10,351 results match your criteria Fracture Ankle


Anterior inferior tibiofibular ligament avulsion fractures in operatively treated ankle fractures: a retrospective analysis.

Arch Orthop Trauma Surg 2019 Feb 15. Epub 2019 Feb 15.

Trauma unit, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Background: There is no consensus about the optimal treatment of anterior inferior ligament avulsion fractures of the ankle. The aim of this study is to provide insights regarding the incidence of anterior inferior ligament avulsion fractures, the association with fracture type, and correlation with treatment.

Methods: This study is a retrospective analysis in a level-1 trauma center of adult patients with an ankle fracture operated between the dates 01-01-2009 and 01-09-2017 who had a pre- and postoperative CT-scan. Read More

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http://dx.doi.org/10.1007/s00402-019-03138-2DOI Listing
February 2019

Increased Rates of Readmission, Reoperation, and Mortality Following Open Reduction and Internal Fixation of Ankle Fractures Are Associated With Diabetes Mellitus.

J Foot Ankle Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

The purpose of this study was to compare the rates of readmission, reoperation, and mortality in patients with and without diabetes mellitus during the 30-day postoperative period after ankle fracture surgery. Patients who underwent operative management for ankle fractures between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program database by using Current Procedural Terminology codes for ankle fracture surgery. A total of 17,464 patients undergoing ankle fracture surgery were identified. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.023DOI Listing
February 2019

Short-Term Effects of Manual Therapy in Patients After Surgical Fixation of Ankle and/or Hindfoot Fracture: A Randomized Clinical Trial.

J Orthop Sports Phys Ther 2019 Feb 13:1-32. Epub 2019 Feb 13.

University of Utah, Salt Lake City, UT.

Study Design: Multi-site double blind randomized clinical trial.

Background: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients.

Objectives: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture. Read More

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http://dx.doi.org/10.2519/jospt.2019.8864DOI Listing
February 2019

Rationale, study design, and descriptive data of the Lucky Bone™ Fracture Liaison Service.

Arch Osteoporos 2019 Feb 12;14(1):19. Epub 2019 Feb 12.

CIUSSS Nord de l'Ile de Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 bl. Gouin ouest, Montreal, QC, H4J 1C5, Canada.

The study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs. Read More

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http://dx.doi.org/10.1007/s11657-019-0571-8DOI Listing
February 2019

Criteria-Based Return to Sport Decision-Making Following Lateral Ankle Sprain Injury: a Systematic Review and Narrative Synthesis.

Sports Med 2019 Feb 11. Epub 2019 Feb 11.

Faculty of Physical Education and Physiotherapy, Human Physiology Research Group, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.

Objective: The aim of this systematic review was to identify prospective studies that used a criteria-based return to sport (RTS) decision-making process for patients with lateral ankle sprain (LAS) injury.

Design: Systematic review and narrative synthesis.

Data Sources: The PubMed (MEDLINE), Web of Science, PEDro, Cochrane Library, SPORTDiscus (EBSCO), ScienceDirect, and Scopus databases were searched to 23 November 2018. Read More

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http://dx.doi.org/10.1007/s40279-019-01071-3DOI Listing
February 2019
1 Read

Avulsion Fractures of Posterior Calcaneal Tuberosity: Identification of Prognostic Factors and Classification.

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Surgeon, Department of Traumatology and Orthopedic Surgery, Hospital Regional Universitario de Málaga, Málaga, Spain.

Avulsion fractures of the posterior calcaneal tuberosity are rare injuries, and little is known about the underlying factors, outcomes, and prognosis. Furthermore, classifications described previously focus on fracture morphology, with uncertain clinical utility. We present the results of a retrospective study of 21 patients treated for this pathology from January 2002 to December 2015. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.002DOI Listing
February 2019
1 Read

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

Modified Extension Block Technique for Bony Mallet Injury of the Hallux.

J Foot Ankle Surg 2019 Feb 8. Epub 2019 Feb 8.

Professor, Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

Bony mallet injury of the hallux is uncommon. In the few reports of this injury, authors have described surgical treatments such as closed reduction with percutaneous pinning and open surgical fixation with Kirschner wires or a suture anchor. However, the appropriate surgical management for this injury remains controversial. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.018DOI Listing
February 2019
1 Read

The Perception of the Scope of Practice of Podiatric Medicine in a Large Teaching Hospital Demonstrated by Internal Medicine Residents and Patients.

