10,463 results match your criteria Fracture Ankle


Ankle Fracture Detection Utilizing a Convolutional Neural Network Ensemble Implemented with a Small Sample, De Novo Training, and Multiview Incorporation.

J Digit Imaging 2019 Apr 18. Epub 2019 Apr 18.

Center for Research Computing, University of Pittsburgh, Pittsburgh, PA, 15260, USA.

To determine whether we could train convolutional neural network (CNN) models de novo with a small dataset, a total of 596 normal and abnormal ankle cases were collected and processed. Single- and multiview models were created to determine the effect of multiple views. Data augmentation was performed during training. Read More

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http://dx.doi.org/10.1007/s10278-018-0167-7DOI Listing

Evaluation of Common Musculoskeletal Injuries in the Urgent Setting.

Authors:
Anna N Miller

MedEdPORTAL 2016 Dec 7;12:10514. Epub 2016 Dec 7.

Assistant Professor, Department of Orthopaedic Surgery, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center; the Assistant Director of Orthopaedic Trauma, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center.

Introduction: Musculoskeletal (MSK) complaints comprise approximately 20% of primary care and emergency department visits annually in the United States. At the same time, there is a shortage of MSK specialists specifically trained to evaluate and treat these conditions. Improper management of patients with MSK diagnoses increases morbidity and undesirable outcomes for patients and leads to higher health care costs resulting from extraneous tests and imaging. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440529PMC
December 2016
1 Read

Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review.

Clin J Sport Med 2019 Apr 8. Epub 2019 Apr 8.

The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.

Objective: To analyze the characteristics of injuries sustained by young figure skaters who were evaluated at regional pediatric sports medicine clinics.

Design: Retrospective chart review (2003-2017).

Setting: Sports medicine clinics at a tertiary-level pediatric medical center. Read More

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http://Insights.ovid.com/crossref?an=00042752-900000000-9905
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http://dx.doi.org/10.1097/JSM.0000000000000743DOI Listing
April 2019
2 Reads

Anatomical variations in the cutaneous innervation on the dorsum of the foot.

Anat Cell Biol 2019 Mar 29;52(1):34-37. Epub 2019 Mar 29.

Department of Anatomy, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Generally among the branches of common peroneal nerve, the superficial peroneal nerve provides cutaneous innervation to major part of the dorsum of the foot whereas the deep peroneal nerve innervates the skin over the first interdigital cleft region. The sural and saphenous nerves supplies the smaller lateral and medial margins of the dorsum respectively. The present study has been taken to classify the patterns of innervations of the nerves on the dorsum of the foot in South Indian population. Read More

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http://dx.doi.org/10.5115/acb.2019.52.1.34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449594PMC
March 2019
2 Reads

[Effectiveness analysis of modified tarsal sinus approach for Sanders - type calcaneal fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):462-466

Department of Orthopedics, the Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000,

Objective: To investigate the short-term effectiveness of modified tarsal sinus approach and traditional tarsal sinus approach in the treatment of Sanders Ⅱ-Ⅲ type calcaneal fractures.

Methods: Between January 2015 and August 2017, 53 patients with Sanders Ⅱ-Ⅲ type calcaneal fractures were selected and divided into observation group (21 cases, using modified tarsal sinus approach for fracture reduction after exposure of the subtalar joint below the long and short fibular tendon) and control group (32 cases, using traditional tarsal sinus approach) by random number method. There was no significant difference between the two groups in terms of gender, age, side, cause of injury, fracture type, injury to operation time, and preoperative Böhler angle, Gissane angle, visual analogue scale (VAS) core ( >0. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201810010
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http://dx.doi.org/10.7507/1002-1892.201810010DOI Listing
April 2019
2 Reads

The importance of syndesmotic reduction on clinical outcome after syndesmosis injuries.

J Orthop Trauma 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, Baerum Hospital, Vestre Viken Hospital Trust, Norway. E-mail:

Objectives: To evaluate the relationship between syndesmosis reduction and outcome.

Design: Level III diagnostic study.

