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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

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

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

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

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

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

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

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

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

Foot Ankle Int 2018 Oct 2;39(10):1162-1168. Epub 2018 Jun 2.

2 Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, USA.

Background: Initial treatment for a displaced ankle fracture is closed reduction and splinting. This is typically performed in conjunction with either an intra-articular hematoma block (IAHB) or procedural sedation (PS) to assist with pain control. The purpose of this study was to compare the safety of IAHB to PS and evaluate the efficiency and efficacy for each method. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1195-1199

Department of Traumatology, Affiliated Hospital of Chengde Medical College, Chengde Hebei, 067000, P.R.China.

Objective: To investigate the application value of three-dimensional (3-D) printing technology in the operation of distal tibia fracture involving epiphyseal plate injury for teenagers.

Methods: The retrospective analysis was conducted on the clinical data of 16 cases of children patients with distal tibia fracture involving epiphyseal plate injury undergoing the operation by using of 3-D printing technology between January 2014 and December 2015. There were 12 males and 4 females with an age of 9-14 years (mean, 12. Read More

Injury 2018 Jun 23;49(6):1220-1227. Epub 2018 Apr 23.

Department of Pediatric Orthopaedic Surgery, Children's Hospital, Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Purpose: To compare tibiofibular reduction quality in different types of operatively treated ankle fractures and the impact on clinical and functional outcome at mid-term follow-up.

Patients And Methods: One hundred patients with an acute ankle fracture who had undergone open reduction and internal fixation were included. Eighty-eight patients who suffered from ligamentous ankle injury with neither fracture nor syndesmotic lesions served as a control group. Read More

Bone Joint J 2018 May;100-B(5):566-569

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

The posterior malleolus of the ankle is the object of increasing attention, with considerable enthusiasm for CT scanning and surgical fixation, as expressed in a recent annotation in The Bone & Joint Journal. Undoubtedly, fractures with a large posterior malleolar fragment that allow posterior talar subluxation from the mortise are served better by fixation. However, in all other situations, the existing literature does not support this widespread change in practice. Read More

J Foot Ankle Surg 2018 Jul - Aug;57(4):794-800. Epub 2018 Apr 11.

Attending Foot and Ankle Surgeon, Palo Alto Medical Foundation, Mountain View, CA.

Midfoot injuries are the second most common athletic foot injury documented in the published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries require immediate surgical intervention to prevent serious complications such as compartment syndrome and amputation. Read More

Bone Joint J 2018 04;100-B(4):468-474

Alfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.

Aims: The aim of this retrospective study was to compare the functional and radiological outcomes of bridge plating, screw fixation, and a combination of both methods for the treatment of Lisfranc fracture dislocations.

Patients And Methods: A total of 108 patients were treated for a Lisfranc fracture dislocation over a period of nine years. Of these, 38 underwent transarticular screw fixation, 45 dorsal bridge plating, and 25 a combination technique. Read More

J Foot Ankle Surg 2018 Sep - Oct;57(5):1000-1004. Epub 2018 Mar 28.

Orthopaedic Doctor, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.

Syndesmotic injuries associated with ankle fractures are commonly treated with reduction and fixation using a transfixing screw. On rare occasions, however, progression to chronic instability of the syndesmosis is observed. Several surgical techniques have been applied in such cases but usually without a report on the results. Read More

Foot Ankle Spec 2018 Oct 26;11(5):467-470. Epub 2018 Mar 26.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois (DDB, KSH).

Plantar dislocation of the first metatarsophalangeal (MTP) joint is exceedingly rare, and in prior reported cases, simple closed manipulation easily enabled reduction. We present here the first reported plantar dislocation that failed closed manipulation. We also report a technique involving injection of saline into the joint to facilitate reduction. Read More

Am J Case Rep 2018 Mar 20;19:320-324. Epub 2018 Mar 20.

Department of Orthopedics, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan.

BACKGROUND Fractures of the talus are uncommon injuries that usually involve the talar neck, rather than the talar body. This report is of a rare case of combined left talar neck fracture and adjacent joint dislocation with an ipsilateral bimalleolar ankle fracture. CASE REPORT A 37-year-old man presented with an injury to his left foot following a motor vehicle accident. Read More

Eur J Trauma Emerg Surg 2018 Aug 7;44(4):637-642. Epub 2018 Mar 7.

Department of General-, Trauma- and Reconstructive Surgery, Munich University Hospital, Nußbaumstr. 20, 80336, Munich, Germany.

Purpose: Joint dislocations occur frequently in prehospital settings. The medical specialities of emergency physicians are heterogeneous. Decision making and the success rates of reduction attempt can vary greatly. Read More

J Foot Ankle Surg 2018 May - Jun;57(3):494-500. Epub 2018 Feb 2.

Attending Staff, Department of Foot and Ankle Surgery, Palo Alto Foundation Medical Group, Dublin, CA.

