External Fixation in the Emergency Department for Pilon and Unstable Ankle Fractures

2019 ◽  
Vol 27 (12) ◽  
pp. e577-e584
Author(s):  
Kalpit N. Shah ◽  
Joey P. Johnson ◽  
Seth W. OʼDonnell ◽  
Joseph A. Gil ◽  
Christopher T. Born ◽  
...  
Keyword(s):  
Emergency Department ◽  
External Fixation ◽  
Ankle Fractures

scholarly journals Emergency department external fixation for provisional treatment of pilon and unstable ankle fractures

2015 ◽  
Vol 8 (1) ◽  
pp. 61 ◽  
Author(s):  
CraigR Lareau ◽  
AlanH Daniels ◽  
BryanG Vopat ◽  
PatrickM Kane
Keyword(s):  
Emergency Department ◽  
External Fixation ◽  
Ankle Fractures

scholarly journals Transarticular external fixation versus deltoid ligament repair in treating SER IV ankle fractures: a comparative study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Bohua Li ◽  
Shanxi Wang ◽  
Zhengdong Zhang ◽  
Hai Yang ◽  
Jun Li ◽  
...  
Keyword(s):  
External Fixation ◽  
Short Form ◽  
Ankle Fractures ◽  
Deltoid Ligament ◽  
Functional Evaluation ◽  
Ligament Repair ◽  
Fracture Union ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Background The topic that whether the injured deltoid ligament should be repaired when associated with ankle joint fractures is still discussed. The objective of this study was to compare the clinical effect of open reduction and internal fixation (ORIF) with deltoid ligament repair (DLR) or transarticular external fixation (TEF) in treating supination-external rotation type IV (SER IV) ankle fractures. Methods Between January 2012 and December 2015, 43 patients were diagnosed as SER IV ankle fractures, 20 underwent ORIF and transarticular external fixation (TEF) without DLR (group 1), 23 were treated with ORIF and DLR (group 2). The pre- and post-operative radiographic examination were performed, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, the visual analog scale (VAS), the Medical Outcomes Short Form 36-item questionnaire score (SF-36), and the ankle range of motion (ROM) were used for functional evaluation. Results In both groups, the three scores improved significantly after surgery, but there was no significant difference between the two groups. At 6 weeks after surgery, patients in group 2 had better ankle ROM than group 1 (29.35 ± 2.033 vs. 40.35 ± 3.550, P <  0.001), but there was no difference at 12 months postoperatively. No cases of bone nonunion or post-traumatic arthritic changes were seen during the follow-up. Patients in group 1 required a shorter time to achieve fracture union than patients in group 2. Conclusions ORIF with TIF is an optional strategy to manage SER IV ankle fractures as it achieves comparable functional results to ORIF with DLR. It also allows patients to start relatively earlier weight-bearing and may promote fracture union.

Ankle fractures: emergency department management???is there room for improvement?

2005 ◽  
Vol 12 (5) ◽  
pp. 216-219 ◽  
Author(s):  
Conor Deasy ◽  
Diarmuid Murphy ◽  
Geraldine C. McMahon ◽  
Ian P. Kelly
Keyword(s):  
Emergency Department ◽  
Ankle Fractures ◽  
Emergency Department Management ◽  
Department Management

scholarly journals The use of external fixation in the emergency department: applications, common errors, complications and their treatment

2020 ◽  
Vol 5 (4) ◽  
pp. 204-214 ◽  
Author(s):  
Carlos A. Encinas-Ullán ◽  
José M. Martínez-Diez ◽  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Magnetic Resonance Imaging ◽  
Emergency Department ◽  
External Fixation ◽  
Pelvic Fractures ◽  
Resonance Imaging ◽  
Life Saving ◽  
Magnetic Resonance Imaging Mri ◽  
Free Placement ◽  
Pelvic Lesions ◽  
Anterior Posterior

The use of an external fixator (EF) in the emergency department (ED) or the emergency theatre in the ED is reserved for critically ill patients in a life-saving attempt. Hence, usually only fixation/stabilization of the pelvis, tibia, femur and humerus are performed. All other external fixation methods are not indicated in an ED and thus should be performed in the operating room with a sterile environment. Anterior EF is used in unstable pelvic lesions due to anterior-posterior compression, and in stable pelvic fractures in haemodynamically unstable patients. Patients with multiple trauma should be stabilized quickly with EF. The C-clamp has been designed to be used in the ED to stabilize fractures of the sacrum or alterations of the sacroiliac joint in patients with circulatory instability. Choose a modular EF that allows for the free placement of the pins, is radiolucent and is compatible with magnetic resonance imaging (MRI). Planning the type of framework to be used is crucial. Avoid mistakes in the placement of EF. Cite this article: EFORT Open Rev 2020;5:204-214. DOI: 10.1302/2058-5241.5.190029