Setting: One level 1 and one level 3 Trauma Centre. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001485DOI Listing
April 2019
2 Reads

Computer-assisted virtual surgical technology in pre-operative design for the reconstruction of calcaneal fracture malunion.

Int Orthop 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopaedic Trauma, Shanghai East Hospital, Tongji University School of Medicine, 150 Jimo Road, Shanghai, 200120, China.

Purpose: No computer-assisted pre-operative design for calcaneal fracture malunions has been presented. The aim of the study is to evaluate the intra-operative realization of computer-assisted pre-operative planning (CAPP) and the clinical outcomes based on computer-assisted virtual surgical technology for calcaneal malunions.

Methods: Between 2010 and 2016, 20 patients with 21 calcaneal fracture malunions were retrospectively reviewed with the average follow-up time of 22. Read More

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http://link.springer.com/10.1007/s00264-019-04328-8
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http://dx.doi.org/10.1007/s00264-019-04328-8DOI Listing
April 2019
4 Reads

Single- vs 2-Screw Lag Fixation of the Medial Malleolus in Unstable Ankle Fractures.

Foot Ankle Int 2019 Apr 11:1071100719840995. Epub 2019 Apr 11.

1 NYU Langone Orthopedic Hospital, New York, NY, USA.

Background: The purpose of this study was to determine the efficacy of medial malleolar fixation with 1 vs 2 screws.

Methods: Between April 2013 and February 2017, 196 patients who presented at 2 hospitals within one academic institution with an unstable rotational ankle fracture with a medial fracture and were treated operatively by a trained orthopedic surgeon were identified. These patients' charts were reviewed and their injury, radiographic, surgical, and follow-up data recorded. Read More

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http://dx.doi.org/10.1177/1071100719840995DOI Listing
April 2019
1 Read

Concurrent Ipsilateral Tibial Shaft and Distal Tibial Fractures in Pediatric Patients: Risk Factors, Frequency, and Risk of Missed Diagnosis.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic.

Background: The purpose of this study was to determine the frequency of concurrent ipsilateral distal tibial fractures with tibial shaft fractures in the pediatric population; to identify patient and fracture characteristics that increase the likelihood of a concurrent fracture; and determine if any of these concurrent distal tibial fractures were missed on initial radiographic examination.

Methods: Retrospective chart review was done to identify patients 5 to 17 years old who were treated for a tibial shaft fracture at a large, Level 1 free-standing children's hospital and an outpatient orthopaedic practice between 2008 and 2016. Patient and fracture characteristics were recorded. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001384DOI Listing
April 2019
1 Read

Negative prognostic factors in surgical treatment for trimalleolar fractures.

Eur J Orthop Surg Traumatol 2019 Apr 9. Epub 2019 Apr 9.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U. Policlinico - Vittorio Emanuele, University of Catania, Via Santa Sofia, 78, 95123, Catania, Italy.

Purpose: Trimalleolar fractures are a common injury of the ankle that require surgical treatment to obtain an anatomic reduction of both malleoli and stabilization of the syndesmosis. This study aims to report the outcomes of surgical treatment for trimalleolar fractures, identifying the risk factors determining a worse result.

Materials And Methods: Between January 2013 and December 2016, 48 patients with trimalleolar fracture treated with open reduction and internal fixation were retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s00590-019-02430-6DOI Listing
April 2019
1 Read

Increased opioid consumption in diabetics with operative ankle fractures: a retrospective case-control study.

Eur J Orthop Surg Traumatol 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Introduction: Opioids are commonly used for post-operative pain control. It is known that diabetic patients with ankle fractures will experience prolonged healing, higher risk of hardware failure, and an increased risk of infection. However, the opioid requirements amongst this patient cohort have not been previously evaluated. Read More

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http://dx.doi.org/10.1007/s00590-019-02428-0DOI Listing
April 2019
1 Read

Accessory ossicles of the foot-an imaging conundrum.

