scholarly journals Medial malleolus fracture of the ankle combined with rupture of the Achilles tendon

2016 ◽  
Vol 2016 (4) ◽  
pp. rjw062 ◽  
Author(s):  
Jike Lu ◽  
Masumi Maruo Holledge
Keyword(s):  
Achilles Tendon ◽  
Medial Malleolus ◽  
Medial Malleolus Fracture

High-Energy Achilles Tendon Rupture With Associated Medial Malleolus Fracture and Traumatic Peroneal Dislocation: A Case Report

2021 ◽  
pp. 193864002199728
Author(s):  
Mark Bowers ◽  
Kenneth J. Hunt ◽  
Joshua Metzl
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Case Reports ◽  
Achilles Tendon Rupture ◽  
Delayed Diagnosis ◽  
High Energy ◽  
Medial Malleolus ◽  
Concomitant Injuries ◽  
Medial Malleolus Fracture ◽  
High Index Of Suspicion

Fracture, Achilles tendon rupture, or traumatic dislocation of the peroneal tendons are often seen in isolation after a trauma or sports-related injury. However, in rare circumstances, a combination of these injuries can occur simultaneously. Multiple previous case reports describe a combination of 2 of these injuries. Missed or delayed diagnosis is common in these combination injuries and can lead to significant patient morbidity and result in long-term consequences. We report a case of a 35-year-old man who sustained an Achilles tendon rupture with an associated medial malleolus fracture and traumatic peroneal dislocation after a snowboarding injury. These injuries were treated surgically, and at 9 months postoperatively, the patient had returned to all activities. Clinicians should have a high index of suspicion for concomitant injuries with higher-energy trauma to the ankle and should perform a thorough history, physical examination, and plain radiographs at a minimum. Levels of Evidence: LEVEL 5

scholarly journals The Surgical Outcomes of Unstable Ankle Fractures in Patients Aged >65 Years

2021 ◽  
Vol 12 ◽  
pp. 215145932199776
Author(s):  
Adem Sahin ◽  
Anıl Agar ◽  
Deniz Gulabi ◽  
Cemil Erturk
Keyword(s):  
Surgical Outcomes ◽  
External Rotation ◽  
High Energy ◽  
Ankle Fractures ◽  
Medial Malleolus ◽  
Aofas Score ◽  
Non Union ◽  
The Mean ◽  
Medial Malleolus Fracture ◽  
Mechanism Of Trauma

Aim: To evaluate the surgical outcomes and complications of patients over 65 years of age, with unstable ankle fractures. Material and Method: The study included 111 patients (73F/38 M) operated on between January 2015 and February 2019 and followed up for a mean of 21.2 months (range, 6-62 months).Demographic characteristics, comorbidities, fracture type, and mechanisms of injury were evaluated. Relationships between postoperative complications and comorbidities were examined. In the postoperative functional evaluations, the AOFAS score was used and pre and postoperative mobilization (eg, use of assistive devices) was assessed. Results: The mean age of the patients was 70.5 ± 6.1 years (range, 65-90 years). The mechanism of trauma was low-energy trauma in 90.1% of the fractures and high-energy trauma in 9.9%. The fractures were formed with a SER injury (supination external rotation) in 83.7% of cases and bimalleolar fractures were seen most frequently (85/111, 76%).Complications developed in 16 (14.4%) patients and a second operation was performed in 11 (9.9%) patients with complications. Plate was removed and debridement was performed in 5 of 6 patients due to wound problems. Nonunion was developed in the medial malleolus in 4 patients. Revision surgery was performed because of implant irritation in 2 patients and early fixation loss in the medial malleolus fracture in one patient. Calcaneotibial arthrodesis was performed in 3 patients because of implant failure and ankle luxation associated with non-union. A correlation was determined between ASA score and DM and complications, but not with osteoporosis. The mean follow-up AOFAS score was 86.7 ± 12.5 (range, 36-100).A total of 94 (84.7%) patients could walk without assistance postoperatively and 92 (82.9%) were able to regain the preoperative level of mobilization. Conclusion: Although surgery can be considered an appropriate treatment option for ankle fractures in patients aged >65 years, care must be taken to prevent potential complications and the necessary precautions must be taken against correctable comorbidities.

