Journal ArticleDOI
Precise evaluation of the reduction of severe ankle fractures.
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TLDR
Three variables were found to significantly affect the final clinical results: the amount of talar displacement prior to reduction; the type of fracture; and the presence of rupture of the deltoid ligament.Abstract:
A method for the assessment of the accuracy of reduction in postreduction roentgenograms was developed. The final clinical results, one to 7.5 years after injury, were studied in 117 patients with 118 displaced bimalleolar or trimalleolar fractures at the ankle treated at the Los Angeles County-University of Southern California Medical Center between January 1966 and December 1970. Three variables were found to significantly affect the final clinical results: (1) the amount of talar displacement prior to reduction; (2) the type of fracture; and (3) the presence of rupture of the deltoid ligament.read more
Citations
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The basic science of the subchondral bone
TL;DR: A profound understanding of the basic anatomic aspects of this particular site, together with the pathophysiology of diseases affecting the subchondral bone is the key to develop targeted and effective therapeutic strategies to treat osteochondral defects.
Journal ArticleDOI
Malreduction of the tibiofibular syndesmosis in ankle fractures.
Michael J. Gardner,Demetris Demetrakopoulos,Stephen M. Briggs,David L. Helfet,Dean G. Lorich +4 more
TL;DR: Although the known morbidity of postoperative syndesmotic malreduction should lead to heightened vigilance for assessing accurate syndesmosis reduction intraoperatively, standard postoperative radiographic measurements did not accurately reflect the status of the distal tibiofibular joint in this series of ankle fractures.
Journal ArticleDOI
The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment.
TL;DR: Twenty-five fresh-frozen cadaveric specimens were used to evaluate the role of the syndesmotic ligaments when the ankle is loaded with external rotation torque and diastasis and rotation were found to be related to the amount of injury of the ligament.
Journal ArticleDOI
The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up.
TL;DR: Patients with malreduced syndesmotic injuries demonstrated significantly worse functional outcome using the Short Form Musculoskeletal Assessment and Olerud/Molander questionnaires, and it is recommended that surgeons not only perform a direct, open visualization of the syndesmosis during the reduction maneuver, but obtain a postoperative CT scan with comparison to the contralateral extremity as well.
Journal ArticleDOI
Osteochondral defects in the ankle: why painful?
TL;DR: Osteochondral defects of the ankle can either heal and remain asymptomatic or progress to deep ankle pain on weight bearing and formation of subchondral bone cysts, which is most probably caused by repetitive high fluid pressure during walking.
References
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Journal ArticleDOI
Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations.
TL;DR: In this study the mechanism of fracture was determined by fracturing, the pathologic anatomy was ascertained by dissection, the genetic roent genologic diagnosis was established by roentgen examination and the genetic reduction technic of the fractures was found by reduction maneuvers.
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The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement
TL;DR: A series of 135 patients with displaced ankle fractures treated by rigid internal fixation followed by early joint exercises in bed until movements were restored and followed then by full weight bearing in a plaster finds the term lateral ankle instability, which includes low fracture of the fibula (intraosseous diastasis) is preferable.
Journal Article
Fractures of the ankle. III. Genetic roentgenologic diagnosis of fractures of the ankle.
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Fractures of the ankle. IV. Clinical use of genetic roentgen diagnosis and genetic reduction.
TL;DR: Study has been made on clinical material to verify the fact that the four types experimentally produced and classified correspond to the clinical fractures of the ankle and that the genetic roentgen diagnosis and the genetic reduction technique found by way of experiments can be used in the treatment of fresh ankle fractures.
Journal ArticleDOI
Supination-Outward Rotation Injuries of the Ankle: A Clinical and Roentgenological Study with Special Reference to the Operative Treatment
TL;DR: In this article, the authors present a study of Supination-Outward Rotation Injuries of the Ankle: A Clinical and Roentgenological Study with Special Reference to the Operative Treatment.