Emerg Radiol 2019 Apr 8. Epub 2019 Apr 8.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Various anatomical variations can be found in the foot and ankle, including sesamoid bones and accessory ossicles. These are usually incidental findings and remain asymptomatic; however, they may cause complications resulting in painful syndromes or degenerative changes secondary to overuse or trauma. They can also lead to fractures or simulate fractures. Read More

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http://link.springer.com/10.1007/s10140-019-01688-x
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http://dx.doi.org/10.1007/s10140-019-01688-xDOI Listing
April 2019
2 Reads

Clinical Outcomes of Hyperplantarflexion Variant Compared With Supination External Rotation Ankle Fractures: A Matched-Cohort Analysis.

J Foot Ankle Surg 2019 Apr 5. Epub 2019 Apr 5.

Associate Director, Orthopedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY.

Recent literature has reported an uncategorized hyperplantarflexion variant ankle fracture characterized by a posteromedial fragment separate from the posterior or medial malleolar fragments. The current study sought to determine whether the outcomes for surgically treated hyperplantarflexion variant fractures are similar to the more common supination external rotation (SER) IV fractures. A prospective registry of operatively treated ankle fractures was queried to create 2 age- and gender-matched cohorts: hyperplantarflexion variant and SER IV fractures. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.11.006DOI Listing
April 2019
1 Read

Quantitative Assessment of the Obliquity of the First Metatarsal-Medial Cuneiform Articulation.

J Foot Ankle Surg 2019 Apr 6. Epub 2019 Apr 6.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania. Electronic address:

The so-called obliquity of the first metatarsal-medial cuneiform articulation has been described as an atavistic trait of human foot morphology, and it is commonly proposed as a relative risk factor for development of the hallux abductovalgus (HAV) deformity. The objectives of this investigation were to 1) provide descriptive normative radiographic data on a series of first metatarsal-medial cuneiform articulations and 2) correlate these findings to other common radiographic parameters used to define the HAV deformity. We measured radiographic parameters including the first intermetatarsal angle, hallux abductus angle, tibial sesamoid position, Engel's angle, and 2 measures of obliquity in the transverse and sagittal planes on a consecutive series of 136 weightbearing foot radiographic projections from subjects without a history of foot/ankle surgery or fracture/dislocation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.11.017DOI Listing
April 2019
1 Read

Identification of Postoperative Step-Offs and Gaps With Brodén's View Following Open Reduction and Internal Fixation of Calcaneal Fractures.

Foot Ankle Int 2019 Apr 8:1071100719840812. Epub 2019 Apr 8.

1 Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands.

Background: To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brodén's view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet.

Methods: Six observers estimated the size of step-offs and gaps on Brodén's view in 42 surgically treated intra-articular calcaneal fractures. Read More

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http://dx.doi.org/10.1177/1071100719840812DOI Listing
April 2019
1 Read

Management of ankle fractures in children.

Br J Hosp Med (Lond) 2019 Apr;80(4):201-203

Associate Professor, Academic Orthopaedics, Department of Trauma and Sports Medicine, University of Nottingham, Queen's Medical Centre, Nottingham.

Ankle fractures are a common injury in children and adolescents - 1 in 1000 children will sustain an ankle fracture each year. Understanding the diagnosis and management of these injuries is vital for any doctor or clinician working in the emergency department, orthopaedics or providing community care. This review identifies the important features of high- and low-risk ankle fractures, how to prevent the use of unnecessary radiation and the management of these injuries. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.4.201DOI Listing
April 2019
2 Reads

To fix or not to fix: a novel approach to the safe management of unstable open medial malleolar fractures.

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, UK.

Displaced medial malleolar fractures, either in isolation or as part of an unstable ankle fracture dislocation, are conventionally treated with internal fixation. We outline the case of a 76-year-old man with diabetes presenting with a grossly deformed open ankle fracture and extruded tibia through a large medial wound. Following irrigation, wound debridement and minimally invasive fibular fixation, the medial fracture reduced anatomically. Read More

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http://dx.doi.org/10.1136/bcr-2018-228965DOI Listing
April 2019
3 Reads

Minimally invasive treatment of calcaneal fractures via the sinus tarsi approach based on a 3D printing technique.