J Am Podiatr Med Assoc 2018 Nov;108(6):503-507

Background:: The scope of podiatric practice has changed significantly in the past couple of decades. Despite the increased quality of training, many people outside of podiatry may not realize what our scope of practice entails.

Methods:: We conducted a survey consisting of 10 items and asked internal medicine residents at Rush University Medical Center and patients whether they would feel comfortable consulting podiatrists, or being treated for each issue. Read More

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http://dx.doi.org/10.7547/17-128DOI Listing
November 2018
1 Read

The ANK nail treatment of lateral malleolar fractures with syndesmosis injury: Clinical outcomes at 10 years of follow-up.

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):75-79

Department of Orthopaedics and Traumatology, İstanbul Bilim University Şişli Florence Nightingale Hospital, İstanbul-Turkey.

Background: Lateral malleolar fractures associated with syndesmotic injuries are common. Various surgical implants may be used for the management of syndesmosis injury. One of these is ANK nail. Read More

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http://dx.doi.org/10.5505/tjtes.2018.91679DOI Listing
January 2019
1 Read

School Nurses on the Front Lines of Medicine: Emergencies Associated With Sport and Physical Activities: Part 1.

NASN Sch Nurse 2019 Feb 9:1942602X18819223. Epub 2019 Feb 9.

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine.

Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life- and limb-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus, catastrophic brain or cervical spine injuries, hypoglycemia, blunt chest/abdominal injuries, or extremity fractures requiring surgery. It is important for the school nurse to recognize potential life- and limb-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life- and limb-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services). Read More

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http://dx.doi.org/10.1177/1942602X18819223DOI Listing
February 2019
1 Read

Painful Nonunion after Missed Juvenile Tillaux Fracture in an Athlete - Case Report and Description of a New Fixation Technique.

J Orthop Case Rep 2018 Sep-Oct;8(5):7-10

Department of Orthopedics, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Introduction: The Tillaux fracture is a rare subtype of tibial physeal fracture that usually occurs in adolescents. There are only a few case series or reports published in the literature and, to our knowledge, this is the first time, a painful nonunion is reported after this type of fracture.

Case Report: A 13-year-old athlete presented to our orthopedic department because of persistent pain after an acute ankle injury 2months before. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367285PMC
February 2019
1 Read

Stentoplasty of calcaneal fractures: Surgical technique and early outcomes.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

Calcaneus is the most common site of hindfoot fracture, frequently caused by fall from height or high energy trauma. The therapeutic strategy ranged from non-operative to ORIF (Open Reduction Internal Fixation). Indications for percutaneous fixation include soft tissue damage or relative contraindications to open surgery. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.049DOI Listing
February 2019
1 Read

Osteoporosis is inversely associated with arterial stiffness in the elderly: An investigation using the Osteoporosis Self-assessment Tool for Asians index in an elderly Chinese cohort.

J Clin Hypertens (Greenwich) 2019 Feb 7. Epub 2019 Feb 7.

Department of Geriatric Medicine, Shanghai Jiatong School of Medicine, Ruijin Hospital North, Shanghai, China.

Although the association of arterial stiffness and osteoporosis has been reported, the relation of arterial stiffness with risk of osteoporosis and bone fracture is not established. The authors investigated the correlation between arterial stiffness (brachial-ankle pulse wave velocity [baPWV]), including a cutoff value, and risk of osteoporosis as assessed by the Osteoporosis Self-assessment Tool for Asia (OSTA) index in 129 elderly Chinese community-dwelling individuals (age 83.2 ± 12. Read More

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http://dx.doi.org/10.1111/jch.13493DOI Listing
February 2019
1 Read

Incidence and Predictors of Lateral Hinge Fractures Following Medial Opening-Wedge High Tibial Osteotomy Using Locking Plate System: Better Performance of Computed Tomography Scans.

J Arthroplasty 2019 Jan 17. Epub 2019 Jan 17.

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South Korea.