Wound healing problems are the most common complication after open reduction with internal fixation (ORIF) of unstable ankle fractures. The incidence is especially high among elderly patients with medical comorbidities and patients with compromised soft tissues. Minimally invasive plate osteosynthesis (MIPO) might provide a safer alternative to ORIF by preventing extensive soft tissue dissection and preserving the blood supply. Read More

J Shoulder Elbow Surg 2018 Jun 1;27(6):e178-e188. Epub 2018 Feb 1.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: Anatomic coracoclavicular (CC) ligament reconstruction (ACCR) provides good outcomes for Rockwood type III and VI acromioclavicular (AC) joint dislocations. Various grafts have been used, but complications from graft harvesting are not uncommon. This study examined the clinical and radiographic outcomes of patients with AC joint dislocations repaired with the autogenous anterior half of the peroneus longus tendon (AHPLT) to achieve ACCR. Read More

J Pediatr Orthop B 2018 Sep;27(5):435-442

Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.

This study evaluates the midterm outcomes of Lisfranc injuries in adolescents operatively treated with Kirschner wire or screw fixation. Eight adolescent patients with Lisfranc injuries operatively treated in a single institution were included in this study. The mean duration of follow-up was 3. Read More

J Foot Ankle Surg 2018 Mar - Apr;57(2):325-331. Epub 2017 Dec 20.

Director of Research, Weil Foot & Ankle Institute, Des Plaines, IL; Associate Professor, Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, IL.

The purpose of the present study was to determine whether surgical intervention with open reduction internal fixation (ORIF) or primary arthrodesis (PA) for Lisfranc injuries is more cost effective. We conducted a formal cost-effectiveness analysis using a Markov model and decision tree to explore the healthcare costs and health outcomes associated with a scenario of ORIF versus PA for 45 years postoperatively. The outcomes assessed included long-term costs, quality-adjusted life-years (QALYs), and incremental cost per QALY gained. Read More

Emerg Med Pract 2017 Dec 20;19(12 Suppl Points & Pearls):1-2. Epub 2017 Dec 20.

Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

Dislocation of the major joints of the lower extremities--hip, knee, and ankle--can occur due to motor-vehicle crashes, falls, and sports injuries. Hip dislocations are the most common, and they require emergent management to prevent avascular necrosis of the femoral head. Knee dislocations are uncommon but potentially dangerous injuries that can result in amputation due to the potential for missed secondary injury, especially if they are reduced spontaneously. Read More

Ugeskr Laeger 2017 Dec;179(50)

Ankle dislocation without malleolar fracture is rarely reported in the literature. This case report presents a 19-year-old man with a right ankle dislocation sustained during a handball game. Reduction was performed in an emergency department, and the following X-ray and MRI revealed no fracture. Read More

JBJS Case Connect 2017 Apr-Jun;7(2):e42

Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia.

Case: A 23-year-old active-duty military service member sustained an unusual irreducible fracture-dislocation of the ankle joint. Preoperative computed tomography showed an anterolateral tibial (Chaput) fragment entrapped within the distal syndesmosis, preventing adequate reduction. An open reduction of the fragment was performed in the operating room, which allowed near-anatomic reduction and internal fixation of the tibiotalar joint. Read More

Emerg Med Pract 2017 Dec 1;19(12):1-28. Epub 2017 Dec 1.

Assistant Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences; Assistant Program Director, Emergency Medicine Residency, Naval Medical Center San Diego, San Diego, CA

Dislocation of the major joints of the lower extremities--hip, knee, and ankle--can occur due to motor-vehicle crashes, falls, and sports injuries. Hip dislocations are the most common, and they require emergent management to prevent avascular necrosis of the femoral head. Knee dislocations are uncommon but potentially dangerous injuries that can result in amputation due to the potential for missed secondary injury, especially if they are reduced spontaneously. Read More

BMC Musculoskelet Disord 2017 Nov 17;18(1):464. Epub 2017 Nov 17.

Department of Orthopaedics, The Second Hospital of Shanxi Medical University, Taiyuan, China.

Background: Malleolar fracture, which is present in 37-53% of human ankle osteoarthritis (OA), is the most common type of fracture in the ankle joint. In spite of this, no rat animal model has been developed for this type of injury to date. Here, we established a rat ankle post-traumatic OA (PTOA) model induced by malleolar fracture; this model will be useful in ankle OA research. Read More

Zhonghua Yi Xue Za Zhi 2017 Sep;97(35):2746-2750

Department of Foot and Ankle, the Second Hospital of Tangshan, Hebei 063000, China.

To observe the clinical effect of vacuum sealing drainage (VSD) in the treatment of complex fracture and dislocation of foot with severe soft tissue injury. From March 2012 to January 2015, a retrospective analysis of 108 cases of the foot closed complex fracture dislocation with severe soft tissue injury in Department of Foot and Ankle, the Second Hospital of Tangshan City, Tangshan.Injury mechanisms included press and crush injury, traffic accident. Read More

Injury 2017 Oct 12;48(10):2027-2034. Epub 2017 Aug 12.

