keyword
https://read.qxmd.com/read/38513374/ten-year-outcomes-after-non-fixation-of-the-smaller-posterior-malleolar-fragment-a-retrospective-cohort-study
#1
JOURNAL ARTICLE
Leo Swee Liang Chong, MohammadAli Khademi, Kundam Murali Reddy, Geoffrey Hunter Anderson
INTRODUCTION: Treatment of posterior malleolar (PM) ankle fractures remains controversial. Despite increasing recommendation for small PM fragment fixation, high quality evidence demonstrating improved clinical outcomes over the unfixated PM is limited. We describe the long term clinical and radiographical outcomes in younger adult patients with PM ankle fractures managed without PM fragment fixation. MATERIAL AND METHODS: A retrospective cohort study was performed on PM ankle fracture patients aged 18-55 years old admitted under our orthopaedic unit between 1st of April 2009 and 31st of October 2013...
March 12, 2024: Foot
https://read.qxmd.com/read/38505346/operative-treatment-results-of-posterior-malleolar-fractures-in-trimalleolar-fractures-with-screw-fixation-and-plate-fixation-short-term-results
#2
JOURNAL ARTICLE
Mehdi Teimouri, Hossein Akbari Aghdam, Reza Alipoor, Sahar Sadat Lalehzar
BACKGROUND: Ankle fractures are among the most common lower limb fractures. There is no agreement about the best treatment for these fractures. This study compared the short-term results of screw and plate fixation methods. METHODS: In this prospective study, 32 patients that underwent screw fixation for posterior malleolar fracture and 32 patients that underwent plate fixation for posterior malleolar fracture were assessed 1, 3, and 6 months after surgery. RESULTS: The mean age in group 1 (screw fixation) and group 2 (plate fixation) was 32...
2024: International Journal of Burns and Trauma
https://read.qxmd.com/read/38501715/temporary-cast-application-in-dislocated-ankle-fractures-leads-to-high-rates-of-secondary-loss-of-reduction-does-the-lauge-hansen-injury-type-matter
#3
JOURNAL ARTICLE
Eric Mandelka, Bernhard Arya Wikanardi, Nils Beisemann, Paul Alfred Gruetzner, Jochen Franke, Sven Yves Vetter
BACKGROUND: For the temporary treatment of ankle fracture dislocations (AFDs), previous studies indicate higher rates of secondary loss of reduction (LOR) with splint immobilization, prompting consideration for expanding indications for external fixation (ExFix). However, these studies did not investigate the influence of fracture morphology to further improve patient selection. The aim of this study was to investigate the influence of Lauge-Hansen injury type on the LOR rate in bimalleolar or trimalleolar AFDs for temporary cast vs ExFix immobilization...
March 19, 2024: Foot & Ankle International
https://read.qxmd.com/read/38493798/insights-into-optimal-surgical-fixation-for-posterior-malleolar-fractures
#4
JOURNAL ARTICLE
Yu-Cheng Su, Ying-Yu Wang, Ching-Ju Fang, Yu-Kang Tu, Chih-Wei Chang, Fa-Chuan Kuan, Kai-Lan Hsu, Chien-An Shih
AIMS: The optimal management of posterior malleolar ankle fractures, a prevalent type of ankle trauma, is essential for improved prognosis. However, there remains a debate over the most effective surgical approach, particularly between screw and plate fixation methods. This study aims to investigate the differences in outcomes associated with these fixation techniques. METHODS: We conducted a comprehensive review of clinical trials comparing anteroposterior (A-P) screws, posteroanterior (P-A) screws, and plate fixation...
March 18, 2024: Bone & joint open
https://read.qxmd.com/read/38477186/tarsals-from-the-sima-de-los-huesos-middle-pleistocene-site-atapuerca-burgos-spain
#5
JOURNAL ARTICLE
Adrián Pablos, Juan Luis Arsuaga
Here, we provide a complete, updated, and illustrated inventory, as well as a comprehensive study, of the tarsals (rearfoot) recovered from the Middle Pleistocene site of Sima de los Huesos (SH, Atapuerca, Spain) in comparison to other Homo comparative samples, both extant and fossil. The minimum number of individuals (MNI) estimated from the tarsals has been established as 15, which represents 51.7% of the 29 dental individuals identified within the SH sample. Within the SH hominin foot sample, an exclusive combination of primitive or plesiomorphic and derived or autapomorphic traits can be observed when compared with other Homo individuals/populations...