Background: This study compared the rates of plain radiographs and computed tomography (CT) for detecting lateral hinge fractures and to evaluate factors affecting lateral hinge fractures in patients following medial opening-wedge high tibial osteotomy (MOWHTO).

Methods: This prospective study included 59 patients (65 knees) undergoing MOWHTO for primary medial compartment osteoarthritis with a 2-year follow-up between 2013 and 2016. Clinical and radiographic evaluations were performed using Knee Society Score and Western Ontario and McMaster Universities Arthritis Index, and we calculated the hip-knee-ankle angle, weight-bearing line ratio, lateral distal femoral angle, medial proximal tibial angle, posterior tibial slope, osteotomy gap height, and osteotomy gap filling rate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193005
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http://dx.doi.org/10.1016/j.arth.2019.01.026DOI Listing
January 2019
6 Reads

False-Negative Platelet Factor 4 Antibodies and Serotonin Release Assay and the Utility of Repeat Testing in the Diagnosis of Heparin-Induced Thrombocytopenia and Thrombosis.

Case Rep Hematol 2019 8;2019:1585014. Epub 2019 Jan 8.

Department of Neurointensive Care, Cerebrovascular Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.

Objective: To report a case of false-negative serological tests in the diagnosis of heparin-induced thrombocytopenia (HIT) followed by a brief review of the literature on this topic.

Case Presentation: A 75-year-old Caucasian female patient was admitted with a traumatic right ankle fracture that required open reduction and internal fixation. Despite postoperative subcutaneous heparin chemoprophylaxis, she developed deep vein thrombosis (DVT) and pulmonary embolism (PE) on day 4 and subsequently started on continuous heparin infusion. Read More

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http://dx.doi.org/10.1155/2019/1585014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341253PMC
January 2019
2 Reads

Vitamin D intake, calcium intake and physical activity among children with wrist and ankle injuries and the association with fracture risk.

Nutr Health 2019 Feb 6:260106019826422. Epub 2019 Feb 6.

1 Department of Oncology and Metabolism, University of Sheffield, Medical School, UK.

Background:: Several studies have revealed a substantial increase in the incidence of fractures in children in the past few decades.

Aim:: To assess the strength of the association between suggested risk factors and fracture prevalence in children.

Method:: A cross sectional observational study. Read More

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http://dx.doi.org/10.1177/0260106019826422DOI Listing
February 2019
1 Read

Clinical applications of allografts in foot and ankle surgery.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 5. Epub 2019 Feb 5.

Orthopaedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal.

Purpose: The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence-based recommendations.

Methods: The database for PubMed was searched for all published articles. Read More

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http://link.springer.com/10.1007/s00167-019-05362-0
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http://dx.doi.org/10.1007/s00167-019-05362-0DOI Listing
February 2019
2 Reads

Talocalcaneal Coalition Including Open Comminuted Calcaneal Fracture; A Case Report and Literature Review.

Bull Emerg Trauma 2019 Jan;7(1):80-83

Medical University of Graz, Department of Orthopaedics and Trauma, Graz, Austria.

Tarsal coalition is an often unrecognised cause of foot and ankle pain and represents a congenital osseous, cartilaginous or fibrous connection between two or more tarsal bones. Fractures in combination with tarsal coalitions are rarely described in the literature. We report the case of a 43-year-old male patient with a talocalcaneal coalition who sustained an open comminuted calcaneal fracture and a closed transverse cuboid fracture. Read More

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http://dx.doi.org/10.29252/beat-0701013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360003PMC
January 2019
5 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

Retrospective cohort study of operatively treated ankle fractures involving the posterior malleolus.

Foot Ankle Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Trauma and Orthopaedics, Torbay and South Devon NHS Foundation Trust, Torbay Hospital, Torquay, TQ2 7AA, UK.

Background: Direct fixation of the posterior malleolus through a posterolateral approach is increasing in popularity. However, data is limited, and no studies have stratified results by posterior malleolus size.

Methods: A retrospective cohort study of patients with posterior malleolus (PM) fractures undergoing internal fixation over an 18-month period was conducted. Read More

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http://dx.doi.org/10.1016/j.fas.2019.01.003DOI Listing
January 2019
1 Read

Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb.

