2,567 results match your criteria Dislocation Ankle


Rare variants of Bosworth fracture-dislocation: Bosworth fracture-dislocation with medial malleolus adduction type fracture.

Chin J Traumatol 2019 Jan 9. Epub 2019 Jan 9.

Department of Orthopedic Surgery, United Family Hospital, Beijing 100015, China. Electronic address:

Bosworth ankle fracture-dislocation is rare, known to be an irreducible type of ankle injury, with a high incidence of complication. We present two cases of even rarer variants of Bosworth ankle fracture-dislocation. The first case is a type of supination external rotation adduction, and the second case is a type of supination external rotation adduction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183030
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http://dx.doi.org/10.1016/j.cjtee.2018.12.001DOI Listing
January 2019
3 Reads

Functional Outcomes After Fracture-Dislocation of the Ankle.

Foot Ankle Spec 2019 Feb 2:1938640019826701. Epub 2019 Feb 2.

Department of Orthopaedic Surgery, Columbia University Medical Center, New York (DT, GH, JK, HCB, BA, CF, JKG, JTV).

Background: Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Read More

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http://dx.doi.org/10.1177/1938640019826701DOI Listing
February 2019
3 Reads

Initial Displacement Does Not Affect Loss of Reduction After Lisfranc Fracture Dislocations.

Foot Ankle Spec 2019 Jan 22:1938640018823067. Epub 2019 Jan 22.

Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, Michigan.

We sought to determine whether significantly displaced Lisfranc injuries had a higher rate of loss of reduction after fixation compared to those with low displacement. Forty-five patients who had fixation of an acute Lisfranc injury from 2005 to 2014 were retrospectively reviewed. All patients underwent subsequent hardware removal at 3 to 15 months after their index procedure. Read More

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http://dx.doi.org/10.1177/1938640018823067DOI Listing
January 2019
2 Reads

Lesser Metatarsophalangeal Joint Pathology Addressed With Arthrodesis: A Case Series.

J Foot Ankle Surg 2019 Jan 15. Epub 2019 Jan 15.

Resident Physician, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ.

Lesser metatarsophalangeal joint pathology is a common condition facing the foot and ankle surgeon, often beginning as a mild subluxation of the toe and progressing to a full dislocation of the metatarsophalangeal joint. In severe or recalcitrant deformities, traditional conservative and surgical methods can fail to resolve the issue. We report on 4 patients with 5 severely dislocated lesser metatarsophalangeal joints with varied etiologies and comorbidities who underwent arthrodesis of these joints using screw and plate fixation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.039DOI Listing
January 2019
1 Read

Open Talar Neck Fracture With Medial Subtalar Joint Dislocation: A Case Report.

J Foot Ankle Surg 2019 Jan 15. Epub 2019 Jan 15.

Podiatric Surgical Resident, Department of Podiatric Surgery, Beaumont Hospital Wayne, Wayne, MI.

We present a unique case of an open talar neck fracture with medial subtalar joint dislocation. This rare and traumatic injury was treated with immediate open reduction of the subtalar joint and open reduction internal fixation of the talar neck fracture. After a follow-up of 2. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.049DOI Listing
January 2019
2 Reads

The diagnosis and treatment of isolated type B fibular fractures: Results of a nationwide survey.

Injury 2019 Jan 3. Epub 2019 Jan 3.

Department of Trauma Surgery, Haaglanden Medical Centre, The Hague, the Netherlands.

Introduction: In isolated Weber B fractures (type B fibular fractures), ruling out instability is critical for safe conservative treatment. In fractures without evident medial injury, additional diagnostics like MRI scan or gravity stress test should be done to differentiate between a stable and unstable fracture. The aim of the current study is to gain more insight in current practice and treatment of type B fractures by Dutch trauma- and orthopaedic surgeons. Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.038DOI Listing
January 2019
2 Reads

The biomechanics of lower limb injuries in frontal-impact road traffic collisions.

Afr Health Sci 2018 Jun;18(2):321-332

Department of Surgery, College of Medicine and Health Sciences, UAE University,17666 Al-Ain, United Arab Emirates.

