scholarly journals Can Hardware Removal be Avoided Using Bioresorbable Mg-Zn-Ca Screws After Medial Malleolar Fracture Fixation? Mid-Term Results of a First-In-Human Study

Injury ◽  
2021 ◽  
Author(s):  
Valentin Herber ◽  
Viktor Labmayr ◽  
Nicole G. Sommer ◽  
Romy Marek ◽  
Ulrike Wittig ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Human Study ◽  
Hardware Removal ◽  
Malleolar Fracture ◽  
Mid Term Results

scholarly journals Open anterolateral fracture dislocation of ankle joint: a rare case report

2018 ◽  
Vol 5 (1) ◽  
pp. 192
Author(s):  
Prasanna Anaberu ◽  
R. Prathik ◽  
R. Manish
Keyword(s):  
Ankle Joint ◽  
Fracture Fixation ◽  
Road Traffic ◽  
Emergency Operation ◽  
High Energy ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Malleolar Fracture ◽  
Rare Injury ◽  
Wound Debridement

<p class="abstract">Anterior ankle dislocation with associated compound bi-malleolar fracture is a rare injury. Ankle fracture dislocations most frequently occurs in young males caused by high energy trauma. The direction of the joint dislocation is determined by the position of the foot and the direction of the force being applied. A middle aged male presented to us with history of road traffic accident and was diagnosed to have anterior dislocation of right ankle joint with compound bi-malleolar fracture. Patient was taken to emergency operation theatre for wound debridement and immediate ankle reduction done under sedation. Due to wound contamination fracture fixation was delayed, once the wound healed bi-malleolar fracture fixation was done.</p>

scholarly journals Reduction and fixation of anterior inferior tibiofibular ligament avulsion fracture without syndesmotic screw fixation in rotational ankle fracture

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051988255
Author(s):  
Kee Jeong Bae ◽  
Seung-Baik Kang ◽  
Jihyeung Kim ◽  
Jaewoo Lee ◽  
Tae Won Go
Keyword(s):  
Fracture Fixation ◽  
Ankle Fracture ◽  
Avulsion Fracture ◽  
Screw Fixation ◽  
Malleolar Fracture ◽  
Tibiofibular Ligament ◽  
Radiographic Parameters ◽  
Syndesmotic Screw ◽  
Anterior Inferior Tibiofibular Ligament ◽  
American Orthopaedic

Objective We aimed to present the radiographic and functional outcomes of anatomical reduction and fixation of anterior inferior tibiofibular ligament (AITFL) avulsion fracture without syndesmotic screw fixation in rotational ankle fracture. Methods We retrospectively reviewed 66 consecutive patients with displaced malleolar fracture combined with AITFL avulsion fracture. We performed reduction and fixation for the AITFL avulsion fracture when syndesmotic instability was present after malleolar fracture fixation. A syndesmotic screw was inserted only when residual syndesmotic instability was present even after AITFL avulsion fracture fixation. The radiographic parameters were compared with those of the contralateral uninjured ankles. The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores were assessed 1 year postoperatively. Results Fifty-four patients showed syndesmotic instability after malleolar fracture fixation and underwent reduction and fixation for AITFL avulsion fracture. Among them, 45 (83.3%) patients achieved syndesmotic stability, while 9 (16.7%) patients with residual syndesmotic instability needed additional syndesmotic screw fixation. The postoperative radiographic parameters were not significantly different from those of the uninjured ankles. The mean AOFAS score was 94. Conclusion Reduction and fixation of AITFL avulsion fracture obviated the need for syndesmotic screw fixation in more than 80% of patients with AITFL avulsion fracture and syndesmotic instability.

A Complication of Posterior Malleolar Fracture Fixation

2016 ◽  
Vol 55 (2) ◽  
pp. 383-386 ◽  
Author(s):  
Ankit Patel ◽  
Loren Charles ◽  
James Ritchie
Keyword(s):  
Fracture Fixation ◽  
Malleolar Fracture ◽  
Posterior Malleolar Fracture

scholarly journals Bridge-enhanced ACL Repair: Mid-term Results of the First-in-human Study

2017 ◽  
Vol 5 (7_suppl6) ◽  
pp. 2325967117S0030
Author(s):  
Lyle J. Micheli ◽  
Brett Flutie ◽  
Braden C. Fleming ◽  
Martha M. Murray
Keyword(s):  
Human Study ◽  
Acl Repair ◽  
Mid Term Results

Partial Rupture of the Tibialis Posterior Tendon Associated with a Closed Medial Malleolar Fracture

2016 ◽  
Vol 106 (6) ◽  
pp. 449-452 ◽  
Author(s):  
Jin Park
Keyword(s):  
Acute Pain ◽  
Fracture Fixation ◽  
Ankle Fracture ◽  
English Literature ◽  
Tibialis Posterior ◽  
Partial Rupture ◽  
Malleolar Fracture ◽  
Tibialis Posterior Tendon ◽  
Complete Rupture

