keyword
https://read.qxmd.com/read/38663821/postoperative-stability-in-displaced-ankle-fractures-with-concomitant-ligamentous-injuries
#1
JOURNAL ARTICLE
Ji Hye Choi, Yoon Hyo Choi, Jung Geul Kim, Seungbum Koo, Kyoung Min Lee
Ankle instability, which can be attributed to either the deltoid or lateral ligamentous complex, may be both a cause and a consequence of ankle fractures. This study aimed to assess postoperative ankle instability in patients with displaced ankle fractures. A total of 54 patients with displaced ankle fractures were included. Malleolar fractures were surgically reduced and fixated, and if necessary, the syndesmosis was stabilized. Concomitant deltoid injuries were left unrepaired. Ankle stress radiographs were taken approximately 25...
April 22, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38657283/historic-indications-for-fixation-of-posterior-malleolus-fractures-where-did-they-come-from-and-where-are-we-now
#2
REVIEW
Anastasia A Hunt, Clayton Maschhoff, Noelle Van Rysselberghe, Christian A Gonzalez, Henry Goodnough, Michael Gardner, Julius A Bishop
INTRODUCTION: The indications for reduction and fixation of the posterior malleolus component of rotational ankle fractures have been controversial for nearly a century. This study aims to identify the historical basis for surgical intervention and trace trends in management strategies over time. METHODS: In March 2023, a systematic review of full-text, English-language articles providing indications for surgical fixation of the posterior malleolus component of rotational ankle fractures was performed...
April 6, 2024: Injury
https://read.qxmd.com/read/38649479/the-role-of-computed-tomography-with-external-rotation-and-dorsiflexion-in-decision-making-for-acute-isolated-non-displaced-posterior-malleolar-fractures-barton%C3%A3-%C3%A4-ek-and-rammelt-type-ii-a-prospective-study
#3
JOURNAL ARTICLE
Alexandre Leme Godoy-Santos, Joao Carlos Rodrigues, Durval Barros-Santos, Cesar de Cesar Netto, Nacime Salomao Barbachan Mansur, Kepler Alencar Mendes de Carvalho, Vincenzo Giordano, Stefan Rammelt
PURPOSE: Our objective was to evaluate the syndesmotic and fracture instability using conventional ankle computed tomography (CT) with stress maneuvers. METHODS: A consecutive sample of 123 individuals with an ankle sprain was assessed for eligibility. In total, 33 patients met the inclusion criteria. All patients underwent a magnetic resonance imaging (MRI) and CT scan with stress maneuvers (CTSM). The patterns of ligament tears f were classified using West Point grades I, IIA, IIB, III...
April 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38634870/-current-diagnostics-and-treatment-of-ankle-sprains-in-german
#4
JOURNAL ARTICLE
Philipp Lichte, Christian Weber, Michael Otto, Felix Bläsius, Natalia Gutteck, Frank Hildebrand, Dariusch Arbab
BACKGROUND: Ankle sprains are one of the most frequent injuries of the musculoskeletal system. The injury pattern determines the treatment and are crucial for the outcome. Nonoperative treatment is commonly recommended for isolated injuries of the lateral ligaments but no standard strategy exists in combined ankle ligament injuries. The goal of this national survey was to achieve an overview about the current diagnostic strategies and common treatment concepts in Germany. MATERIAL AND METHODS: All members of the German Society for Orthopaedics and Trauma Surgery (DGOU) were invited to participate in an anonymous survey about the diagnostic and therapeutic approach in cases of ankle sprains...
April 18, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38577516/unveiling-syndesmotic-malreduction-a-proof-of-concept-towards-portable-ultrasound-detection
#5
JOURNAL ARTICLE
Samir Ghandour, Atta Taseh, Siddhartha Sharma, Matthias Peiffer, Bedri Karaismailoglu, Soheil Ashkani Esfahani, Gregory Waryasz, Daniel Guss
OBJECTIVES: To evaluate the utility and diagnostic performance of portable handheld ultrasound for evaluating fibular rotation at the distal tibiofibular articulation after syndesmotic disruption. METHODS: Four above-the-knee cadaveric specimens were included. Syndesmotic disruption was precipitated by transecting the Anterior Inferior Tibiofibular Ligament, Interosseous Ligament, and Posterior Inferior Tibiofibular Ligament. Thereafter, a proximal fibular osteotomy was performed, and three conditions were modeled at the distal syndesmosis: 1) reduced, 2) 5 degree internal rotation malreduction, and 3) 5 degree external rotation malreduction...