Skeletal Radiol 2019 Jan 31. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00256-019-3160-4DOI Listing
January 2019
1 Read

Cost analysis of ankle syndesmosis internal fixation.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):173-177. Epub 2017 Aug 24.

University of Maryland, Department of Orthopaedics, University of Maryland Medical System, 22 S. Greene St, Baltimore, MD, 21201 United States.

Background: Unstable ankle syndesmosis injuries are common, and the optimal surgical fixation is controversial. The two main options for stabilization of syndesmotic injuries are suture button fixation and screw fixation. Suture button fixation has a higher initial cost, but may have a lower hardware removal rate. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.08.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349602PMC
August 2017
1 Read

Medial malleolar stress fracture resulting from repetitive stress caused by lateral ankle instability: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14311

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan, Korea.

Rationale: Stress fractures are most commonly sustained in the lower extremities owing to the repetitive weight-bearing forces. They are overuse injuries that are seen often in athletes, but rare in the general population, so early diagnosis and proper treatment are important to enable athletes to return to activity. This is a rare example of successful treatment of a medial malleolar stress fracture with lateral ankle instability. Read More

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http://dx.doi.org/10.1097/MD.0000000000014311DOI Listing
February 2019
1 Read

Double-level fixator-assisted nailing (DL-FAN).

Bone Joint J 2019 Feb;101-B(2):178-188

Center for Ilizarov Techniques, Akola, India.

Aims: Double-level lengthening, bone transport, and bifocal compression-distraction are commonly undertaken using Ilizarov or other fixators. We performed double-level fixator-assisted nailing, mainly for the correction of deformity and lengthening in the same segment, using a straight intramedullary nail to reduce the time in a fixator.

Patients And Methods: A total of 23 patients underwent this surgery, involving 27 segments (23 femora and four tibiae), over a period of ten years. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
Publisher Site
http://dx.doi.org/10.1302/0301-620X.101B2.BJJ-2018-0622.R1DOI Listing
February 2019
9 Reads

Fracture admission trends in England over a ten-year period.

Ann R Coll Surg Engl 2019 Jan 30:1-7. Epub 2019 Jan 30.

University Hospitals Plymouth NHS Trust , UK.

Introduction: Fractures are a common reason for admission to hospital around the world. Varying incidences have been reported but these are mainly based on small studies from individual centres. The aim of our study was to analyse fracture admissions in England over a ten-year period. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0002DOI Listing
January 2019
2 Reads

Mid-term follow-up results of calcaneal reconstruction for calcaneal malunion.

BMC Musculoskelet Disord 2019 Jan 29;20(1):43. Epub 2019 Jan 29.

Department of Orthopedic Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital, 1174 Jung-1-dong, Wonmi-gu, Bucheon-si, Gyunggi-do, 420-767, Republic of Korea.

Background: We hypothesized that calcaneal reconstruction can relieve chronic pain due to calcaneal malunion. We report the mid-term follow-up results of calcaneal reconstruction for calcaneal malunion.

Methods: We reviewed the records of 10 male patients (10 ft) who underwent calcaneal reconstruction for calcaneal malunion between January 2009 and July 2014 at the mid-term follow-up. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-019-2419-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352372PMC
January 2019
4 Reads

The effectiveness of ultrasound in the detection of fractures in adults with suspected upper or lower limb injury: a systematic review and subgroup meta-analysis.

BMC Emerg Med 2019 Jan 28;19(1):17. Epub 2019 Jan 28.

Centre for Rural Health, University of Aberdeen, Inverness, Scotland, UK.

Background: The aim of the present review is to assess the effectiveness of ultrasound (US) in the detection of upper and lower limb bone fractures in adults compared to a diagnostic gold standard available in secondary and tertiary care centres (e.g. radiography, CT scan or MRI). Read More

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http://dx.doi.org/10.1186/s12873-019-0226-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350304PMC
January 2019
1 Read

Effects of denosumab and alendronate on bone health and vascular function in hemodialysis patients: A randomized, controlled trial.

J Bone Miner Res 2019 Jan 28. Epub 2019 Jan 28.

Division of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.

