study was to clarify radiographic and clinical outcomes, as well as their association, of ankle sprain in children. METHODS: Patients who sustained a first-time ankle sprain were prospectively surveyed. Patients underwent radiography of the ankle in the mortise, lateral, anterior talofibular ligament (ATFL), and calcaneofibular ligament views at the first clinic visit to assess avulsion fractures of the distal fibula. Patients with avulsion fractures underwent radiography after 8 weeks to assess bone union...
July 10, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29991286/comparison-of-2-octyl-cyanoacrylate-topical-skin-adhesive-and-simple-interrupted-nylon-sutures-for-wound-closure-in-ankle-fracture-surgery
#15
Young Hwan Park, Jong Hyub Song, Gi Won Choi, Hak Jun Kim
BACKGROUND: Multiple options are available for closure of incisions in ankle fracture surgery. The aim of our study was to compare postoperative outcomes between conventional simple interrupted nylon sutures and 2-octyl cyanoacrylate as a topical skin adhesive to close the incision after ankle fracture surgery. METHODS: We retrospectively reviewed the records of 367 consecutive patients (174 simple interrupted nylon suture patients and 193 topical skin adhesive patients) who underwent operative treatment for ankle fracture between 2010 and 2015...
July 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29987644/management-of-pediatric-ankle-fractures
#16
REVIEW
Z Deniz Olgun, Stephanie Maestre
PURPOSE OF REVIEW: Summarize classic and recent information regarding the unique subset of ankle fractures in children with open growth plates and share the authors' decision-making and surgical techniques. RECENT FINDINGS: Recent research on pediatric ankle fractures has centered on the accurate prediction and prevention of growth arrest following fractures of the distal tibia. Another source of discussion is the necessity and benefit of CT scanning in classification and treatment approach...
July 9, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29985908/ankle-spanning-external-fixator-application
#17
Christopher M McAndrew, William M Ricci, Anna N Miller, Matthew C Avery
A 2-stage approach to treatment of tibia pilon fractures was reported in the 1990s and popularized over the ensuing decade to help avoid catastrophic soft-tissue complications experienced with one-stage open reduction and internal fixation. This approach can be expanded to the treatment of other high-energy injuries of the hind foot, with variation in external fixator application as needed. Key factors to maximize the utility and decrease complications of the external fixation stage include the following: (1) anatomic reduction of the talus under the long axis of the tibia in the coronal and sagittal planes, (2) strategic application of Schantz pins to resist deforming forces resulting from the injury, and (3) external fixation outside the zone of injury and definitive surgical treatment...
August 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29985907/surgical-technique-achieving-anatomic-alignment-with-temporizing-ankle-spanning-external-fixation
#18
Tomas Liskutin, Mitchell Bernstein, Hobie Summers, William Lack
INTRODUCTION: Severe injuries to the ankle frequently result in soft tissue trauma too severe to proceed with immediate definitive fixation. Additionally, patients with multiple or vascular injuries may need a temporizing measure before undergoing definitive treatment. Temporizing, ankle-spanning external fixation offers a management strategy that allows for soft tissue rest and prioritized treatment of patients with polytrauma. METHODS: The video demonstrates 2 clinical cases managed with temporizing, ankle-spanning external fixation: a pilon fracture and a bimalleolar ankle fracture-dislocation...
August 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29982979/is-there-a-need-for-standardized-postoperative-radiographs-after-operative-treatment-of-wrist-or-ankle-fractures
#19
Florian Oehme, Björn Christian Link, Herman Frima, Tim Schepers, Steven J Rhemrev, Reto Babst, Frank J P Beeres
PURPOSE: The purpose of this study was to evaluate the frequency of changes in treatment plan due to standardized postoperative radiographs. A secondary aim was to compare our results with a national benchmark. METHODS: This is a single-center retrospective case series of 167 consecutive patients, operated with open reduction and internal fixation (ORIF) for distal radius or ankle fractures in 2014. Changes in the treatment protocol were defined as additional CT-imaging, reoperation or other changes as stated in the postoperative instructions...
July 7, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29975292/what-s-new-in-pediatric-orthopaedic-trauma-the-lower-extremity
#20
Kathleen D Rickert, Pooya Hosseinzadeh, Eric W Edmonds
BACKGROUND: Skeletal trauma is a primary tenet of pediatric orthopaedics. Many high-quality studies have been published over the last few years with substantial relevance to the clinical practice of pediatric orthopaedic trauma. Because of the volume of literature on the subject, this review excludes upper extremity trauma and focuses on the publications affecting the lower extremity. METHODS: An electronic search of the PubMed database was performed utilizing keywords for pediatric lower extremity trauma: pelvic injuries, femur fractures, tibial shaft fractures, femur fractures, ankle fractures, and foot fractures...
July 2, 2018: Journal of Pediatric Orthopedics
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