scholarly journals Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Kevin Moerenhout ◽  
Georgios Gkagkalis ◽  
Rayan Baalbaki ◽  
Xavier Crevoisier
Keyword(s):  
Case Report ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Medial Malleolus ◽  
Distal Fibula ◽  
Rare Lesion ◽  
Ankle Trauma ◽  
One Year ◽  
Medial Malleolus Fracture ◽  
Hindfoot Arthrodesis

Introduction. A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture. Case Report. We present a case report of a patient with an unusual combination of a Bosworth injury with a pilon fracture and an open multifragmentary talus fracture and our approach for open reduction and internal fixation. At one year postoperative, the patient developed an invalidating tibiotalar and subtalar arthrosis that eventually required an ankle-hindfoot arthrodesis. A Bosworth injury is an infrequent entity and is even rarer when associated with other fractures. Careful preoperative planning is necessary, as the combination of these fractures is a surgical challenge. Special care must be taken to preserve the neurovascular bundle. Discussion. The present case highlights a Bosworth injury involving a severity that has never been described before and suggests adding an eighth stage to the classification presented by Perry et al.

Clinical Outcomes of Total Ankle Arthroplasty With Total Talar Prosthesis

2019 ◽  
Vol 40 (8) ◽  
pp. 948-954
Author(s):  
Noriyuki Kanzaki ◽  
Nobuaki Chinzei ◽  
Tetsuya Yamamoto ◽  
Takahiro Yamashita ◽  
Kazuyuki Ibaraki ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Case Series ◽  
Total Ankle Arthroplasty ◽  
Medial Malleolus ◽  
Level Of Evidence ◽  
Ankle Arthroplasty ◽  
The Mean ◽  
End Stage ◽  
Medial Malleolus Fracture

Background: Total ankle arthroplasty (TAA) has been developed to treat patients with end-stage ankle osteoarthritis (OA). However, there is often difficulty in treating complicated pathologies such as ankle OA with subtalar joint OA and severe talar collapse. Therefore, this study aimed to explore the short-term results and complications of TAA with total talar prosthesis, known as combined TAA, as the new techniques to treat such complicated pathology. Methods: We examined postoperative results including ankle range of motion, Japanese Society for Surgery of the Foot (JSSF) scale, and complications. There were 22 patients (15 women), with mean follow-up of 34.9 (range, 24–53 months), and the mean age was 72 (range, 62–80) years. The main indications for combined TAA included osteoarthritis (18 patients), rheumatoid arthritis (3 patients), and talar osteonecrosis with osteoarthritis (one patient). Results: The mean range of motion improved from 4.0 to 14.4 degrees in dorsiflexion and from 23.8 to 32.0 degrees in plantarflexion. The JSSF scale improved from 50.5 to 91.5 points. Prolonged wound healing occurred in 3 patients, and medial malleolus fracture occurred in 4 patients. Conclusion: Combined TAA was a reliable procedure for the treatment of not only ankle OA following avascular necrosis of talus but also of degeneration of both ankle and subtalar joints. Level of Evidence: Level IV, case series.

Incarceration of the Posterior Tibial Tendon in an Isolated Comminuted Medial Malleolus Fracture

2017 ◽  
Vol 56 (6) ◽  
pp. 1312-1315 ◽  
Author(s):  
David Jaffe ◽  
Matthew W. Christian ◽  
Annie Weber ◽  
R. Frank Henn
Keyword(s):  
Medial Malleolus ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Medial Malleolus Fracture

scholarly journals Potentialities of Minimally Invasive Osteosynthesis in Treatment of Malleolus Fractures