Mineral and bone disorders including osteoporosis are common in dialysis patients and contribute to increased morbimortality. However, whether denosumab and alendronate are effective and safe treatments in hemodialysis patients is not known. Thus, we conducted a prospective, three-center study of 48 hemodialysis patients who were diagnosed as having osteoporosis and had not received anti-osteoporotic agents previously. Read More

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http://dx.doi.org/10.1002/jbmr.3676DOI Listing
January 2019
1 Read

Correlation of Soft Tissue Swelling and Timing to Surgery With Acute Wound Complications for Operatively Treated Ankle and Other Lower Extremity Fractures.

Foot Ankle Int 2019 Jan 28:1071100718820352. Epub 2019 Jan 28.

2 Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Background:: Considerable debate exists regarding how soft-tissue edema should influence timing of surgery for ankle and other lower extremity fractures. Assessment of swelling is subjective, and timing varies among surgeons. However, timing of surgery is one of the few modifiable factors in fracture care. Read More

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http://dx.doi.org/10.1177/1071100718820352DOI Listing
January 2019
1 Read

Limbus Vertebral Fracture Presenting as Cauda Equina Syndrome Masquerading An Acute Disc Prolapse - A Rare Case Report and Review of Literature.

J Orthop Case Rep 2018 Jul-Aug;8(4):38-40

Department of Orthopaedics, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Introduction: Limbus vertebral fracture is an uncommon injury described in adolescents. It refers to the separation of a bony fragment from the unfused ring apophysis of lumbar vertebral end plate. It usually presents with back pain with/without radiculopathy masquerading an acute disc prolapse. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343561PMC
January 2019
1 Read

Standardised virtual fracture clinic management of Achilles tendon ruptures is safe and reproducible.

Foot Ankle Surg 2018 Nov 10. Epub 2018 Nov 10.

Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.

Background: Traditional fracture clinics are some of the busiest clinics in a hospital, often with significant patient waiting times and delays. The use of virtual fracture clinic (VFC) for the management of certain injuries to reduce the workload on the traditional fracture clinic, in addition to reducing costs is growing in popularity. The tendoachilles is the most frequently ruptured tendon in the body but despite this, management remains a keenly debated topic. Read More

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http://dx.doi.org/10.1016/j.fas.2018.10.010DOI Listing
November 2018
1 Read

Osteomyelitis of the Calcaneus With Pathologic Fracture.

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Attending Physician, Geisinger Health System, Danville, PA.

Pathologic fractures of the calcaneus secondary to osteomyelitis (OM) have rarely been reported in the literature. This case series describes 5 patients who were treated in our institution for chronic OM of the calcaneus and subsequently suffered a fracture of the involved calcaneus in the absence of trauma. All 5 patients had a history of insulin-dependent diabetes mellitus and were treated with a range of surgical treatments including open reduction and internal fixation, external fixation, and excision of the fracture fragment. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.016DOI Listing
January 2019
2 Reads

Avascular Necrosis of the Sesamoids.

Foot Ankle Clin 2019 Mar;24(1):57-67

Department of Orthopaedic Surgery, Washington University School of Medicine, Campus Box 8233, 660 Euclid Avenue, St Louis, MO 63110, USA. Electronic address:

Avascular necrosis (AVN) of the sesamoid is pathology of the medial or lateral hallucal sesamoid resulting in pain under the first metatarsophalangeal joint often presenting in young female athletes. There is overlap of stress fracture, nonunion, and AVN that makes defining the diagnosis difficult but the treatment and outcomes are similar. The most reliable operative treatment used for AVN of the sesamoid is an accumulation of anatomic and mechanical factors with repetitive microtrauma. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.004DOI Listing
March 2019
1 Read

Prevention of Avascular Necrosis with Fractures of the Talar Neck.

Foot Ankle Clin 2019 Mar 9;24(1):47-56. Epub 2018 Nov 9.

The Institute for Foot and Ankle Reconstruction at Mercy, 301 St Paul Place, Baltimore, MD 21202, USA.

Displaced talar neck fractures no longer constitute a surgical emergency; timing of definitive surgery has no bearing on the risk of osteonecrosis. Amount of initial fracture displacement is best predictor of osteonecrosis. Grossly displaced fractures or fracture-dislocations should be provisionally reduced, with or without temporary external fixation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.003DOI Listing
March 2019
1 Read
0.844 Impact Factor

Avascular Necrosis of the Tibial Plafond Following Rotational Ankle Fractures.