Aim: We aimed to review the biomechanics of lower limb injuries caused by frontal-impact road traffic collisions.

Methods: In this narrative review, we identified articles through pubmed, Scopus and Science Direct search engines for the period of 1990-2014. Search terms included: "biomechanics", "lower limb injury", "hip injury", "knee injury", "foot and ankle injury" and "frontal impact collision". Read More

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http://dx.doi.org/10.4314/ahs.v18i2.17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306979PMC
June 2018
5 Reads

[Treatment strategy for flail foot with sensory disorder of spina bifida sequela in adult].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1255-1260

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China;Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;Key Laboratory of Rehabilitation Aids Technology and System of the Ministry of Civil Affairs, Beijing, 100176, P.R.China.

Objective: To summarize the main methods and comprehensive effects of limited surgery combined with external fixation for the treatment of flail foot with sensory disorder of spina bifida sequela in adult.

Method: The clinical data of 22 cases (30 feet) of the adult spina bifida sequela who suffered from flail foot with sensory disorder and treated by limited surgery combined with external fixation were retrospectively analysed between January 2005 and December 2015. There were 14 males and 8 females with an age of 8-38 years (mean, 21. Read More

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http://dx.doi.org/10.7507/1002-1892.201808076DOI Listing
October 2018
4 Reads

Successful Limb Salvage Using Bone Transport for Complete Loss of Distal Tibia and Talus: A Case Report.

J Foot Ankle Surg 2019 Jan;58(1):195-199

Assistant Professor, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea. Electronic address:

Complex comminuted fractures involving the distal tibia, ankle joint, and talus are often accompanied by bone loss and are highly prone to complications such as soft tissue infection, fixation failure, and posttraumatic arthrosis, with joint reconstruction being difficult in cases with severe joint destruction or bone loss. In this case, bone transport and fusion procedures were performed to treat a patient with an open fracture involving total talar dislocation, talar bone loss, and distal tibial bone loss. Just as in this case, where the surrounding soft tissues remain healthy, limb salvage via segmental bone transport may be a reasonable option in fractures with massive bone loss that include joints. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.024DOI Listing
January 2019
2 Reads

Improved functional outcome after early reduction in Bosworth fracture-dislocation.

Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Korea.

Background: Bosworth described an unusual fracture-dislocation of the ankle with fixed posterior fracture-dislocation of the fibula. Previous epidemiological data on the prevalence and characteristics of patients with Bosworth ankle fractures have been limited. Bosworth fracture-dislocations are often missed in patients with ankle fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183030
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http://dx.doi.org/10.1016/j.fas.2018.10.007DOI Listing
November 2018
12 Reads

Outcome of Second-Ray Pathologies Following Weil Osteotomy in Patients Treated for Hallux Valgus.

Foot Ankle Spec 2018 Dec 17:1938640018819778. Epub 2018 Dec 17.

Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Korea.

Background: We hypothesized that the cause of second-ray pathology with hallux valgus is excessive relative length of the second metatarsal and performed Weil osteotomy to shorten it, with correction of hallux valgus. The purpose of this study is to evaluate the outcome of second-ray pathology after distal chevron osteotomy (DCO) with Weil osteotomy to correct metatarsal parabola.

Methods: We performed concomitant Weil osteotomy of the second metatarsal with DCO of the first metatarsal as part of hallux valgus with second-ray pathology correction surgery in 45 feet (40 patients). Read More

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http://dx.doi.org/10.1177/1938640018819778DOI Listing
December 2018
2 Reads

Pathoanatomy of Maisonneuve fracture based on radiologic and CT examination.

Arch Orthop Trauma Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 169 02, Prague 6, Czech Republic.

Introduction: Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there is still a lack of information about the epidemiology and the extent of all associated injuries. The aim of study is to describe MF pathoanatomy on the basis of radiographs, CT scans and intraoperative findings.

Materials And Methods: The study comprised 54 adult patients. Read More

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http://dx.doi.org/10.1007/s00402-018-3099-2DOI Listing
December 2018
3 Reads

Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?

Injury 2018 Dec;49(12):2312-2317

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, 100035 China.