Math Biosci Eng 2019 02;16(3):1597-1610

Department of Hand Surgery, Department of Plastic Reconstructive Surgery, Ningbo No. 6 Hospital, Ningbo, 315040, China.

The sinus tarsi approach can be used for a limited exposure of the calcaneal fracture site. The reduction of the posterior articular surface, the shape of the calcaneus, the precise placement of the sustentacular screw (SS), the posterior articular surface screw of the calcaneal (PASS), and the long axis screw of the calcaneal (LAS) are still challenging. To that end, we proposed a minimally invasive technique for the treatment of calcaneal fractures via the sinus tarsi approach in combination with a three-dimensional (3D) printing technique. Read More

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http://dx.doi.org/10.3934/mbe.2019076DOI Listing
February 2019
1 Read
0.866 Impact Factor

Primary Synovial Osteochondromatosis Discovered After Ankle Sprain.

J Orthop Sports Phys Ther 2019 Apr;49(4):284

A 23-year-old military cadet presented to a direct-access physical therapy clinic for an ankle sprain 1 day after inverting his left ankle. Following examination, the physical therapist ordered lower-leg radiographs, which showed no fracture; however, small, rounded, partially calcified bodies were noted in the ankle. Additional ankle imaging was ordered under radiologist guidance. Read More

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http://dx.doi.org/10.2519/jospt.2019.8383DOI Listing
April 2019
2 Reads

Functional outcome of implant removal following fracture fixation below the level of the knee: a prospective cohort study.

Bone Joint J 2019 04;101-B(4):447-453

Trauma Unit, Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Aims: The aim of this study was to evaluate the functional outcome in patients undergoing implant removal (IR) after fracture fixation below the level of the knee.

Patients And Methods: All adult patients (18 to 75 years) undergoing IR after fracture fixation below the level of the knee between November 2014 and September 2016 were included as part of the WIFI (Wound Infections Following Implant Removal Below the Knee) trial, performed in 17 teaching hospitals and two university hospitals in The Netherlands. In this multicentre prospective cohort, the primary outcome was the difference in functional status before and after IR, measured by the Lower Extremity Functional Scale (LEFS), with a minimal clinically important difference of nine points. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0745.R1DOI Listing
April 2019
2 Reads

Impact of obesity on operative treatment and inpatient outcomes of paediatric limb fractures.

Bone Joint J 2019 Apr;101-B(4):491-496

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Aims: The aim of this study was to utilize a national paediatric inpatient database to determine whether obesity influences the operative management and inpatient outcomes of paediatric limb fractures.

Patients And Methods: The Kids' Inpatient Database (KID) was used to evaluate children between birth and 17 years of age, from 1997 and 2012, who had undergone open and closed treatment of humeral, radial and ulna, femoral, tibial, and ankle fractures. Demographics, hospital charges, lengths of stay (LOS), and complications were analyzed. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0740.R2DOI Listing
April 2019
3 Reads

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e36-e55. Epub 2019 Mar 29.

Department of Orthopedic Surgery, University of Arizona, Tucson, Arizona.

Radiologists should be familiar with basic principles of fracture fixation and the normal imaging appearances of implant constructs and their complications. The surgeon's selection of external fixation, intramedullary nail fixation, open reduction and internal fixation, or some combination depends on patient factors, fracture configuration, injury to the soft tissue envelope, and surgeon experience. Complications including loss of fixation with resultant malalignment, nonunion, infection, and posttraumatic osteoarthritis present additional challenges for the surgeon as well as the radiologist. Read More

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http://dx.doi.org/10.1055/s-0039-1681049DOI Listing
April 2019
1 Read

Current Trends and Variations in the Treatment of Unicameral Bone Cysts of the Humerus: A Survey of EPOS and POSNA Members.

J Pediatr Orthop 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA.