Foot Ankle Clin 2019 Mar 16;24(1):113-119. Epub 2018 Nov 16.

Foot and Ankle Surgery, UCLA Harbor Medical Center, 1000 W. Carson Street, Torrance, CA 90502, USA; Foot and Ankle Department, Congress Medical Associates, 800 South Raymond, 2nd Floor, Pasadena, CA 91105, USA.

Avascular necrosis (AVN) following rotational ankle fractures is most commonly described in the talus; however, it can also occur in the tibial plafond. These sequelae of ankle fractures are rarely described in the literature. Diagnosis of AVN is best confirmed with MRI of the involved extremity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.003DOI Listing
March 2019
6 Reads

Comparison of intramedullary nailing and plate fixation in distal tibial fractures with metaphyseal damage: a meta-analysis of randomized controlled trials.

J Orthop Surg Res 2019 Jan 25;14(1):30. Epub 2019 Jan 25.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277, Jiefang Avenue, Wuhan, 430022, China.

Background: Distal metadiaphyseal tibial fractures are commonly seen lower limb fractures. Intramedullary nail fixation (IMN) and plate internal fixation (PL) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. This meta-analysis was designed to compare the success of IMN and PL fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery. Read More

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http://dx.doi.org/10.1186/s13018-018-1037-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347848PMC
January 2019
2 Reads
1.577 Impact Factor

Assessment of gait kinetics in post-menopausal women using tri-axial ankle accelerometers during barefoot walking.

Gait Posture 2019 Jan 15;69:85-90. Epub 2019 Jan 15.

Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, 55905, USA; Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 55905, USA. Electronic address:

Background: Physical activity (PA) interventions, designed to increase exposure to ground reaction force (GRF) loading, are a common target for reducing fracture risk in post-menopausal women with low bone mineral density (BMD). Unfortunately, accurate tracking of PA in free-living environments and the ability to translate this activity into evaluations of bone health is currently limited.

Research Question: This study evaluates the effectiveness of ankle-worn accelerometers to estimate the vertical GRFs responsible for bone and joint loading in post-menopausal women at a range of self-selected walking speeds during barefoot walking. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.01.021DOI Listing
January 2019
1 Read

Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial.

BMJ 2019 Jan 23;364:k5432. Epub 2019 Jan 23.

Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Kajaanintie 50, PO Box 21, FI 90029 OYS, Oulu, Finland.

Objective: To determine whether treatment of isolated stable Weber B type ankle fractures with a cast or a simple orthotic device for three weeks produces non-inferior outcomes compared with conventional immobilisation in a cast for six weeks.

Design: Randomised, pragmatic, non-inferiority, clinical trial with blinded outcome assessment.

Setting: Two major trauma centres in Finland, 22 December 2012 to 6 June 2016. Read More

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http://www.bmj.com/lookup/doi/10.1136/bmj.k5432
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http://dx.doi.org/10.1136/bmj.k5432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342249PMC
January 2019
5 Reads

Transarticular tibiotalocalcaneal nailing versus open reduction and internal fixation for treatment of the elderly ankle fracture: protocol for a multicentre, prospective, randomised controlled trial.

BMJ Open 2019 Jan 21;9(1):e026360. Epub 2019 Jan 21.

Department of Orthopaedics, The Prince Charles Hospital, Chermside, Queensland, Australia.

Introduction: Ankle fractures are common in the elderly population. Surgical fixation is technically challenging and often results in complications due to high rates of osteoporosis and vascular disease. Open reduction and internal fixation (ORIF) often requires prolonged periods of non-weight bearing increasing the risks of complications. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347874PMC
January 2019
2 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

Ability of a Risk Prediction Tool to Stratify Quality and Cost of Older Patients with Operative Ankle Fractures.

J Orthop Trauma 2019 Jan 17. Epub 2019 Jan 17.

NYU Langone Orthopedic Hospital, NYU Langone Medical Center, New York, New York.

Objectives: To investigate the ability of a validated geriatric trauma risk prediction tool to stratify hospital quality metrics and inpatient cost for middle-aged and geriatric patients admitted from the ED for operative treatment of an ankle fracture.