Deltoid ligament reconstruction following type B ankle fractures continues to generate a vivid discussion amongst trauma surgeons. There is a difference of opinion as to whether operative or non operative treatment should prevail. We therefore conducted a prospective comparative cohort study to determine whether it is necessary to routinely repair the injured deltoid ligaments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183065
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http://dx.doi.org/10.1016/j.injury.2018.11.006DOI Listing
December 2018
5 Reads

High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review.

Case Rep Orthop 2018 28;2018:7902641. Epub 2018 Oct 28.

Department of Orthopaedic Surgery, Southwest Hospital, The Army Military Medical University, Chongqing, Chongqing 400038, China.

High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. Read More

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http://dx.doi.org/10.1155/2018/7902641DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230424PMC
October 2018
7 Reads

Normal Anatomy and Traumatic Injury of the Midtarsal (Chopart) Joint Complex: An Imaging Primer.

Radiographics 2019 Jan-Feb;39(1):136-152. Epub 2018 Nov 30.

From the Department of Radiology, Musculoskeletal Division, NYU Langone Orthopedic Hospital, 301 E 17th St, 6th Floor, New York, NY 10003 (W.R.W., E.F.A., Z.S.R.); Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland (A.H.); and Joint Department of Medical Imaging, University of Toronto, Toronto, ON, Canada (M.T.).

The midtarsal (Chopart) joint complex consists of the talonavicular and calcaneocuboid joints and their stabilizing ligaments. Detailed assessment of this complex at MRI can be challenging owing to frequent anatomic variation and the small size of the structures involved. Nevertheless, a wide spectrum of pathologic conditions affect the joint complex, and its imaging evaluation deserves more thorough consideration. Read More

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http://dx.doi.org/10.1148/rg.2019180102DOI Listing
November 2018
5 Reads

Wound Coverage of Infected Open Fracture of Distal Third of Tibia by Distally Based Medial Hemi-Soleus Muscle Flap.

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

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October 2018
3 Reads

Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature.

J Med Case Rep 2018 Nov 23;12(1):348. Epub 2018 Nov 23.

Department of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan.

Background: Traumatic dislocation of the tibialis posterior tendon at the ankle is a rare injury. Some of these cases are misdiagnosed as ankle sprains and are not treated properly. In addition, because the conservative treatment is not as effective as the surgical treatment, it is essential that patients be diagnosed early so that proper surgical treatment can be performed. Read More

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http://dx.doi.org/10.1186/s13256-018-1872-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251192PMC
November 2018
7 Reads

Open Talus Fractures: Early Infection and Its Epidemiological Characteristics.

J Foot Ankle Surg 2019 Jan 15;58(1):103-108. Epub 2018 Nov 15.

Department of Orthopaedic Surgery, West China Hospital, Chengdu, Sichuan Province, China.

Open talus fractures are relatively rare and severe open injuries with a high risk of severe infection. To better understand the epidemiological characteristics of this kind of injury, a monocentric case review was conducted among open talus fracture patients admitted in West China Hospital of Sichuan University between January 2010 and December 2014. Fifty-one (N = 51) patients were recruited to the study, including 44 (86. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183035
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http://dx.doi.org/10.1053/j.jfas.2018.08.020DOI Listing
January 2019
13 Reads
0.979 Impact Factor

Use of Metatarsophalangeal Joint Dorsal Subluxation in the Diagnosis of Plantar Plate Rupture.

J Foot Ankle Surg 2019 Jan 15;58(1):27-33. Epub 2018 Nov 15.

Faculty, The Podiatry Institute, Decatur, GA; Resident, Dekalb Medical Center Podiatry Residency, Decatur, GA; Staff Surgeon, Piedmont Clinics Physician, Newnan, GA.

A dorsal drawer exam, also known as a modified Lachman's test, is a common clinical test for plantar plate insufficiency. This disorder presents as a dislocated metatarsophalangeal joint. The aim of this cadaveric case study was to quantify the degree of the plantar plate pathology necessary to correlate with a positive Lachman's test. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183026
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http://dx.doi.org/10.1053/j.jfas.2018.06.007DOI Listing
January 2019
13 Reads

[Ankle dislocation without osseous lesions].