Background: A variety of treatment methods have so far been described for unicameral bone cysts (UBC). However, to the best of our knowledge, no particular consensus has yet been reached on when to operatively treat a patient with a humeral UBC. Therefore, members of the European Pediatric Orthopedic Society (EPOS) and Pediatric Orthopedic Society of North America (POSNA) were surveyed to characterize current treatment preferences. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001376DOI Listing
March 2019
3 Reads

Open Treatment of Closed Talus Dislocation without Fracture: A Case Report and Literature Review.

J Orthop Case Rep 2018 Nov-Dec;8(6):34-37

Department of Surgery, Propedeutic Surgical Clinic, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction: Talus dislocation without a concomitant fracture of the malleoli is a rare injury.

Case Report: We present a case of a closed anteromedial talus dislocation in a 25-year-old male motorcyclist due to a high-energy trauma, resulting from a fall following a road traffic accident. The talus could not be reduced by closed means making open reduction performed through a dorsal approach necessary. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424313PMC
March 2019
1 Read

Longer Operative Time Is Independently Associated With Surgical Site Infection and Wound Dehiscence Following Open Reduction and Internal Fixation of the Ankle.

Foot Ankle Spec 2019 Mar 27:1938640019835299. Epub 2019 Mar 27.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.

Background: Little is known regarding the association of operative time with adverse events following foot and ankle surgery. This study tests whether greater operative time is associated with the occurrence of adverse events following open reduction and internal fixation (ORIF) of the ankle.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for cases of ankle ORIF (primary CPT codes 27766, 27769, 27792, 27814, 27822, 27823) performed during 2005-2016. Read More

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http://dx.doi.org/10.1177/1938640019835299DOI Listing

Missed foot fractures in multiple trauma patients.

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

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http://dx.doi.org/10.1186/s12891-019-2501-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434880PMC
March 2019
1 Read

Irreducible ankle fracture dislocation due to posterior tibialis tendon interposition: Diagnostic and clues for early management - A case report.

Trauma Case Rep 2019 Apr 2;20:100175. Epub 2019 Mar 2.

Cliniques Universitaires St Luc - Bruxelles, Orthopeadic Department, Belgium.

Irreducible fracture dislocation of the ankle is a rare condition. Multiple cases have been described throughout the literature. Different known etiologies involve the distal fibula, deltoïd ligament and tendons of the posteromedial malleolar region. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403444PMC
April 2019
1 Read

Complications of implant removal in ankle fractures.

J Orthop 2019 May-Jun;16(3):191-194. Epub 2019 Feb 28.

Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Background: Although the complications of internal fixation in ankle fractures are well-known in a number of reports, there have been few reports revealing the complications of implant removal in ankle fractures. The aim of this study was to investigate the perioperative complications of implant removal in ankle fractures and analyze the associated factors of such complications.

Methods: Patients who underwent open reduction and internal fixation using metal implants for ankle fractures and had their implants removed between 2010 and 2015 were enrolled in the study. Read More

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http://dx.doi.org/10.1016/j.jor.2019.02.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411597PMC
February 2019
1 Read

Open reduction and internal fixation of ankle fracture using wide-awake local anaesthesia no tourniquet technique.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Department of Orthopedics, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 81362, Taiwan, ROC. Electronic address:

Introduction: Ankle fractures frequently occur and must be treated with open reduction for long-term stability. The existing anaesthesia methods include general anaesthesia, spinal and epidural anaesthesia, peripheral nerve block and local anaesthesia with IV sedation. However, each method has its inherent risks and potential costs, and the use of a tourniquet is inevitable. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.011DOI Listing
March 2019
1 Read

Comparison of sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fractures Sanders type IV.

Int Orthop 2019 Mar 22. Epub 2019 Mar 22.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325027, China.

Purpose: Displaced intra-articular calcaneus fractures Sanders type IV(DIACFS IV) can result in an unsatisfactory prognosis and a high complication rate. Our investigation intends to compare the outcomes of DIACFS IV treated by open reduction and internal fixation (ORIF) via sinus tarsi approach (STA) with these via extensile lateral approach (ELA).

