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Medial malleolus orif

Daniel J Fuchs, Bryant S Ho, Mark W LaBelle, Armen S Kelikian
BACKGROUND: Following open reduction internal fixation (ORIF) of unstable ankle fractures, some patients have persistent pain and poor outcomes. This may be secondary to intra-articular injuries that occur at the time of fracture, which occur in up to 88% of fractures. Ankle arthroscopy at the time of ORIF has been proposed to address these intra-articular injuries. This study compared patient-reported functional outcomes in patients who underwent ankle ORIF with and without ankle arthroscopy...
January 2016: Foot & Ankle International
Shyler L DeMill, Bradly W Bussewitz, Terrence M Philbin
UNLABELLED: The management of ankle fractures with open reduction and internal fixation (ORIF) has been a proven method to help prevent deformity and posttraumatic arthritis. The incidence of continued ankle pain due to retained hardware after ORIF of ankle fractures has been documented. The goal of this study was to determine if the starting point for medial malleolus screw placement is associated with posterior tibial tendon (PTT) damage when performing ORIF of the medial malleolus...
October 2015: Foot & Ankle Specialist
Allison M Hunter, Christopher Bowlin
The present case report demonstrates a rare finding associated with irreducible ankle fracture dislocations. To our knowledge, posterior tibial tendon entrapment with an intact ankle mortise has not yet been documented in published studies. In the case of our patient, a high-energy, 12-ft fall resulted in a comminuted intra-articular fracture of the medial malleolus, confirmed by the initial radiographs. Preoperative magnetic resonance imaging showed the Achilles tendon to be ruptured and the posterior tibial tendon to be both displaced and entrapped between the medial malleolar fracture fragments, preventing initial closed reduction...
January 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Val Irion, Timothy L Miller, Christopher C Kaeding
CONTEXT: The medial malleolus is considered a high-risk stress fracture and can be debilitating to the highly active or athletic populations. A range of treatment methods have been described with varying outcomes. Currently, there is no gold standard treatment option with optimal results described. OBJECTIVE: A systematic search of the literature to determine treatment options and outcomes in medial malleolus stress fractures. DATA SOURCES: OVID/Medline, EMBASE, and the Cochrane Library from 1950 to September 2013...
November 2014: Sports Health
Richard M Hinds, Wesley H Tran, Dean G Lorich
Maisonneuve fractures are rare ankle injuries, accounting for up to 7% of all ankle fractures. They consist of a proximal third fibula fracture, syndesmotic disruption, and medial ankle injury (either a deltoid ligament disruption or a medial malleolus fracture), and are often successfully managed with nonoperative treatment of the proximal fibula fracture and open reduction and internal fixation (ORIF) of the medial ankle injury and syndesmotic disruption. The hyperplantarflexion variant ankle fracture comprises approximately 7% of all ankle fractures and features dual posterior tibial lip fractures featuring a posterolateral fragment and a posteromedial fragment...
November 2014: Orthopedics
Christopher R Jones, James A Nunley
OBJECTIVES: To compare the outcomes of bimalleolar equivalent ankle fractures treated with lateral malleolus open reduction and internal fixation (ORIF) with transsyndesmotic fixation versus lateral malleolus ORIF with deltoid ligament repair. DESIGN: Retrospective design. SETTING: Single level I trauma center. PATIENTS/PARTICIPANTS: Subjects with bimalleolar equivalent ankle fractures were eligible for enrollment. Patients with posterior or medial malleolar fractures and age <16 years were excluded...
May 2015: Journal of Orthopaedic Trauma
Eric F Swart, J Turner Vosseller
INTRODUCTION: Ankle fractures treated with open reduction internal fixation are fixed in an effort to reestablish anatomic bony alignment and avoid a malunion, thereby diminishing the risk of post-traumatic arthritis. For a medial malleolar fracture, an articular step-off is likely more related to the risk of post-traumatic arthritis than is a cortical step-off. However, the external cortical alignment is often used to judge the adequacy of reduction, as the articular component of the fracture is not as readily visualized...
September 2014: Archives of Orthopaedic and Trauma Surgery
David A Porter, Benjamin D May, Timothy Berney
BACKGROUND: No reports describe the outcome for distal fibula and tibia fractures in athletes, although 10 to 15% of all athletic injuries occur around the ankle joint. MATERIALS AND METHODS: Forty-seven competitive or recreational athletes with ankle fractures underwent open reduction and internal fixation (ORIF). Thirty-six met the inclusion criteria, of which 27 returned for clinical and radiographic exams and also completed validated surveys and a subjective questionnaire...
September 2008: Foot & Ankle International
Christian J P Simanski, Marc G Maegele, Rolf Lefering, Dirk M Lehnen, Nadine Kawel, Peter Riess, Nedim Yücel, Thomas Tiling, Bertil Bouillon
OBJECTIVE: Postoperative care for ankle fractures is generally 1 of 2 regimens: 1) functional treatment combined with early weightbearing (EWB), or 2) immobilization in a cast/orthosis for 6 weeks without weightbearing (6WC). The objective of this study was 2-fold: 1) to follow a prospective group treated with EWB as to long-term subjective and objective outcomes, and 2) to compare a subset of this group with a matched group of historic controls treated with 6WC. DESIGN: Prospective, clinical, cohort observation, and retrospective matched pair analysis...
February 2006: Journal of Orthopaedic Trauma
J Stehlík, J Stulík
PURPOSE OF THE STUDY: The treatment of dislocated intraarticular fractures of calcaneus is still an unsolved chapter of traumatology. Our own poor long-term results of a purely conservative procedure has led us to develop a combined method of a direct and indirect reduction of calcaneus with the subsequent stabilization which we have been using since 1994. The basic principle of the method consists in the combination of a direct reduction of dislocated fragments of articular surfaces and indirect of calcaneus as a whole with the subsequent transfixation of calcaneus by K-wires...
2002: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Yan Wang, Manyi Wang, Xieyuan Jiang, Yong Wu, Ming Xie
OBJECTIVE: To summarize the experience in treating talar neck fractures. METHODS: 89 patients with talar neck fracture were followed up, and classified by modified Hawkin's classification. Three patients of type I were treated with plastic cast and K-wire, 53 of type II with open reduction and internal fixation (ORIF), close reduction and plaster, fusion, and 29 of type III and 4 of type IV with joint fusion and ORIF. RESULTS: Mean follow-up was 5...
May 2002: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
J Richter, W Schulze, G Muhr
In German literature, ankle joint fractures are mostly classified in three groups according to Weber. In cases of the type A, the fracture line runs below, in cases of type B at height of the syndesmotic ligaments. C-type fractures are typically seen above this region. However, this practical and simple classification allows no inferences at accompanying injuries which in turn influence the functional outcome. We observed isolated fractures of the lateral malleolus in more than 60% of all type B-fractures, as soon as in the majority the type A-fractures...
June 1999: Der Orthopäde
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