Unfallchirurg 2018 Nov 12. Epub 2018 Nov 12.

Bürgerspital Solothurn, Schöngrünstrasse 38, 4500, Solothurn, Schweiz.

Approximately 7-10% of all emergency department patients are diagnosed with distortion of the upper ankle joint. A dislocation of the upper ankle joint without fracture is described in the literature as being very rare. In 33-50% the ankle dislocations are at least first-degree open and associated with a fracture of the tibia, the fibula or the talus. Read More

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http://dx.doi.org/10.1007/s00113-018-0581-9DOI Listing
November 2018
3 Reads

Functional Outcome of Pronation-External Rotation-Weber C Ankle Fractures with Supracollicular Medial Malleolar Fracture Treated with or without Syndesmotic Screws: A Retrospective Comparative Cohort Study.

Chin Med J (Engl) 2018 Nov;131(21):2551-2557

Department of Orthopaedics, Chaoyang Hospital, Third Clinical Medical School of Capital Medical University, Bejing 100020, China.

Background: In treatment of ankle fracture, intraoperative stress tests are used to assess the syndesmotic injury and instability. However, the optimized timing of the strees test should be applied whether in pre- or post-bony fixation during operation is seldom be reported in previous studies. The different strategies on stress test timing would exhibit opposite results within a type of pronation-external rotation (PER) fractures with supracollicular medial malleolar (SMM) fractures. Read More

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http://www.cmj.org/text.asp?2018/131/21/2551/244112
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http://dx.doi.org/10.4103/0366-6999.244112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6213829PMC
November 2018
14 Reads

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 Nov;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018
20 Reads

Injury Pattern in Ligamentous Lisfranc Injuries in Competitive Athletes.

Foot Ankle Int 2018 Oct 21:1071100718802264. Epub 2018 Oct 21.

1 Methodist Sports Medicine, Indianapolis, IN, USA.

Background: We report data on the largest cohort to date of patients who sustained a ligamentous Lisfranc injury during sport. To date, the prevalence of concurrent intercuneiform ligament injuries in the competitive athlete with subtle Lisfranc instability has not been reported.

Methods: Eighty-two patients (64 males, 18 females) sustained an unstable Lisfranc injury (49 left, 33 right) and met inclusion criteria. Read More

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http://journals.sagepub.com/doi/10.1177/1071100718802264
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http://dx.doi.org/10.1177/1071100718802264DOI Listing
October 2018
25 Reads

Initial stability and stress distribution of ankle arthroscopic arthrodesis with three kinds of 2-screw configuration fixation: a finite element analysis.

J Orthop Surg Res 2018 Oct 20;13(1):263. Epub 2018 Oct 20.

Department of Orthopaedic Surgery, Southwest Hospital, The Third Military Medical University, Gaotanyan Str. 30, Chongqing city, 400038, People's Republic of China.

Background: Arthroscopic ankle arthrodesis (AAA) is recognized as the standard treatment for the end-stage ankle arthritis. Two-screw configuration fixation is a typical technique for AAA; however, no consensus has been reached on how to select most suitable inserted position and direction. For better joint reduction, we developed a new configuration (2 home run-screw configuration: 2 screws are inserted from the lateral-posterior and medial-posterior malleolus into the talar neck) and investigated whether it turned out to be better than the other commonly used 2-screw configurations. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-0972-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195968PMC
October 2018
6 Reads

Prognostic factors for intermediate-term clinical outcomes following Bosworth fractures of the ankle joint.

Foot Ankle Surg 2018 May 29. Epub 2018 May 29.

Department of Anesthesiology and Pain Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.

Background: This retrospective comparative study was performed to evaluate the clinical outcomes after surgical treatment for Bosworth fracture-dislocation, and to analyse the prognostic factors related to postoperative outcomes.

Methods: Fifteen patients were followed for ≥2 years after Bosworth fracture-dislocation. Twenty-five ankle fracture-dislocations as control group were enrolled to compare clinical outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183019
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http://dx.doi.org/10.1016/j.fas.2018.05.005DOI Listing
May 2018
6 Reads

The Cunéo and Picot fracture-dislocation of the ankle: A case report and review of the literature.