2024: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/38567192/syndesmotic-screws-unscrew-them-or-leave-them-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#6
REVIEW
Daniel Acevedo, Andy Suarez, Kiranjit Kaur, Taylor Checkley, Pedro Jimenez, Aoife MacMahon, Ettore Vulcano, Amiethab A Aiyer
BACKGROUND: Syndesmotic injuries are frequently stabilized using syndesmotic screws. Traditionally, these screws were routinely removed during the postoperative period, however recent literature has brought into question the necessity of routine removal, citing no change in functional outcomes and the inherent risks of a second surgery. Our study aimed to compare outcomes of patients undergoing routine syndesmotic screw removal versus those undergoing an on-demand approach to removal...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38559502/extensive-osteochondroma-of-the-talus-presenting-as-syndesmotic-joint-extension-and-posterior-inferior-tibiofibular-ligament-rupture-a-reportof-a-rare-case-and-a-review-of-the-literature
#7
Kamal Dureja, Pratheeksh P Suvarna, Amit K Sahu
This case report describes a rare occurrence of talar osteochondroma extending into syndesmosis, causing disruption of the interosseous membrane and the posterior inferior tibiofibular ligament (PITFL). This type of presentation for a talar osteochondroma is the first of its kind reported in the literature based on current knowledge. A detailed preoperative radiological assessment was crucial in planning the surgical approach and preparing for syndesmotic stabilization during the excision. The patient underwent successful and complete excision of the osteochondroma, and the syndesmosis was stabilized using a cortical screw along with anatomical repair of the PITFL...
March 2024: Curēus
https://read.qxmd.com/read/38541832/the-outcomes-of-mini-plate-fixation-for-unstable-wagstaffe-tubercle-fracture-an-indirect-syndesmosis-injury-in-rotational-ankle-fracture
#8
JOURNAL ARTICLE
Byung-Ryul Lee, Ki-Jin Jung, Eui-Dong Yeo, Sung-Hun Won, Yong-Cheol Hong, Chang-Hwa Hong, Chang-Hyun Kim, Ho-Sung Kim, Jae-Young Ji, Je-Yeon Byeon, Dhong-Won Lee, Woo-Jong Kim
Background: Wagstaffe fracture constitutes an indirect injury to the AITFL and can precipitate syndesmotic instability. The prevailing fixation methods often involve the use of mini-screws or K-wires, with absorbable suture repair reserved for cases with small or comminuted fragments exhibiting instability. In this study, we devised a mini-plate fixation method capable of securing the fracture fragment irrespective of its size or condition. Methods: A retrospective chart review was conducted on patients who underwent surgery for ankle fractures between May 2022 and October 2023...
March 11, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38492060/peroneal-artery-injury-potential-due-to-different-syndesmosis-screw-placement-options-a-simulation-study-with-lower-extremity-computed-tomography-angiography
#9
JOURNAL ARTICLE
Kürşad Aytekin, İsmet Miraç Çakır, Merve Nur Taşdemir, Orhan Balta
INTRODUCTION: The aim of this study is to assess the risk of peroneal artery injury of hardware placement at the fixation of syndesmotic injuries. MATERIALS AND METHODS: The lower extremity computed tomography angiography was used to design the study. The syndesmosis screw placement range was simulated every 0.5 cm, from 0.5 to 5 cm proximal to the ankle joint. The screw axes were drawn as 20°, 30° or individual angle according to the femoral epicondylar axis...
March 16, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38462596/computed-tomography-changes-diagnosis-management-and-surgical-planning-of-ankle-fractures
#10
JOURNAL ARTICLE
N S B Mansur, C M S C C Neves, F S Celestino, J P P Gonçalves, V F Pereira, P D V Silva, F T Matsunaga, C A S Nery, D C Astur
PURPOSE: To demonstrate how the use of adjunctive Computed Tomography (CT) can modify diagnosis, treatment options, and operative planning of ankle fractures in comparison with conventional radiographs (CR) in isolation. MATERIALS AND METHODS: A total of 53 patients diagnosed with an ankle fracture between 2011 and 2016, were assessed with CT and CR. Evaluations of the fractures using CR in isolation and CR combined with CT were compared using different readers...
March 11, 2024: Musculoskeletal Surgery
https://read.qxmd.com/read/38449685/percutaneous-posterior-to-anterior-screw-fixation-through-achilles-tendon-for-posterior-malleolus-fractures-technique-description-and-case-series
#11
JOURNAL ARTICLE
Apostolos Dimitroulias, Danielle Putur, Yelena Bogdan, Milan K Sen
Posterior malleolus fractures (PMFs) (OTA 43B1.1) are frequently seen in combination with fractures of the fibula, medial malleolus, and distal tibia; they can rarely be seen in isolation. PMFs affect the alignment of the ankle mortise and the stability of syndesmosis. Techniques described for fixation of PMFs include open reduction internal fixation through a posterolateral or posteromedial approach or anterior-to-posterior screw fixation. For selected minimally displaced or nondisplaced fractures of the posterior malleolus, we developed a percutaneous technique through the Achilles tendon for the insertion of a posterior-to-anterior cannulated screw...