March 13, 2024: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://read.qxmd.com/read/38476677/a-systematic-review-of-posterior-pilon-variant-fractures
#6
REVIEW
Eric M Lassiter, Kevin J Brown, Devon Patel, Addison Sparks, Jiayong Liu, Osama Elattar
Posterior pilon variant ankle fractures (PPVF) are a unique subtype of posterior malleolar fractures which have been a source of controversy and confusion in recent years. There has not been a thorough literature review previously written on the topic. Database searches of PubMed and Embase were conducted from inception until June 2023. The key words included "pilon variant," "posterior pilon variant," and "posterior pilon" fractures. Outcomes were evaluated by union time, rates of delayed union, nonunion, malunion, and complication...
July 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38463402/can-anatomical-differences-contribute-to-the-etiology-of-danis-weber-type-b-lateral-malleolus-fractures
#7
JOURNAL ARTICLE
Kubilay Ugurcan Ceritoglu, Murat Danisman
Introduction Lateral malleolus fractures are among the most common ankle fractures, but the anatomical factors that may predispose individuals to this specific type of fracture are not fully understood. This study aims to explore whether distinct anatomical characteristics of the ankle joint contribute to an increased susceptibility to lateral malleolar fractures. Methods A retrospective analysis was conducted on 73 patients diagnosed with isolated lateral malleolar fractures between 2020 and 2023. An array of radiologic parameters, including distal tibial articular surface (DTAS) angle, bimalleolar tilt (BMT), medial malleolar length (MML), lateral malleolar length (LML), medial malleolar relative length (MMRL), lateral malleolar relative length (LMRL), medial malleolar slip angle (MMSA), talocrural angle (TCA), anterior inclination of the tibia (AI), and fibular position (FP), were meticulously measured on anteroposterior and lateral ankle radiographs for each study participant...
March 2024: Curēus
https://read.qxmd.com/read/38459674/retrospective-evaluation-of-postoperative-joint-immobilization-using-a-temporary-calcaneotibial-screw-for-medial-or-lateral-tarsocrural-joint-instability-in-dogs
#8
JOURNAL ARTICLE
Yuya Saitoh, Andrew J Worth, Hugh Hasselman, Sacha Devereux
OBJECTIVE: To evaluate the use of a temporary calcaneotibial screw (CTS) to immobilize medial or lateral tarsocrural joint instability (TCI) in dogs. STUDY DESIGN: Retrospective study. ANIMALS: Twelve dogs (including five active working farm dogs) with TCI. METHODS: Medical records (January 2015-June 2023) were retrospectively reviewed for cases of TCI managed surgically including temporary joint immobilization using a CTS and external coaptation...
March 8, 2024: Veterinary Surgery
https://read.qxmd.com/read/38459532/characterizing-patient-factors-perioperative-interventions-and-outcomes-associated-with-inpatients-falls-after-total-knee-arthroplasty
#9
JOURNAL ARTICLE
Kyle W Lawrence, Lauren Link, Patricia Lavin, Ran Schwarzkopf, Joshua C Rozell
INTRODUCTION: Mechanical falls represent a potential adverse event after total knee arthroplasty (TKA) and may introduce further injury and delay postoperative recovery. This study aimed to identify patient characteristics associated with inpatient falls, to determine the impact of inpatient falls on surgical outcomes following TKA, and to describe the relationship between tourniquet and/or adductor canal block (ACB) use and fall rates. METHODS: Patients undergoing primary, elective TKA at a single institution between 2018 and 2022 were retrospectively analyzed...
March 8, 2024: Knee Surgery & related Research
https://read.qxmd.com/read/38457916/operative-management-of-osteochondral-lesions-of-the-talus-2024-recommendations-of-the-working-group-clinical-tissue-regeneration-of-the-german-society-of-orthopedics-and-traumatology-dgou
#10
REVIEW
Markus Walther, Oliver Gottschalk, Matthias Aurich
The working group 'Clinical Tissue Regeneration' of the German Society of Orthopedics and Traumatology (DGOU) issues this paper with updating its guidelines. Literature was analyzed regarding different topics relevant to osteochondral lesions of the talus (OLT) treatment. This process concluded with a statement for each topic reflecting the best scientific evidence available with a grade of recommendation. All group members rated the statements to identify possible gaps between literature and current clinical practice...