Methods: Sixty-nine patients (82 ft) with DIACFS IV who were treated with ORIF (29 in STA group and 40 in ELA group) were retrospectively assessed. Read More

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http://dx.doi.org/10.1007/s00264-019-04318-wDOI Listing
March 2019
2 Reads

Another Classification of First Metatarsophalangeal Joint Dislocation-Type 3: Review and Case Description of the Plantar Dislocation.

J Foot Ankle Surg 2019 Mar 19. Epub 2019 Mar 19.

Associate, Main Line Foot and Ankle Center, Ardmore, PA.

Plantar dislocation of the first metatarsophalangeal joint is a possible, albeit rare, injury to the foot. The mechanism has been attributed to a hyperflexion motion, with the hallux situated plantar to the first metatarsal head. In this article, we provide a case example of an open, plantar dislocation of the first metatarsophalangeal and perform a literature review of this rare injury. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.012DOI Listing
March 2019
1 Read

Effectiveness of protective clothing for motorized 2-wheeler riders.

Traffic Inj Prev 2019 22;20(2):196-203. Epub 2019 Mar 22.

a Univ Lyon, Université Lyon 1, IFSTTAR, UMRESTTE UMR_T 9405 , Lyon , France.

Objective: This study assesses the effectiveness of protective clothing (motorcycle jacket, trousers, gloves, knee-high or ankle boots, back protection) for motorized 2-wheeler (MTW) riders.

Methods: This retrospective observational study used injury data from the Rhône Registry of Road Accident Victims, plus a postal survey conducted in 2016. Seven thousand one hundred forty-eight MTW riders involved in accidents between 2010 and 2014 were identified from the Registry and were invited to complete a questionnaire. Read More

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http://dx.doi.org/10.1080/15389588.2018.1545090DOI Listing
March 2019
2 Reads

Delay in Flap Coverage Past 7 Days Increases Complications for Open Tibia Fractures: A Cohort Study of 140 North American Trauma Centers.

J Orthop Trauma 2019 Apr;33(4):161-168

Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Objectives: To measure time to flap coverage after open tibia fractures and assess whether delays are associated with inpatient complications.

Design: Retrospective cohort study.

Setting: One forty level I and II trauma centers in Canada and the United States. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001434DOI Listing
April 2019
2 Reads

Differences in gait and trunk movement between patients after ankle fracture and healthy subjects.

Biomed Eng Online 2019 Mar 19;18(1):26. Epub 2019 Mar 19.

Department of Rehabilitation Medicine, Ten-Chan General Hospital, No. 155 Yanping Rd, Zhongli Dist., Taoyuan City, 320, Taiwan.

Background: Studies have shown that gait asymmetry and activity limitation can persist several months or years after ankle fracture. However, evidence of gait and trunk movement patterns following ankle fracture during the early rehabilitation period is scarce. Thus, we compared gait patterns and trunk movement during the early phase of rehabilitation between patients with ankle fracture and matched controls. Read More

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http://dx.doi.org/10.1186/s12938-019-0644-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425625PMC
March 2019
3 Reads

Staged procedure protocol based on the four-column concept in the treatment of AO/OTA type 43-C3.3 pilon fractures.

J Int Med Res 2019 Mar 19:300060519836512. Epub 2019 Mar 19.

1 Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, PR China.

Objective: We herein introduce a staged management protocol for AO/OTA type 43-C3.3 pilon fractures based on the four-column theory designed to protect the soft tissue.

Methods: Twenty-three patients with 25 type C3. Read More

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http://dx.doi.org/10.1177/0300060519836512DOI Listing
March 2019
1 Read

Gait characteristics and functional outcomes during early follow-up are comparable in patients with calcaneal fractures treated by either the sinus tarsi or the extended lateral approach.

Gait Posture 2019 May 12;70:190-195. Epub 2019 Mar 12.

Institute of Biomechanics, BG Unfallklinik Murnau, Germany; Institute of Biomechanics, Paracelsus Medical University Salzburg, Austria.

