Surgical treatment of tibiofibular syndesmosis in injuries of the ankle joint

Aim. To evaluate the results of treatment using the authors’ proposed method of arthrodesis of the ankle and subtalar joints, based on the combination of bone grafting with compression in the Ilizarov apparatus. Methods. Conducted was a clinical and radiographic evaluation of the results of arthrodesis in the Ilizarov apparatus in 286 patients with osteoarthritis of the ankle and subtalar joints (during the last 15 years). 36 (12.6%) patients (the main group) were operated on using the authors’ proposed technique. Results. Bone adhesion as a result of arthrodesis was achieved in all patients of the main group. Excellent functional results were achieved in 11 out of 36 patients (30.5%), good results - in 22 (61.1%) patients, satisfactory results - in 3 (8.4%) patients. Bone adhesion as a result of arthrodesis in 250 patients of the comparison group was achieved in 243 patients (97.2%). In this group excellent functional results were achieved in 76 out of 250 patients (30.4%), good results - in 145 (58%) patients, satisfactory results - in 21 (8.4%) patients, poor results - in 8 (3.2%) patients. Conclusion. The proposed method of biarticular arthrodesis makes it possible to improve the trophism of the arthrodesis zone, to conduct the correction of posttraumatic deformities in the region of the ankle and subtalar joints, provides a durable and solid bone ankylosis of the ankle and subtalar joints, and makes it possible to achieve adhesion even in severe forms of osteoarthritis of the ankle and subtalar joints.

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METHOD OF SURGICAL TREATMENT OF PATIENTS WITH RECURRENT ACHILLES TENDON RUPTURES

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2010-0-3-126-130 ◽

2010 ◽

Vol 16 (3) ◽

pp. 126-130

Author(s):

L. A. Rodomanova ◽

A. Yu. Kochish ◽

D. V. Romanov ◽

S. V. Valetova

Keyword(s):

Surgical Treatment ◽

Achilles Tendon ◽

Ankle Joint ◽

Clinical Experience ◽

New Method ◽

Clinical Use ◽

Anatomic Study ◽

Anatomical Studies ◽

Results Of Treatment ◽

Tendon Ruptures

In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed. In the developed technique were carried out operations in 18 patients aged from 30 to 72 years with repeated ruptures Achilles tendon. The results of treatment were followed-up in all 18 patients in the period from 6 months to 3 years. Repeated tears of Achilles tendon were not observed. The range of motions in ankle joint reconstructed almost in its entirety. Performed topographic and anatomical studies and accumulated clinical experience allow us to recommend the proposed method for a wider clinical use.

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Comparative evaluation of methods of surgical treatment of posterior marginal fractures of the tibia based on the analysis of vascular supply

Kazan medical journal ◽

10.17816/kazmj74792 ◽

1937 ◽

Vol 33 (7) ◽

pp. 891-895

Author(s):

A. M. Zholondz

Keyword(s):

Surgical Treatment ◽

Ankle Joint ◽

Comparative Evaluation ◽

Plaster Cast ◽

Vascular Supply ◽

The State ◽

Posterior Edge ◽

X Ray ◽

Evaluation Of Methods ◽

Entire Limb

December 23, 1930 in the State. a 37-year-old patient was delivered to the trauma institute. An hour before admission, she twisted her right foot and received a posterior marginal fracture of the tibia from the outside. Large hemorrhage and rapidly growing swelling in the ankle joint prevented the reposition of the fragments, and a two-fold attempt to establish the displaced fragments along the axis was unsuccessful. At the same time, X-ray showed the presence of two fragments in the region of the posterior edge of the tibia, between which there is a gap 2.5 cm wide. The ratio of the bones forming the fork is broken. Despite the fixation of the limb with a plaster cast, unbearable pains remained along the entire limb, the patient did not sleep.

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Clinical picture, diagnosis and surgical treatment of old damages of tibiofibular syndesmosis (a review of literature)

ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS ◽

10.15674/0030-598720124129-136 ◽

2012 ◽

Vol 0 (4) ◽

pp. 129

Author(s):

Dmytro Yaremenko ◽

Dmytro Yershov ◽

Oleg Yaremenko

Keyword(s):

Surgical Treatment ◽

Clinical Picture ◽

Tibiofibular Syndesmosis ◽

Review Of Literature

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THE FEATURES OF TIBIOFIBULAR INJURY IN PATENTS WITH ANKLE FRACTURES

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2010-0-2-22-26 ◽

2010 ◽

Vol 16 (2) ◽

pp. 22-26

Author(s):

N. F. Fomin ◽

A. G. Ovdenko ◽

R. A. Nadjafov ◽

A. N. Bogdanov

Keyword(s):

Ankle Joint ◽

Soft Tissues ◽

Minimal Invasive ◽

Ankle Fractures ◽

Fracture Treatment ◽

Tibiofibular Syndesmosis ◽

Distal Tibiofibular Syndesmosis

The role of interposition of soft tissues into tibiofibular syndesmosis is analyzed as a cause of unsatisfactory outcomes in the ankle joint pronation fracture treatment. The study is based on clinical (452 patients) and experimental material (36 experiments) including unfixed anatomic objects. The elevator for minimal invasive operative elimination of interposition of stumps of distal tibiofibular syndesmosis anterior and posterior ligaments is developed and tested.

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Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

10.21203/rs.3.rs-18058/v2 ◽

2020 ◽

Author(s):

linyuan zhang ◽

zhiqing liu ◽

yueting wang ◽

chao yu ◽

jian tang ◽

...

Keyword(s):

Surgical Treatment ◽

Internal Fixation ◽

Ankle Joint ◽

Joint Pain ◽

Healing Time ◽

Pilon Fracture ◽

Significant Difference ◽

Vas Scores ◽

Buttress Plate

Abstract Background: Posterior pilon fracture (PPF) is a serious ankle injury caused by combined vertical and rotational trauma. Surgical treatment includes buttress plate (BP), anteroposterior screw (APS) and posteroanterior screw (PAS) fixation. This study aimed to compare the therapeutic effects after PPF internal fixation with BPs and APSs. Methods: From January 2015 to June 2018, 37 patients with PPFs underwent surgical treatment in our institution. The patients were divided into the BP (11 patients) and APS (26 patients) groups according to the internal fixation method. Bone healing time and postoperative complications were recorded. At the last follow-up, American Orthopedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) scores and Burwell-Charnley scores were used to evaluate ankle joint function, ankle joint pain, and fracture reduction on imaging, respectively. Results: No significant difference in bone healing time was found between the two groups (P > 0.05). Local necrosis of the posterolateral incision and chronic ankle pain occurred in 1 case each in the BP group. Chronic ankle joint pain occurred in 4 cases in the APS group. Two cases of soft tissue irritation were caused by screws that were too long. Local numbness of the posterolateral incision occurred in 1 case. At the last follow-up, no significant difference in VAS scores between the two groups at rest (P = 0.477), but a significant difference during exercise was noted (P = 0.033). AOFAS scores were better in the BP group than those in the APS group (P = 0.002). According to the Burwell-Charnley scoring system, 11 cases were anatomically reduced in the BP group. In the APS group, anatomical reduction was achieved in 19 cases and fair in 7 cases. Conclusion: Compared with APSs, BPs resulted in better reduction, ankle joint functional recovery and complication rates. BPs are recommended for internal fixation of PPFs.

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