2015 ◽  
pp. 54-59
Author(s):  
E. I. Solod ◽  
A. F. Lazarev ◽  
E. G. Ermolaev
Keyword(s):  
Minimally Invasive ◽  
Main Group ◽  
Invasive Technique ◽  
Medial Malleolus ◽  
Joint Function ◽  
Minimally Invasive Osteosynthesis ◽  
Duration Of Hospitalization ◽  
Fracture Nonunion ◽  
Comparative Group ◽  
Medial Malleolus Fracture

Treatment results for 71 patients with malleolus fractures are presented. In 32 patients (comparative group) surgery was performed by AO/ASIF technique after edema resolution. Thirty nine patients from the main group were operated on by our minimally invasive technique using V-shaped pins and threaded pins on the next day after admission independently on the presence of edema in the ankle joint region. All patients were operated on at terms from 1 to 3 weeks after injury. Duration of hospitalization averaged 16 and 10 days, restoration of joint function made up 6 and 2 weeks for the patients from the comparative and main group, respectively. Complications were observed only in patients from the comparative group, i.e. marginal skin necrosis in 8 (25%), inflammatory complications in 5 (15.6%), metal fixator migration in 1 (3.1%) and fracture nonunion in 4 (12.5%) patients. Outcomes were assessed by AOFAS Ankle- Hindfoot Scale. Mean point made up 90.3 in the main group and 88.6 in the comparative jnt. In the experimental part of the study the strength (tensile and shear) of 3 types of osteosynthesis for medial malleolus fracture were compared: with either 2 cannulated screws, V-shaped pin or 2 biodegradable screws of glycolized lactic acid was compared. Although the osteosynthesis of medial malleolus with V-shaped pin was the least strong it met the requirements of internal osteosynthesis.

scholarly journals Minifragment T-plate Fixation: An Alternative Method for Medial Malleolus Fracture Fixation

2016 ◽  
Vol 3 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Mannan Ahmed ◽  
Harminder S Sohal ◽  
Radhe S Garg ◽  
Sanjeev Jindal ◽  
Jitendra Wadhwani ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Plate Fixation ◽  
Asia Pacific ◽  
Modern Trend ◽  
Medial Malleolus ◽  
Rigid Fixation ◽  
Anatomical Reduction ◽  
Advantages And Disadvantages ◽  
Alternative Method ◽  
Medial Malleolus Fracture

ABSTRACT Aim Modern trend in the management of fractures is fast changing in favor of rigid fixation and early mobilization with minimal period of plaster immobilization. We present a prospective cohort study of fixation of medial malleolus fractures with Minifragment T-plate and its evaluation in terms of maintenance of accurate anatomical reduction, stable fixation, and early restoration of functions. Materials and methods A total of 25 patients of median age 45 years (22–70), with medial malleolus fractures were treated by open reduction and internal fixation using Minifragment T-plate. Outcome was evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score. Results A total of 80% cases had anatomical reduction, 12% had good reduction (<2 mm displacement), 4% had fair reduction (2–5 mm displacement), and 4% had poor reduction (>5 mm displacement). After 6 months follow-up, outcome was excellent in 20 cases (80%), 3 cases (12%) had good result, and 2 cases (8%) had fair result according to AOFAS score. Out of 25 cases, in 2 cases (8%) infection occurred, 6 cases (24%) had limitation of movements, 1 case (4%) had instability at ankle, and 2 cases (8%) had delayed union of fracture. Conclusion Weighing the advantages and disadvantages of fixation with Minifragment T-plate, it can be safely concluded that Minifragment T-plate can be an effective alternative option in the management of medial malleolus fractures. At the same time, it is warned that this technique should not be used indiscriminately without technical skill. Clinical significance Minifragment T-plate fixation provides rigid fixation along with early return of movements with limited period of immobilization. Studying this alternative method expands the present knowledge for management of medial malleolus fractures. How to cite this article Sohal HS, Garg RS, Jindal S, Wadhwani J, Bansal V, Ahmed M. Minifragment T-plate Fixation: An Alternative Method for Medial Malleolus Fracture Fixation. J Foot Ankle Surg (Asia-Pacific) 2016;3(1):10-14.

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