March 5, 2024: EFORT Open Reviews
https://read.qxmd.com/read/38438101/effectiveness-of-concurrent-ankle-arthroscopy-during-open-reduction-and-internal-fixation-of-malleolar-fractures-in-prevention-of-common-short-term-complications
#11
JOURNAL ARTICLE
Naohiro Shibuya, Daniel C Jupiter
Rotational malleolar fractures result in a high prevalence of intra-articular pathologies; therefore, routine arthroscopic assessment may be beneficial in the surgical treatment of ankle fractures. However, the clinical studies regarding the effectiveness of arthroscopy thus far have mixed results. We investigated the efficacy of concurrent arthroscopy during the treatment of malleolar fractures using a large U.S. healthcare data set. Those who had arthroscopy were compared with those who did not, during the surgical treatment of malleolar fractures, while adjusting for covariates of clinical relevance...
March 2, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38431488/combined-vertical-and-external-rotational-force-in-plantarflexion-position-produces-posterior-pilon-fracture-a-preliminary-cadaveric-study
#12
JOURNAL ARTICLE
Genrui Zhu, Shengxuan Cao, Jun Zhu, Chengjie Yuan, Zhifeng Wang, Jiazhang Huang, Xin Ma, Xu Wang
BACKGROUND: Posterior pilon fracture is speculated to occur by a combination of rotation and axial load, which makes it different from rotational posterior malleolar fracture or pilon fracture, but is not validated in vitro. The aim of the current study is to investigate the injury mechanisms of posterior pilon fracture on cadaveric specimens. METHODS: Eighteen cadaveric specimens were mounted to a loading device to undergo solitary vertical loading, solitary external rotational loading, and combined vertical and external rotational loading until failure, in initial position of plantarflexion with or without varus...
February 24, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38429178/a-morphological-review-of-medial-malleolar-fractures-a-large-single-centre-series
#13
JOURNAL ARTICLE
Junaid Aamir, Robyn Caldwell, Sarah Long, Sachith Sreenivasan, Jason Mavrotas, Ayn Panesa, Shagilan Jeevaresan, Vasileios Lampridis, Lyndon Mason
BACKGROUND: Many approaches to management of medial malleolar fractures are described in the literature however, their morphology is under investigated. The aim of this study was to analyse the morphology of medial malleolar fractures to identify any association with medial malleolar fracture non-union or malunion. METHODS: Patients who had undergone surgical fixation of their MMF were identified from 2012 to 2022, using electronic patient records. Retrospective analysis of their preoperative, intraoperative, and postoperative radiographs was performed to determine their morphology and prevalence of non-union and malunion...
February 25, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38423931/ankle-fractures-with-chaput-fragment-a-new-classification-system-with-insights-into-morphology-and-relation-to-surgical-treatment
#14
JOURNAL ARTICLE
Sandeep Patel, Vishnu Baburaj, Siddhartha Sharma, Mandeep Singh Dhillon
BACKGROUND: The Chaput fragment, a bony avulsion of the anterolateral margin of the distal tibia, is a less commonly discussed fracture pattern in ankle injuries. Its significance in ankle fractures and the optimal fixation technique remains unclear due to limited literature. This study aims to describe the morphology of ankle fractures with Chaput fragment and introduce a new classification system. MATERIALS AND METHODS: We retrospectively analyzed 33 patients with ankle fractures with associated Chaput fragment treated at our institute over a 3-year period...
February 15, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38420522/patterns-of-ankle-fractures-based-on-radiographs-and-ct-images-of-1000-consecutive-patients
#15
JOURNAL ARTICLE
Amir Reza Vosoughi, Amir Human Hoveidaei, Zohreh Roozbehi, Seyed Majid Heydari Divkolaei, Somayeh Zare, Roham Borazjani
OBJECTIVES: The knowledge of different types of ankle fractures based on plain radiographs and computed tomography (CT) images can help improve patients' management. METHODS: This cross-sectional study assessed the plain radiographs and CT images of 1,000 consecutive patients observed in an emergency department between March 2015 and March 2020. Fractures were labeled as uni-, bi-, or trimalleolar. Malleolar fractures were classified into medial, lateral, and posterior ones based on Herscovici, Danis-Weber, and Mason and Molloy classifications, respectively...
