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Ankle fractures

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24 papers 100 to 500 followers Ankle fractures acute, treatments, and longterm outcomes. Also included is ankle arthritis treatment as that usually needs addressing down the line.
By Alex McKanna Podiatry Resident @ Franciscan Alliance/MWU based in Dyer, IN USA
Keith P Minihane, Chris Lee, Chulhyun Ahn, Li-Qun Zhang, Bradley R Merk
OBJECTIVES: The purpose of this study was to compare the biomechanical properties of posterolateral antiglide plating and lateral locked plating for fixation of displaced short oblique fractures of the fibula in osteoporotic bone. METHODS: Short oblique fractures of the distal fibula at the level of the syndesmosis were simulated with a fibular osteotomy and ligamentous sectioning in 18 paired fresh frozen ankles. The fractures were fixed with either a lateral locking plate with an independent lag screw or a posterolateral antiglide plate with a lag screw through the plate...
September 2006: Journal of Orthopaedic Trauma
Konrad Sebastian Wronka, Hatem Salama, Balasundaram Ramesh
BACKGROUND: Ankle fractures in the elderly with osteoporotic bones are often difficult to manage. It is debatable whether we should treat such fractures conservatively, surgically, or even plan primary arthrodesis. Furthermore, there is a risk of difficult or failed fixation. MATERIAL AND METHODS: The study was a retrospective evaluation of the management and follow up of 126 patients presenting with displaced ankle fracture between 2001 and 2007. All patients were over 60 years old at the time of injury...
May 2011: Ortopedia, Traumatologia, Rehabilitacja
Vinod K Panchbhavi, Santaram Vallurupalli, Randal Morris
BACKGROUND: Internal fixation of osteoporotic ankle fractures is associated with failure of fixation. This study compared different augmentation methods biomechanically. MATERIALS AND METHODS: In nine paired fresh-frozen cadaver legs, an identical supination-external rotation type II ankle fracture was created. Fractures were stabilized using an eight-hole locking plate. In four pairs, two screws were inserted across the syndesmosis for purchase in the tibial metaphysis...
July 2009: Foot & Ankle International
Aaron W Stevenson, Abhay D Gahukamble, Georgia Antoniou, Bradley Pool, Leanne M Sutherland, Peter Cundy
PURPOSE: Waterproof casts have been shown to provide adequate support and immobilization in fractures. This study evaluated two waterproof cast liners, namely, Wet or Dry(®) and Delta Dry(®), in terms of ease of application/removal, durability, longevity, and patient satisfaction using patient- and technician-reported outcome measures. METHODS: A total of 105 children were enrolled in a randomized trial and received a below-elbow synthetic cast with either of the two cast liners...
March 2013: Journal of Children's Orthopaedics
Janyarak Suriyuth, Kittikun Viwatpinyo, Chanakarn Phornphutkul, Pasuk Mahakkanukrauh
BACKGROUND: The deep peroneal nerve innervates muscles of the anterior leg compartment and the dorsum of the foot, and also receives sensation from the first interdigital cleft of the foot. Along its course in lower part of the leg, this nerve is very close to the anterolateral surface of the tibia and might be vulnerable to injury in fractures of the tibia or during surgery. OBJECTIVE: The objective of this study is to clarify the relationship between the deep peroneal nerve and anterolateral surface of tibia...
February 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Tae-Keun Ahn, Young Yi, Jae-Ho Cho, Woo-Chun Lee
BACKGROUND: Although the supramalleolar osteotomy can shift the weight-bearing axis laterally, it cannot reconstruct a widened ankle mortise caused by progression of medial ankle osteoarthritis. The aim of this study was to evaluate radiographic and clinical outcomes of distal tibial osteotomy without fibular osteotomy in patients with medial ankle osteoarthritis and mortise widening. METHODS: Distal tibial osteotomy without fibular osteotomy was performed in eighteen patients to treat medial ankle osteoarthritis with mortise widening...