Foot (Edinb) 2018 Dec 18;37:11-15. Epub 2018 Jun 18.

ASST Bergamo Est, Ospedale "Bolognini", Seriate, Bergamo, Italy.

The Cunéo and Picot fracture-dislocation is an atypical trimalleolar fracture-dislocation of the ankle with unique anatomopathologic and radiographic features, which has not been reported in English literature. We report a case of a 42-year-old woman that was diagnosed with a trimalleolar fracture-dislocation and treated surgically with an open reduction and osteosynthesis of the lateral and medial malleolus. At one-month follow-up, X-rays showed secondary displacement of the medial malleolus requiring revision surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592173021
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http://dx.doi.org/10.1016/j.foot.2018.06.003DOI Listing
December 2018
8 Reads

Bosworth fracture dislocation of the ankle: - Two case reports with perioperative illustration.

Trauma Case Rep 2018 Oct 22;17:39-42. Epub 2018 Sep 22.

Orthopaedic Department, Aarhus University Hospital, Denmark.

The Bosworth fracture dislocation of the ankle is rare and present difficulties in treatment if not immediately recognized. Here we present two cases with pre- and postoperative x-rays and perioperative image of the dislocation. The fracture dislocations were further complicated by talocrural dislocations and were treated with open reduction and internal fixation. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.09.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178141PMC
October 2018
3 Reads

Modified SERI technique in the treatment of hallux valgus combined with arthritis.

J Orthop Surg (Hong Kong) 2018 May-Aug;26(3):2309499018802489

Orthopedic Clinic, University Hospital of Parma, Maggiore Hospital, Parma, Italy.

Introduction: Few reports encompass the treatment of first metatarsophalangeal joint (MTPJ) arthritis complicating hallux valgus. Indeed, in the literature, there is a lack of guidance concerning the management of patients affected by mild to moderate first MTPJ arthritis complicating hallux valgus. The aim of this study is to present the mid-term results of an original joint-preserving surgical technique. Read More

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http://dx.doi.org/10.1177/2309499018802489DOI Listing
October 2018
2 Reads

Should pre-manipulation radiographs be obtained in ankle fracture-dislocations?

Foot (Edinb) 2018 Sep 20;36:10-14. Epub 2018 Sep 20.

Orthopaedic Department, University Hospitals of Leicester, Gwendolen Rd., Leicester LE5 4PW, United Kingdom.

Background: Should pre-manipulation radiographs be obtained in ankle fracture-dislocations? This question remains controversial. The twelfth British Orthopaedic Association Standard for Trauma (BOAST-12) published in August 2016 states that 'Reduction and splinting should be performed urgently for clinically deformed ankles. Radiographs should be obtained before reduction unless this will cause an unacceptable delay'. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09582592183010
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http://dx.doi.org/10.1016/j.foot.2018.09.001DOI Listing
September 2018
7 Reads

Combined Medial Column Arthrodesis with Open Reduction Internal Fixation of Central Column for Treatment of Lisfranc Fracture-Dislocation: A Review of Consecutive Cases.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1059-1066. Epub 2018 Sep 19.

Chief Resident, Foot and Ankle Surgery Residency Program, Regions Hospital/ HealthPartners Institute for Education & Research, St. Paul, MN. Electronic address:

Lisfranc fracture-dislocations can be devastating injuries with significant long-term sequelae with or without surgical intervention. The main goal of treatment is to minimize the common long-term complications including pain, progressive arch collapse, degenerative joint disease, hardware failure, and reoperation. Partial primary fusion involving the first, second, and third tarsometatarsal joints has become a common approach for primarily dislocation injuries, with open reduction and internal fixation (ORIF) favored for Lisfranc injuries involving fracture. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183009
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http://dx.doi.org/10.1053/j.jfas.2018.03.026DOI Listing
February 2019
14 Reads

[Effectiveness comparison of open reduction and internal fixation for open and closed ankle Logsplitter fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1302-1307

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To investigate the effectiveness of open reduction and internal fixation on high-energy ankle Logsplitter injuries (a kind of transsyndesmotic ankle fracture dislocation), and compare the prognosis between open and closed Logsplitter fracture.