Rupture of the tibialis posterior tendon associated with ankle fracture is rare and difficult to diagnose. This rupture can be easily overlooked because the clinical examination is limited owing to acute pain related to a closed ankle fracture. Complete rupture of the tibialis posterior tendon can be identified by a loss of tension during ankle fracture fixation, but partial rupture is more difficult to detect because the tibialis posterior tendon can maintain its tension. A few cases of complete rupture of the tibialis posterior tendon combined with ankle fracture have been reported. It is well-known that failure to diagnose a rupture of the tibialis posterior tendon can lead to long-term disability and a planovalgus foot. However, to our knowledge, this is the first report of partial rupture of the tibialis posterior tendon in the English literature. Herein, we describe a patient with a neglected partial rupture of the tibialis posterior tendon combined with a medial malleolar fracture.

Absorbable implants for fracture fixation

2011 ◽  
Author(s):  
O. M. Böstman
Keyword(s):  
Foreign Body ◽  
Fracture Fixation ◽  
Clinical Applications ◽  
Hardware Removal ◽  
Small Fragment ◽  
Absorbable Implants ◽  
Articular Fractures ◽  
Articular Surfaces ◽  
Fixation Devices ◽  
Foreign Body Reactions

♦ Use of absorbable fracture fixation devices eliminates hardware removal procedures♦ Of the macromolecular biodegradable compounds, suited for the manufacturing of these implants, polylactide is the most widely used♦ Small-fragment intra-articular fractures, especially at the elbow and at the ankle, are the most rewarding clinical applications♦ Absorbable implants can be inserted through articular surfaces and, in children, also transphyseally♦ Mechanical failures of the implants and redisplacements of fractures are rare, but local, transient inflammatory foreign-body reactions occurr♦ In certain intra-articular applications the absorbable fixation devices are superior to metallic ones.

Nailing the fibula: alternative or standard treatment for lateral malleolar fracture fixation? A broken paradigm

2020 ◽  
Author(s):  
Vincenzo Giordano ◽  
Guilherme Boni ◽  
Alexandre Leme Godoy-Santos ◽  
Robinson Esteves Pires ◽  
Junji Miller Fukuyama ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Standard Treatment ◽  
Malleolar Fracture

scholarly journals Comparison of outcome following either one or two screws for medial malleolar fracture fixation

Injury Extra ◽  
2009 ◽  
Vol 40 (10) ◽  
pp. 223-224
Author(s):  
Y.R.S. Shah ◽  
R.F. Faroug ◽  
T.M. Myszewski ◽  
T.A.S. Syed ◽  
A.S.F. Floyd ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Malleolar Fracture

Radiographic Results of Unicortical Medial Malleolar Fracture Fixation

2018 ◽  
Vol 40 (4) ◽  
pp. 398-401
Author(s):  
Henrik C. Bäcker ◽  
Matthew Konigsberg ◽  
Christina E. Freibott ◽  
Melvin P. Rosenwasser ◽  
Justin K. Greisberg ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Bone Growth ◽  
Distal Tibia ◽  
Case Series ◽  
Clinical Results ◽  
Ankle Fractures ◽  
Medial Malleolus ◽  
Malleolar Fracture ◽  
Malleolar Fractures

Background: Medial malleolar fractures commonly occur as part of rotational ankle fractures, which often require surgery. Different fixation techniques exist, including unicortical or bicortical lag-screw fixation. Bicortical screws that engage the lateral distal tibia have been noted to be biomechanically superior to unicortical ones with a lower failure rate. The authors of this study have used unicortical screws routinely. This study was initiated to investigate the clinical results of a large series of patients with unicortical medial malleolar fixation. Methods: Patients who underwent unicortical medial malleolar fracture fixation between 2011 and 2017 were reviewed. In total, 461 ankle fractures were identified with a mean follow-up of 11.4 months (range, 3-57), of which 211 had a medial malleolar fracture. Eight patients were excluded as they did not follow up with the treating surgeons after surgery, leaving 203 patients for evaluation. The primary outcome was radiographic union. Any loss of reduction, complication, or subsequent surgery was recorded. Malunion was defined as greater than 2 mm displacement. Results: There were 2 asymptomatic nonunions (1.0%), 1 delayed union that healed using an external bone growth stimulator (0.5%), and 2 malunions of the medial malleolus (1.0%) with 1 asymptomatic. The other patient developed posttraumatic osteoarthritis but has not yet required further surgery. None of these 5 patients required revision medial malleolar surgery. Ultimately, the union rate using unicortical medial malleolar fixation was 99.0% (201/203). Conclusion: Unicortical fixation of medial malleolar fractures resulted in consistently good healing. Even though biomechanical studies have shown that bicortical screws provide stronger fixation, our clinical results indicate that the need for this stronger fixation may be questionable. Level of Evidence: Level IV, retrospective case series.

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