March 4, 2015: Journal of Bone and Joint Surgery. American Volume
Mehmet Nuri Erdem, H Yener Erken, Halil Burc, Gursel Saka, Mehmet Fatih Korkmaz, Mehmet Aydogan
BACKGROUND: The goal of this study was to report the results of selective open reduction and internal fixation of fractures of the posterior malleolus with a posterolateral approach and to compare the results of the 2 techniques. METHODS: We prospectively evaluated 40 patients who underwent posterior malleolar fracture fixation between 2008 and 2012. The patients were treated with a posterolateral approach. We assigned alternating patients to receive plate fixation and the next screw fixation, consecutively, based on the order in which they presented to our institution...
October 2014: Foot & Ankle International
Craig Clifford, Scott Berg, Kevin McCann, Byron Hutchinson
The purpose of the present study was to compare the primary bending stiffness characteristics of 5 different ankle arthrodesis fixation techniques: 3 compression screws, an anterior locking plate, a lateral locking plate, an anterior locking plate with a compression screw, and a lateral locking plate with a compression screw. A total of 25 full-scale anatomic models consisting of fourth-generation composite tibiae and tali were tested using an Instron 4505 Universal Testing System. We hypothesized that the use of a compression screw with a locking plate would add considerable stiffness to the fixation construct compared with the use of a locking plate alone...
March 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Kyle S Peterson, W Drew Chapman, Christopher F Hyer, Gregory C Berlet
BACKGROUND: Malreduction of the syndesmosis can lead to increased peak pressures and subsequent arthritis. The purpose of this study was to evaluate the initial syndesmotic reduction and radiographic maintenance when using a knotless suture button fixation device for treatment of syndesmotic injury. METHODS: A retrospective chart and radiographic review was performed to identify patients who underwent open reduction internal fixation of ankle syndesmosis ruptures treated with a knotless, suture button fixation system...
June 2015: Foot & Ankle International
Franceska Zampeli, Dimitrios Giotis, Georgios Mantellos, Paraskevi Kosta, Anastasios D Georgoulis
Intra-articular post-traumatic ankle joint mass is a rare entity that may mimic other pathologies, mainly localized form of pigmented villonodular synovitis (LPVS) regarding the clinical and imaging characteristics. We report the case of a 16-year-old female patient that presented an intra-articular ankle joint mass 8 months after an ankle joint sprain for which magnetic resonance imaging (MRI) suggested LPVS as possible diagnosis due to the presence of hemosiderin deposits. Diagnosis of a post-traumatic hematoma of her ankle joint was made via fine needle aspiration (FNA) biopsy and anterior ankle arthroscopy...
March 2015: Foot
Gohar A Naqvi, Patricia Cunningham, Bernadette Lynch, Rose Galvin, Nasir Awan
BACKGROUND: Ankle syndesmotic injuries are complex and require anatomic reduction and fixation to restore the normal biomechanics of the ankle joint and prevent long-term complications. PURPOSE: The aim of this study is to compare the accuracy and maintenance of syndesmotic reduction using TightRope versus syndesmotic screw fixation. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: This cohort study included consecutive patients treated for ankle syndesmotic diastases between July 2007 and June 2009...
December 2012: American Journal of Sports Medicine
Meghan Arnold, Adrian Barbul
The relationship between nutrition and wound healing--after injury or surgical intervention--has been recognized for centuries. There is no doubt that adequate carbohydrate, fat, and protein intake is required for healing to take place, but research in the laboratory has suggested that other specific nutritional interventions can have significant beneficial effects on wound healing. Successful translation into the clinical arena, however, has been rare. A review of normal metabolism as it relates to wound healing in normoglycemic and diabetic individuals is presented...
June 2006: Plastic and Reconstructive Surgery
Rachel Y Goldstein, Nicole Montero, Sudheer K Jain, Kenneth A Egol, Nirmal C Tejwani
OBJECTIVES: To compare postoperative pain control in patients treated surgically for ankle fractures who receive popliteal blocks with those who received general anesthesia alone. DESIGN: Institutional Review Board approved prospective randomized study. SETTING: Metropolitan tertiary-care referral center. PATIENTS: All patients being treated with open reduction internal fixation for ankle fractures who met inclusion criteria and consented to participate were enrolled...