Methods: The clinical data of 36 Logsplitter fractures treated with open reduction and internal fixation between April 2011 and May 2016 were retrospectively analyzed. Among them, 15 cases were open fracture and dislocation (open group) and 21 cases were closed fracture and dislocation (closed group). Read More

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http://dx.doi.org/10.7507/1002-1892.201712073DOI Listing
October 2018
9 Reads

[The treatment of Tillaux bone block in the Ruedi-Allgower type Pilon fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1308-1312

Department of Orthopaedical Oncology, Tianjin Hospital, Tianjin, 300210, P.R.China.

Objective: To analyze the importance and effectiveness of Tillaux bone block in Ruedi-Allgower type Ⅲ of Pilon fracture surgery.

Method: Twenty-one patients with Pilon fractures with Tillaux dislocation were treated between February 2010 and September 2013. There were 17 males and 4 females, aged from 28 to 68 years with an average age of 42. Read More

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http://dx.doi.org/10.7507/1002-1892.201710068DOI Listing
October 2018
34 Reads

Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis.

Medicine (Baltimore) 2018 Sep;97(37):e12079

Department of Orthopaedics, Hebei Medical University Third Affiliated Hospital.

To explore the therapy of ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis and improve surgical results.Patients who had dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis were retrospectively analyzed and 30 patients were enrolled the study. They were all treated by ankle joint dislocation and the surgical results were evaluated by the Baird-Jackson ankle scoring system. Read More

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http://dx.doi.org/10.1097/MD.0000000000012079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156007PMC
September 2018
16 Reads

Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathology.

World J Emerg Med 2018 ;9(4):262-266

Department of Emergency Medicine, The University of Arizona, Tucson, AZ, USA.

Background: To evaluate the utilization of point-of-care ultrasound (POCUS) for the assessment of emergency department (ED) patients with musculoskeletal symptoms and the impact of musculoskeletal POCUS on medical decision-making and patient management in the ED.

Methods: This was a retrospective review of ED patients presenting with musculoskeletal symptoms who received a POCUS over a 3.5-year period. Read More

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http://dx.doi.org/10.5847/wjem.j.1920-8642.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117542PMC
January 2018
8 Reads

Simultaneous Symmetrical Bilateral Bimalleolar Open Fracture with Ankle Dislocation by Indirect Injury - Case Study.

Ortop Traumatol Rehabil 2018 Feb;20(1):51-55

Government Hospital for Bone and Joint Surgery, Barzulla, Srinagar, Kashmir.

A rare case of symmetrical open bimalleolar fractures with bilateral dislocation of ankles is described. A 30-year-old man sustained indirect trauma working in squatting position with a heavy log of wood falling on his knees with ankles in inversion, and sustained symmetrical open III B bimalleolar fractures with dislocation of bilateral ankles with the distal fibula coming out of the skin. The patient underwent operative management on bilateral ankles and the post-operative course was uneventful. Read More

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http://dx.doi.org/10.5604/01.3001.0011.5880DOI Listing
February 2018
2 Reads

Nonoperative, open reduction and internal fixation or primary arthrodesis in the treatment of Lisfranc injuries: a prospective, randomized, multicenter trial - study protocol.

BMC Musculoskelet Disord 2018 Aug 21;19(1):301. Epub 2018 Aug 21.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Teiskontie 35, PL2000, 33521, Tampere, Finland.

Background: Lisfranc injuries are known to be rare and often overlooked injuries that can cause long-term disability and pain when missed or treated incorrectly. The wide variety of Lisfranc injuries ranges from subtle ligament distensions to open fracture dislocations. The treatment of Lisfranc joint injuries is still controversial and very little is known about what types of injury can be treated nonoperatively. Read More

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http://dx.doi.org/10.1186/s12891-018-2222-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102864PMC
August 2018
5 Reads

Traumatic Injury to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.004DOI Listing
September 2018
2 Reads

Can arthroscopic Bankart repairs using suture anchors restore equivalent stability to open repairs in the management of traumatic anterior shoulder dislocation? A meta-analysis.