Emergency department use of ultrasonography to detect lateral ankle fractures

2004 ◽  
Vol 44 (4) ◽  
pp. S61-S62 ◽  
Author(s):  
E. Trinh ◽  
D. McMillan ◽  
J.E. Gough ◽  
K.L. Brewer
Keyword(s):  
Emergency Department ◽  
Ankle Fractures ◽  
Emergency Department Use ◽  
Lateral Ankle

scholarly journals Transarticular external fixation versus deltoid ligament repair in treating SER IV ankle fractures: a comparative study

2019 ◽  
Author(s):  
Bohua Li ◽  
Shanxi Wang ◽  
Zhengdong Zhang ◽  
Hai Yang ◽  
Jun Li ◽  
...  
Keyword(s):  
External Fixation ◽  
External Rotation ◽  
Ankle Fractures ◽  
Deltoid Ligament ◽  
Functional Evaluation ◽  
Ligament Repair ◽  
Fracture Union ◽  
Group 2 ◽  
Supination External Rotation ◽  
Group 1

Abstract Background The topic that whether the injured deltoid ligament should be repaired when associated with ankle joint fractures is still discussed. The objective of this study was to compare the clinical effect of open reduction and internal fixation (ORIF) with deltoid ligament repair (DLR) or transarticular external fixation (TEF) in treating supination-external rotation type IV (SER IV) ankle fractures. Methods Between January 2012 and December 2015, 43 patients were diagnosed as SER IV ankle fractures, 20 underwent ORIF and transarticular external fixation (TEF) without DLR (group 1), 23 were treated with ORIF and DLR (group 2). The pre- and post-operative radiographic examination were performed, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, the visual analog scale (VAS), the Medical Outcomes Short Form 36-item questionnaire score (SF-36), and the ankle range of motion (ROM) were used for functional evaluation. Results In both groups, the three scores improved significantly after surgery, but there was no significant difference between the two groups. At 6 weeks after surgery, patients in group 2 had better ankle ROM than group 1 (29.35 ± 2.033 vs. 40.35 ± 3.550, P < 0.001), but there was no difference at 12 months postoperatively. No cases of bone nonunion or post-traumatic arthritic changes were seen during the follow-up. Patients in group 1 required a shorter time to achieve fracture union than patients in group 2. Conclusions ORIF with TIF is an optional strategy to manage SER IV ankle fractures as it achieves comparable functional results to ORIF with DLR. It also allows patients to start relatively earlier weight-bearing and may promote fracture union. Keywords Transarticular external fixation; ORIF; Deltoid ligament repair; Supination-external rotation; Ankle fracture

317 Audit of The Management of Ankle Fractures in The Emergency Department of Leighton Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
K Ugwu ◽  
R Lowsby
Keyword(s):  
Emergency Department ◽  
Compliance Rate ◽  
Clinical Findings ◽  
Ankle Fractures ◽  
Mechanism Of Injury ◽  
Effective Management ◽  
British Orthopaedic Association

Abstract Background Ankle fractures are common presentations in the emergency department. The aim of treatment is to provide stability and restore alignment of the joint to as close as possible to the pre – injury state. The British Orthopaedic Association Audits Standards for Trauma (BOAST) guidelines provide clear recommendations for effective management of ankle fractures. Specific aspects of this guidelines that could be objectively assessed were selected for this audit to check if practices in the emergency department were meeting the national recommendations. Method Data was collected retrospectively. All patients with closed ankle fractures seen in the emergency department between 01/08/2020 and 31/08/2020 were included. Patients’ emergency department notes as well as electronic radiographic records were reviewed and analysed. Results There was 100% compliance rate for 3 of the domains assessed which include: clear documentations of mechanism of injury and clinical findings; documentation of co-morbidities of patients that can influence treatment and urgent performance of radiographs in clinically deformed ankles before manipulation.There was 75% compliance in performing and documentation of radiographs before transfer from the emergency. The worst domain was the re-assessment and documentation of neurovascular status post manipulation with only one reviewer out of five assessed documenting clearly after the process was completed. Conclusions Posters circulated in the department highlighting the findings of the audit. Furthermore, the LocSSIPs for reduction of ankle fractures was edited to include re-assessment of neurovascular status post manipulation.

Percutaneous Reduction and External Fixation for Foot and Ankle Fractures

2008 ◽  
Vol 25 (4) ◽  
pp. 721-732 ◽  
Author(s):  
Luis E. Marin ◽  
Dennis B. McBroom ◽  
Gregorio Caban
Keyword(s):  
External Fixation ◽  
Ankle Fractures ◽  
Foot And Ankle ◽  
Percutaneous Reduction
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