2024: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/38414677/residual-medial-ankle-pain-after-the-delayed-union-of-a-lateral-malleolus-fracture-a-case-report
#16
Akinobu Minagawa, Tadashi Kimura, Nori Yamashita, Mitsuru Saito, Makoto Kubota
A 17-year-old girl sprained her left ankle and was diagnosed with a lateral malleolar fracture. She was treated conservatively for six months but had medial ankle pain with activity. Imaging revealed an oblique lateral malleolar fracture, with posterolateral displacement and partial fusion of the bone fragments, and bone marrow edema on the medial articular surface of the talus and medial malleolus. We diagnosed ankle instability due to delayed union with a displacement of the lateral malleolus, which caused an osteochondral lesion...
January 2024: Curēus
https://read.qxmd.com/read/38407969/long-term-clinical-and-radiographic-outcomes-following-surgical-treatment-for-ankle-fracture-dislocations-do-poor-radiographic-outcomes-always-matter
#17
JOURNAL ARTICLE
Tuna Pehlivanoglu, Mehmet Demirel, Daghan Koyuncu, Natiq Valiyev, Turgut Akgül, Onder Ismet Kilicoglu
Background Ankle fractures constitute 10% of all traumatic fractures in clinical practice. Concurrent tibiotalar dislocations form 21-36% of all ankle fractures. Although mechanism of injury is similar to non-dislocated ankle fractures, fracture-dislocations cause more extensive bone and soft tissue damage. Treatment is a challenge for orthopedic surgeons due to concomitant pathologies. It is associated with malreduction, chronic pain and most importantly, posttraumatic osteoarthritis. We aimed to investigate the relationship between ankle osteoarthritis radiographic stage and clinical outcomes...
February 26, 2024: Journal of the American Podiatric Medical Association
https://read.qxmd.com/read/38389195/joint-preserving-osteotomy-of-the-lateral-tibial-plafond-for-posttraumatic-osteonecrosis-a-prospective-cohort-study
#18
JOURNAL ARTICLE
Stefan Rammelt, Eric Jörg Walther
BACKGROUND: Posttraumatic osteonecrosis (ON) of the lateral distal tibia is a rare but severe complication of malleolar fractures. Treatment options include ankle fusion, arthroplasty, osteotomy, and drilling but clinical data on outcomes are limited to single case reports. The aim of this study was to prospectively evaluate the outcome following joint-preserving reconstruction. METHODS: Over a 10-year period, 10 patients (8 females and 2 males, average age 36 years; range, 27-68 years) with posttraumatic ON were treated with intra-articular osteotomy of the distal tibia and bone grafting...
February 22, 2024: Foot & Ankle International
https://read.qxmd.com/read/38380168/acupuncture-as-a-complementary-treatment-for-leg-ulcers-in-sickle-cell-disease
#19
Bruno Deltreggia Benites, Heloise Ciol, Sara Teresinha Olalla Saad, Rogerio Oliva Suguitani
BACKGROUND: Sickle-cell diseases (SCD) are a group of hereditary disorders in which a specific mutation in the gene that encodes the hemoglobin ß chain leads to formation of an anomalous hemoglobin molecule (HbS) with high polymerization power. This leads to sickling of erythrocytes in situations of low oxygen tension, such as in microcirculation, resulting in peripheral microvasculature occlusion, chronic hemolysis, inflammation, and damage to several target organs. Malleolar ulcers are among the most-debilitating complications of the disease, as they are associated with significant pain, secondary infections, and social impact due to their aesthetic impairment...
February 1, 2024: Medical Acupuncture
https://read.qxmd.com/read/38357324/reliability-of-preoperative-ct-and-intraoperative-manual-tests-in-syndesmosis-injury
#20
JOURNAL ARTICLE
Emre Kaya, Zeki Tasdemir, Ozgur Erdogan, Furkan Akbas
OBJECTIVE: We always confirm the diagnosis of syndesmotic injury with a Hook test for all ankle fractures and fixed if necessary. Then, we noticed a discrepancy between preoperative radiology and the Hook test. Moreover, we want to report the reliability of syndesmotic fixation decisions with Hook test and preoperative radiology. METHODS: A total of 37 surgically treated patients with isolated Weber type C ankle fractures were included in the study. In all patients, the syndesmosis joint was injured in preoperative computed tomography and X-ray imaging...
2024: Northern Clinics of Istanbul
keyword
keyword
39551
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.