Background: To overcome the substantial functional loss after calcaneal fractures (CF), surgical treatment currently consists of two strategies, namely the commonly used extended lateral approach (ELA) and the less invasive sinus tarsi approach (STA). Despite the comparable anatomical restoration, the biomechanical and functional outcome of these strategies during early rehabilitation has not yet been investigated.

Research Question: To evaluate changes in gait characteristics and functional development in patients with CF treated by either STA or ELA. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2019.03.007DOI Listing
May 2019
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Association of Bosworth, Pilon, and Open Talus Fractures: A Very Unusual Ankle Trauma.

Case Rep Orthop 2019 10;2019:6316137. Epub 2019 Feb 10.

Service of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, Switzerland.

Introduction: A Bosworth fracture-dislocation is a rare lesion resulting in a fixed dislocation of the distal fibula behind the posterior tibial tubercle. Only few cases have been reported showing an associated consequent fracture, namely, a pilon or a medial malleolus fracture.

Case Report: We present a case report of a patient with an unusual combination of a Bosworth injury with a pilon fracture and an open multifragmentary talus fracture and our approach for open reduction and internal fixation. Read More

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http://dx.doi.org/10.1155/2019/6316137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387697PMC
February 2019
1 Read

Selective fixation of the medial malleolus in unstable ankle fractures.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, United Kingdom.

Background: Whilst the lateral malleolus appears to be crucial in controlling anatomical reduction of the talus, the role of the medial malleolus is less clear. Medial sided complications including infection, damage to local structures and symptomatic hardware are not without morbidity. This study compares the outcomes of patients with bimalleolar or trimalleolar ankle fractures who underwent fibular nail stabilisation with or without medial malleolar fixation. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.010DOI Listing
March 2019
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Operative treatment algorithm for intra-articular calcaneal fractures.

Acta Orthop Belg 2018 Dec;84(4):469-478

Displaced calcaneus fracture often results in severe permanent sequelae and considerably limits the activities of daily living. In this prospective cohort study we present the outcomes of surgical treatment of 137 displaced intra-articular calcaneal fractures, over 8y period. Follow-up data were obtained up to 3 years post-operatively. Read More

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December 2018
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The epiphyseal scar joint line distance and age are important factors in determining the optimal screw length for medial malleoli fractures.

Injury 2019 Mar 11. Epub 2019 Mar 11.

Okmeydanı Training and Research Hospital, Department of Orthopaedics and Traumatology, İstanbul, Turkey.

Aim: The screw length is important to achieve a stable fixation for medial malleoli fractures. We aimed to evaluate the optimal screw length for different age groups in surgically treated medial malleoli fractures. The second aim was to identify the utility of the distance of epiphyseal scar to joint line or joint line to medullary space for assessment of screw length. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.006DOI Listing
March 2019
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[Application of bone transport with unilateral external fixator combined with locked plate internal fixation in treatment of infected tibial nonunion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 03;33(3):328-331

Department of Bone Microsurgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an Shaanxi, 710054,

Objective: To summarize the effectiveness of bone transport with unilateral external fixator combined with locked plate internal fixation in treatment of infected tibial nonunion.

Methods: Between January 2010 and December 2014, 23 patients with infected tibial nonunion were treated with bone transport with unilateral external fixator combined with locked plate internal fixation. There were 19 males and 4 females with an average age of 37. Read More

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http://dx.doi.org/10.7507/1002-1892.201811024DOI Listing
March 2019
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[Advances in internal fixation for the treatment of extra-articular distal tibial fracture].

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):236-240

Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

Extra-articular distal tibial fractures as a result of high-energy damage are often comminuted or displaced, frequently accompanied by severe soft tissue injuries.Poor blood supply and various complications make the treatment more difficult,affecting life quality of the patients.The main goals of the treatment are to abtain a healed,well-aligned fracture,functional range of motion of the ankle joint and minimizing complications. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.03.018DOI Listing

[Arthroscopic treatment of avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury].