Design: Prospective cohort study SETTING:: Single Academic Medical Center PATIENTS:: Patients aged 55 and older who sustained a rotational ankle fracture and were treated operatively during their index hospitalization INTERVENTION:: Calculation of validated trauma triage score, Score for Trauma Triage in Geriatric and Middle Aged (STTGMA), using patient's demographic, injury severity, and functional status. Patients were stratified into groups based on scores to create a minimal-, low-, moderate-, and high-risk cohort. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001446DOI Listing
January 2019
1 Read

Comparison of Plantar Pressure Distribution During Walking After Two Different Surgical Treatments for Calcaneal Fracture.

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

Professor, Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic.

The aim of our study was to compare gait in terms of foot loading and temporal variables after 2 different operative approaches (the extended lateral approach [ELA] and sinus tarsi approach). Twenty-two patients who sustained an intra-articular calcaneal fracture underwent plantar pressure distribution measurements 6 months after surgery. Measurements were performed while patients walked on the pedobarography platform. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183039
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http://dx.doi.org/10.1053/j.jfas.2018.08.051DOI Listing
January 2019
4 Reads

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

When is indicated fibular fixation in extra-articular fractures of the distal tibia?

Acta Biomed 2019 Jan 15;89(4):558-563. Epub 2019 Jan 15.

PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION.

Background And Aim Of The Work: There is no consensus about indications for fibular osteosynthesis in extra-articular fractures of the distal tibia (DTF). This study analyses patients affected by DTF associated to fibular fracture and has the aim to define whether the level of fibular fracture has an influence on bone healing and consequently when its fixation is indicated.

Methods: Eighty-seven patients were operated from January 2005 to December 2016. Read More

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http://dx.doi.org/10.23750/abm.v89i4.7775DOI Listing
January 2019
1 Read

Compartment Syndrome After Isolated Closed Transverse Fibular Shaft Fracture.

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 26;2(11):e077. Epub 2018 Nov 26.

University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (Dr. Matthews); and the UBMD Department of Orthopaedics, Buffalo, NY (Dr. Mutty).

In the lower extremity, compartment syndrome has been associated with fractures of the tibial plateau, shaft, and plafond. The patient was an 89-year-old male driver involved in a T-bone type motor vehicle accident. He sustained a closed transverse fibular shaft fracture and initially had fullness in his anterior/lateral compartments but no pain with passive and active range of motion of his ankle. Read More

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http://Insights.ovid.com/crossref?an=01979360-201811000-0000
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http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324902PMC
November 2018
5 Reads

Characteristics and proposed classification system of posterior pilon fractures.

Medicine (Baltimore) 2019 Jan;98(3):e14133

Department of Orthopedic Surgery, PLA Army General Hospital, No. 5 Nanmencang, Dongcheng District, Beijing, China.

Posterior pilon fractures involve the medial malleolus (MM). Our purpose was to define the characteristics of posterior pilon fractures, and propose a classification system based on fracture morphology and type of management.The records of patients with posterior pilon fractures treated from 2011 to 2015 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/MD.0000000000014133DOI Listing
January 2019
1 Read

Lost to follow-up: Challenges to conducting orthopaedic research in South Africa.

S Afr Med J 2018 Oct 26;108(11):917-921. Epub 2018 Oct 26.

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.

Loss to follow-up poses a major problem for clinicians and researchers, and several factors that may increase its risk have been postulated. The objective of this study was to describe potential factors that contribute to loss to follow-up as seen in orthopaedic patients participating in a research study and attending the sole public orthopaedic service provider in the Northern Cape Province of South Africa (SA). All patients who underwent ankle fracture surgery at Kimberley Provincial Hospital between January 2012 and July 2013 were included, and the number of follow-up visits attended by each participant was recorded prospectively. Read More

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http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13252DOI Listing
October 2018
3 Reads

A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study.

J Biol Regul Homeost Agents 2018 Nov-Dec;32(6 Suppl. 1):57-63

Intensive Unit Care, University of Pisa, Italy.

Hardware removal after surgical treatment fracture is one of the most common procedures in orthopaedic daily activity. A percentage from 14.5 to 21 of total removal involves the ankle joint. Read More

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January 2019
1 Read