March 2024: OTA international: the open access journal of orthopaedic trauma
https://read.qxmd.com/read/38440746/fifteen-out-of-16-elite-athletes-showed-concomitant-low-grade-cartilage-lesions-of-the-ankle-with-unstable-syndesmotic-injuries-concerns-from-a-prospective-case-series
#12
JOURNAL ARTICLE
Alex B Walinga, Jari Dahmen, Tobias Stornebrink, Kaj S Emanuel, Gino M M J Kerkhoffs
OBJECTIVES: This study aimed to determine the incidence rate and characterise the location and severity of cartilage lesions in the ankle in elite athletes undergoing suture-button stabilisation for unstable distal syndesmotic injuries using needle arthroscopic examination. The feasibility and safety of ad hoc needle arthroscopy and its assisted interventions were also assessed. METHODS: This prospective case series included elite athletes undergoing surgical stabilisation between April 2021 and June 2023...
2024: BMJ Open Sport & Exercise Medicine
https://read.qxmd.com/read/38435888/equivalent-fracture-patterns-demonstrate-poorer-postoperative-functional-outcomes-among-pronation-external-rotation-iv-ankle-fractures
#13
JOURNAL ARTICLE
Wangsheng Wu, Bingsheng Liu, Chengwei Wang
BACKGROUND: Pronation-external rotation IV (PER IV) ankle fractures are relatively uncommon among rotational ankle fractures, but they are the most severe type. Although recent studies have shown satisfactory functional recovery in PER IV after surgical treatment, the different outcomes between fracture patterns and equivalent fracture patterns have not yet been evaluated. This study aims to compare short-term outcomes in PER IV ankle injuries between fracture patterns and equivalent fracture patterns...
January 2024: Curēus
https://read.qxmd.com/read/38435397/chronic-syndesmotic-instability-current-evidence-on-management
#14
JOURNAL ARTICLE
Abdul-Rahman Gomaa, Lyndon Mason
This review article discusses the current evidence on the management of chronic syndesmotic instability. Conservative treatment has a limited role, and surgical intervention is most commonly reported as the mainstay of treatment, however the literature consists of small case series and descriptions of operative techniques, and thus the evidence base for any treatment is weak. Surgical options include arthroscopic debridement alone, static fixation with cortical screws, dynamic fixation with suture-button devices, and ligamentous repair or augmentation...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38426008/a-modified-dynamic-fixation-technique-for-acute-syndesmotic-injuries
#15
JOURNAL ARTICLE
Walid Bouaicha, Mohamed Jlidi, Siwar Sbaihi, Mohamed Hedi Gharbi, Karim Mallek, Salma Jaziri, Selim Daas
No abstract text is available yet for this article.
January 2024: Foot & ankle orthopaedics
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
#16
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/38388331/a-quantitative-assessment-of-the-anterior-tibiofibular-gap-with-and-without-weight-bearing-in-healthy-adults-an-ultrasound-based-study
#17
JOURNAL ARTICLE
Tsubasa Tashiro, Noriaki Maeda, Shogo Tsutsumi, Takeru Abekura, Hinata Esaki, Koki Tsuchida, Sakura Oda, Makoto Komiya, Yasunari Ikuta, Yukio Urabe
BACKGROUND: Difficulties in the accurate evaluation of tibiofibular clear space in plain radiographs are diagnostic problems in the clinical setting of syndesmosis injury. This study aimed to quantify the anterior tibiofibular gap (ATFG) with weight-bearing using ultrasonography. METHODS: In total, 32 healthy adults (16 men and 16 women) with 64 feet participated in this cross-sectional study. The ATFG was measured along the anterior inferior tibiofibular ligament for a US assessment conducted in both sitting and standing postures...
February 21, 2024: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://read.qxmd.com/read/38357324/reliability-of-preoperative-ct-and-intraoperative-manual-tests-in-syndesmosis-injury
#18
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
https://read.qxmd.com/read/38349308/erratum-to-center-center-surgical-technique-with-dynamic-syndesmosis-fixation-a-cadaveric-pilot-study-the-journal-of-foot-ankle-surgery-63-2024-92-96
#19
Shane P Duggan, Alexander Cm Chong, Timothy P Uglem
No abstract text is available yet for this article.
February 10, 2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/38324018/-injuries-of-the-ankle-ligaments
#20
JOURNAL ARTICLE
N Harrasser, A Toepfer
Lateral ligament injuries are the most common injuries of the ankle joint and are usually treated with early weight bearing after a short period of immobilization. If the clinical presentation is suspicious, additional injuries to the deltoid ligament complex and the syndesmosis should be considered. The indications for additional diagnostics should be generously applied. Injuries to the deltoid ligament usually occur as part of a complex ankle injury and should also be addressed in the surgical treatment of accompanying injuries...
February 7, 2024: Orthopadie (Heidelb)
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