J Orthop Sci 2018 Nov 26;23(6):935-941. Epub 2018 Jul 26.

Clinical Guidelines Committee, Japanese Orthopaedic Society of Knee, Arthroscopy, and Sports Medicine (JOSKAS) 5-1 Kojimachi, Chiyodaku, Tokyo 102-8481, Japan; Department of Orthopaedic Surgery, Division of Clinical Medical Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.

Background: Recently, arthroscopic Bankart repairs have become much more popular than open repairs for the treatment of recurrent anterior shoulder instability. However, it is unclear whether the modern arthroscopic Bankart repairs using suture anchors could restore equivalent stability to open repairs. We conducted a meta-analysis to compare arthroscopic Bankart repairs using suture anchors and open repairs in regard to clinical outcomes. Read More

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http://dx.doi.org/10.1016/j.jos.2018.06.016DOI Listing
November 2018
3 Reads

Repair with bicortical suspension device restores proximal tibiofibular joint motion.

Knee Surg Sports Traumatol Arthrosc 2018 Jul 23. Epub 2018 Jul 23.

Department of Orthopaedic Surgery, Hospital Dr. José d`Almeida, Av. Brigadeiro Victor Novais Gonçalves, 2755-009, Alcabideche, Cascais, Portugal.

Purpose: Dislocation of the proximal tibiofibular joint is a complex injury that is often overlooked or misdiagnosed. Surgical treatment is recommended for severe acute or for chronic symptomatic instability but there is still no evidence on the optimal reconstruction technique. The purpose of this study is to analyze the motion of the proximal tibiofibular joint after repair with a bicortical suspension device as compared to its normal kinematics. Read More

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http://dx.doi.org/10.1007/s00167-018-5061-9DOI Listing
July 2018
9 Reads

A Prospective Evaluation of Patient-Reported Opioid Utilization After Nonoperative Treatment of Fractures and Dislocations.

J Bone Joint Surg Am 2018 Jul;100(14):1177-1183

Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Background: Prescription of opioid analgesics is currently a common practice to relieve pain for musculoskeletal injuries in many regions of the world, especially in the United States and Canada. However, overprescription may underlie opioid misuse. Details on the utilization of prescribed opioids after nonoperative treatment of fractures and dislocations and whether consumption is related to injury location are unknown. Read More

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http://dx.doi.org/10.2106/JBJS.17.01475DOI Listing
July 2018
4 Reads

Recurrent Dislocation of the Tibialis Posterior Tendon Treated With Suture Tape: A Case Report of an Innovative Operative Procedure.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1267-1271. Epub 2018 Jul 13.

Professor, Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan.

Dislocation of the tibialis posterior tendon (PTT) is a rare traumatic injury, and treatment is often delayed. Conservative treatment is ineffective for recurrent dislocation of the PTT; however, a reference standard procedure has not yet been established. In the present case report, we describe an innovative pseudo-pouch closing procedure with suture tape and a suture anchor for recurrent PTT dislocation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.046DOI Listing
July 2018
4 Reads

Surgical Technique: Achieving Anatomic Alignment With Temporizing, Ankle-Spanning External Fixation.

J Orthop Trauma 2018 Aug;32 Suppl 1:S38-S39

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Loyola University Stritch School of Medicine, Maywood, IL.

Introduction: Severe injuries to the ankle frequently result in soft tissue trauma too severe to proceed with immediate definitive fixation. Additionally, patients with multiple or vascular injuries may need a temporizing measure before undergoing definitive treatment. Temporizing, ankle-spanning external fixation offers a management strategy that allows for soft tissue rest and prioritized treatment of patients with polytrauma. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001205DOI Listing
August 2018
1 Read

[Fractures of the lateral process of the talus-snowboarder's ankle].

Unfallchirurg 2018 Sep;121(9):715-722

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.