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):182-186

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, China.

To analyze the clinical effects of all-inside arthroscopic treatment for the patients of avulsion fracture of tibial origin withⅠdegree supination and external rotation injury according to the Lauge-Hansen classification. A retrospective analysis of 34 patients (34 feet) who had underwent all-inside arthroscopic for avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury from September 2015 to September 2017 in Department of Hand and Foot Microsurgery, Xuzhou Central Hospital. There were 20 males and 14 females, aged (24. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.03.005DOI Listing
March 2019
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Rock Climbing Injuries Treated in US Emergency Departments, 2008-2016.

Wilderness Environ Med 2019 Mar 8. Epub 2019 Mar 8.

Department of Orthopedic and Trauma Surgery, Klinikum Bamberg, Bamberg, Germany; Department of Emergency Medicine, Section of Wilderness Medicine, University of Colorado School of Medicine, Aurora, CO; Department of Trauma Surgery, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany.

Introduction: Previous research identified a trend for increasing numbers of injuries sustained while rock climbing. This study investigates whether that trend continued and describes characteristics of climbing injuries.

Methods: The National Electronic Injury Surveillance System registry was searched for rock climbing injuries in US emergency departments in 2008 through 2016 among patients aged ≥7 y. Read More

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http://dx.doi.org/10.1016/j.wem.2018.11.009DOI Listing
March 2019
2 Reads

Computed Tomography Imaging-Based Preoperative Virtual Simulation for Calcaneal Fractures Reduction.

J Foot Ankle Surg 2019 Mar;58(2):248-252

Chief Physician, Department of Orthopedics, Shanghai Pudong New Area Zhoupu Hospital, Shanghai, China.

Reduction of calcaneal fractures via a small incision approach at the sinus tarsi is technically difficult. This study was undertaken to determine if preoperative virtual simulation based on computed tomographic data improves reduction and reduces complications. Fifty-five patients with calcaneal fractures were treated via the sinus tarsi approach with minimally invasive plates between February 2013 and December 2015. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.054DOI Listing
March 2019
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Is Routine Hardware Removal Following Open Reduction Internal Fixation of Tarsometatarsal Joint Fracture/Dislocation Necessary?

J Foot Ankle Surg 2019 Mar;58(2):226-230

Associate Professor, Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Open reduction internal fixation (ORIF) is an accepted treatment for displaced tarsometatarsal joint (TMTJ) fracture dislocations. In general, hardware is routinely removed after 4 months to allow restoration of joint motion and avoid complications of hardware failure. Because few studies report outcomes of TMTJ fractures with retained hardware, there is little consensus regarding the optimal time for hardware removal or if hardware retention leads to adverse outcomes. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.016DOI Listing
March 2019
2 Reads

Surgical Considerations for Osteoporosis in Ankle Fracture Fixation.

Orthop Clin North Am 2019 Apr 12;50(2):245-258. Epub 2019 Feb 12.

Department of Orthopedic Surgery, The Warren Alpert Medical School at Brown University, 1 Kettle Point Avenue, East Providence, RI 02915, USA.

As the geriatric population and associated ankle fractures continues to increase, fracture surgeons should be prepared to surgically manage osteoporotic ankle fractures. There are abundant challenges in management, soft tissue care, and fixation of ankle fractures with poor bone quality especially in elderly patients who have difficulty limiting weight bearing. This article summarizes several different surgical techniques that can be used to optimize outcomes of these fractures. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.007DOI Listing
April 2019
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[Metatarsal and toe fractures].

Unfallchirurg 2019 Apr;122(4):309-322

Abteilung für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.

Metatarsal and toe fractures are the most frequent injuries of the foot skeleton. Nondislocated fractures can be conservatively treated with good success. Long-term relief and immobilization including the ankle joint are unnecessary. Read More

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http://link.springer.com/10.1007/s00113-019-0620-1
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http://dx.doi.org/10.1007/s00113-019-0620-1DOI Listing
April 2019
8 Reads