October 2012: Journal of Orthopaedic Trauma
Naoki Haraguchi, Koki Ota, Naoya Tsunoda, Koji Seike, Yoshihiko Kanetake, Atsushi Tsutaya
BACKGROUND: We determined the preoperative and postoperative passing points of the mechanical axis of the lower limb at the level of the tibial plafond using a new method involving a full-length standing posteroanterior radiograph that includes the calcaneus (a hip-to-calcaneus radiograph) and correlated them to the clinical results after supramalleolar osteotomy for ankle osteoarthritis. METHODS: We reviewed the hip-to-calcaneus radiographs of fifty lower limbs of forty-one patients treated for lower limb malalignment at our institution...
February 18, 2015: Journal of Bone and Joint Surgery. American Volume
Stephen Croft, Andrew Furey, Craig Stone, Carl Moores, Robert Wilson
BACKGROUND: Radiographic measurements to document ankle anatomy have been suggested in recent literature to be inadequate. Focus has been put on stress views and computed tomography; however, there are also issues with these modalities. An orthogonal view that could be used both statically and dynamically could help determine syndesmotic stability. The purpose of this study was to determine a parameter on a normal lateral ankle radiograph that will increase the reliability of standard radiography in diagnosing syndesmotic integrity...
February 2015: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Simo Nortunen, Sannamari Lepojärvi, Olli Savola, Jaakko Niinimäki, Pasi Ohtonen, Tapio Flinkkilä, Iikka Lantto, Tero Kortekangas, Harri Pakarinen
BACKGROUND: This prospective diagnostic study assessed the utility of MRI (magnetic resonance imaging) findings for the deep aspect of the deltoid ligament in evaluating the stability of the ankle mortise in patients who have an SER (supination-external rotation)-type lateral malleolar fracture with no widening of the medial clear space. METHODS: Sixty-one patients with a unilateral lateral malleolar fracture resulting from an SER mechanism were enrolled. Two surgeons assessed the stability of the ankle mortise with use of an external-rotation stress test...
November 19, 2014: Journal of Bone and Joint Surgery. American Volume
Paul E Matuszewski, Derek Dombroski, J Todd R Lawrence, John L Esterhai, Samir Mehta
OBJECTIVES: We hypothesized that the method of stress external rotation more accurately reproduces the mechanism of injury, and therefore this diagnostic method more likely detects ankle instability than the fibular stress examination. DESIGN: Prospective cohort comparison study. SETTING: Level 1 trauma center. PATIENTS: Twenty-eight consecutive patients with unstable ankle fractures presenting within 7 days from the time of injury...
April 2015: Journal of Orthopaedic Trauma
Tero Kortekangas, Tapio Flinkkilä, Jaakko Niinimäki, Sannamari Lepojärvi, Pasi Ohtonen, Olli Savola, Harri Pakarinen
BACKGROUND: Syndesmosis fixation of Lauge-Hansen SER IV, Weber B ankle fractures is controversial. This study compared a matched pair of SER IV patients with stress proven syndesmotic injuries with the same number without stress proven syndesmotic injury in terms of functional, pain, and radiologic result. METHODS: The study was based on a RCT-study comparing syndesmotic transfixation to no fixation in SER IV (Weber B)-type ankle fractures. Twenty-four patients with a syndesmosis injury found on the intraoperative 7...
February 2015: Foot & Ankle International
Scott E Sexton
Open fractures of the lower extremity cover a wide gamut of injuries ranging from the mangled, pulseless leg necessitating amputation to the more innocuous pinhole open wounds associated with simple fracture patterns. Prompt diagnosis and appropriate care can make a dramatic difference in decreasing complication rates and improving ultimate outcomes. Principles of management of open fractures have been created with the main goal of decreasing infection rates, while providing for stabilization of the bone and soft tissue injury...
October 2014: Clinics in Podiatric Medicine and Surgery
Olga Gonzalez, Justin J Fleming, Andrew J Meyr
The anatomy of the posterior tibial malleolus plays an important role in the structure and function of the ankle mortise. With specific respect to ankle fractures, the presence, size, and displacement of posterior malleolar fractures (Volkmann's fracture) helps determine which will be amendable to operative fixation. The objective of the present study was to increase the body of knowledge with respect to the ability of foot and ankle reconstructive surgeons to assess posterior malleolar ankle fractures using plain film radiography...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
2014-12-05 03:30:02
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