Fractures of the lateral tubercle of the talus (PLT) are rare. With the increasing popularity of the trend sport snowboarding, the incidence of PLT fractures has increased. The most common classification of PLT fractures is the Hawkins classification. Read More

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http://dx.doi.org/10.1007/s00113-018-0519-2DOI Listing
September 2018
2 Reads

Treatment of Chronic Subluxation of the Peroneal Tendons Using a Modified Posteromedial Peroneal Tendon Groove Deepening Technique.

Authors:
Mu Hu Xiangyang Xu

J Foot Ankle Surg 2018 Sep - Oct;57(5):884-889. Epub 2018 Jun 19.

Professor and Surgeon, Department of Orthopaedics, Shanghai Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:

The present study investigated the clinical efficacy of a modified approach for the treatment of chronic subluxation of the peroneal tendons using posteromedial peroneal tendon groove deepening. We retrospectively analyzed the data from 21 patients who had undergone posteromedial peroneal tendon groove deepening combined with repair of the tendon sheath for the treatment of chronic subluxation of the peroneal tendons from March 2006 to October 2012. The lateral edge of the peroneal tendon groove was left untouched. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.03.009DOI Listing
January 2019
1 Read

Risk factors for surgical site infection following operative treatment of ankle fractures: A systematic review and meta-analysis.

Int J Surg 2018 Aug 18;56:124-132. Epub 2018 Jun 18.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, NO.139 Ziqiang Road, Shijiazhuang, Hebei, 050051, PR China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, 050051, PR China; Chinese Academy of Engineering, Beijing, 100088, PR China. Electronic address:

Background: This study aims to quantitatively summarize risk factors associated with surgical site infection after open reduction and internal fixation of ankle fractures.

Methods: Relevant original studies were searched in Medline, Embase, China National Knowledge Infrastructure, Wanfang database and Cochrane central database (all through April 2018). Studies eligible had to meet the quality assessment criteria by Newcastle-Ottawa Scale and to evaluate the risk factors for surgical site infection after open reduction and internal fixation of ankle fractures. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.06.018DOI Listing
August 2018
10 Reads

Temporary epiphysiodesis using the FlexTack™ implant (tension band) featuring a modified explantation technique.

Oper Orthop Traumatol 2018 Oct 15;30(5):359-368. Epub 2018 Jun 15.

Clinic for Orthopedics and Trauma Surgery, University of Bonn, Bonn, Germany.

Objective: Presenting the implantation of the PediatrOS™ FlexTack™ (Merete, Berlin, Germany) for growth guidance and a modified explantation procedure to facilitate explantation and prevent bone and soft tissue damage.

Indications: Implantation: Genua vara and valga, coxa vara, varus and valgus deviation of the ankle joint, the elbow joint and the wrist Modified Explantation: Removal of the implant after successful limb correction or dislocation of the implant.

Contraindications: Implantation: Closed growth plates, insufficient remaining growth potential, acute or chronic infection, insufficient osseous structures, severe muscular, nervous or vessel diseases endangering the respective limb Explantation: General inoperability of the patient. Read More

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http://dx.doi.org/10.1007/s00064-018-0553-9DOI Listing
October 2018
3 Reads

The heterogeneous management of pediatric ankle traumas: A retrospective descriptive study.

Medicine (Baltimore) 2018 Jun;97(24):e11020

CHU Sainte-Justine, Chemin de la Côte Ste-Catherine.

Frequent misdiagnosis of pediatric ankle traumas leads to inappropriate management, which may result in residual pain, instability, slower return to physical activity, and long-term degenerative changes. The purpose of this study was to evaluate the consistency of diagnosis, management, and the treatment of acute lateral pediatric ankle trauma in a tertiary care pediatric hospital. The hypothesis was that the initial diagnosis is often incorrect, and the treatment varies considerably amongst orthopedic surgeons. Read More

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http://dx.doi.org/10.1097/MD.0000000000011020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023842PMC
June 2018
2 Reads

Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases.

Indian J Orthop 2018 May-Jun;52(3):269-275

Department of Orthopedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.

Background: The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus.

Materials And Methods: Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_646_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961264PMC
June 2018
3 Reads