Foot and Ankle Department, Kantonsspital Baselland, Liestal, Switzerland. Electronic address:

Background: Ankle dislocation without fracture is rare. We used electronic hospital records to determine the incidence of pure ankle dislocation and performed a systematic review of the literature to investigate the occurrence, treatment and outcome of this injury to better inform treating clinicians.

Methods: A review of electronic medical records at a tertiary referral centre was conducted to estimate in incidence of pure ankle dislocation. Read More

Int J Surg Case Rep 2017 29;39:1-4. Epub 2017 Jun 29.

Midlands Regional Hospital, Tullamore, Co. Offaly, Ireland. Electronic address:

Introduction: Isolated cuboid dislocations are rare injuries Jacobson (1990). It is clinically significant and important in surgical education, as it is an injury and a source of lateral foot pain that can be misdiagnosed at the time of initial presentation and may be difficult to identify clinically or with imaging Drummond and Hastings (1969).

Presentation Of Case: We present a case report in a 33year old rugby player, who was injured during a match after a tackle. Read More

J Foot Ankle Surg 2017 Nov - Dec;56(6):1288-1291. Epub 2017 Aug 1.

Orthopedics and Traumatology Surgeon/Specialist, Turan & Turan Bone and Joint Surgery Clinic, Osmangazi, Bursa, Turkey.

Several serious complications can occur after talar neck fractures. However, these fractures are extremely rare in children. We present a pediatric low-energy Hawkins type III fracture-dislocation that had excessive displacement accompanied by neurovascular and tendon entrapment. Read More

Case Rep Orthop 2017 6;2017:8090721. Epub 2017 Jul 6.

Division of Orthopaedic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12206, USA.

Dislocation of the fourth and fifth tarsometatarsal joints in conjunction with lateral subtalar dislocation is a rare occurrence. Little is known about the mechanism of injury, the appropriate treatment for this condition, and its ultimate prognosis. In this report, we describe this atypical presentation in a middle aged, otherwise healthy male who sustained a trivial twisting injury to the ankle when he slipped and fell on ice. Read More

Foot Ankle Int 2017 Oct 26;38(10):1115-1119. Epub 2017 Jul 26.

3 Program Director, Department of Orthopaedics and Rehabilitation, SAUSHEC, Ft Sam Houston, TX, USA.

Background: Traumatic injuries to the tarsometatarsal or Lisfranc joints can be complex problems associated with long-term morbidity. Currently there is no clear consensus regarding optimal fixation methods. The purpose of this study was to evaluate the association between time from injury to treatment and treatment method with outcome. Read More

Foot Ankle Int 2017 Sep 1;38(9):987-996. Epub 2017 Jul 1.

1 Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.

Background: Unstable ankle fractures require treatment with open reduction and internal fixation (ORIF). Long-term functional outcome is satisfying in most patients; however, a number of patients have persistent complaints. Superficial nerve complications following ankle surgery may be the cause of chronic pain and disability. Read More

Int Orthop 2017 09 28;41(9):1953-1961. Epub 2017 Jun 28.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, People's Republic of China.

Purpose: Early post-operative exercise and weight-bearing activities are found to improve the functional recovery of patients with displaced intra-articular calcaneal fractures (DIACFs). We hypothesized that early functional exercise after surgery might have a secondary reduction effect on the subtalar joint, in particular the smaller fracture fragments that were not fixed firmly. A prospective study was conducted to verify this hypothesis. Read More

J Foot Ankle Surg 2017 Sep - Oct;56(5):1081-1086. Epub 2017 Jun 21.

Trauma Surgeon, Trauma Unit, Academic Medical Center, Amsterdam, The Netherlands. Electronic address:

The current reference standard for unstable ankle fractures is open reduction and internal fixation using a plate and lag screws. This approach requires extensive dissection and wound complications are not uncommon. The use of intramedullary screw fixation might overcome these issues. Read More

J Foot Ankle Surg 2017 Jul - Aug;56(4):889-893

Assistant Professor, Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Queens, NY; Assistant Professor, Department of Orthopedic Surgery, NYU Langone Medical Center, New York, NY.

Irreducible ankle fractures are a relatively rare phenomenon. We present a case of a pronation abduction-type ankle fracture that was irreducible in the emergency room despite sedation. The patient was taken to the operating room, where the posterior tibialis tendon and retinaculum, deltoid ligament, and anteromedial capsule were found to be trapped within the joint. Read More

J Orthop Case Rep 2017 Jan-Feb;7(1):58-60

Department of Orthopedics, Trauma Center of Ben Arous, Ben Arous, Tunisia.

Introduction: Subtalar dislocation is an uncommon lesion in traumatology chiefly when it concerns the lateral form. Surgical treatment is required when a fracture is related or the dislocation is irreducible. Even well treated, these dislocations progress unavoidably to subtalar arthrosis, which stays well tolerated. Read More

J Foot Ankle Surg 2017 Nov - Dec;56(6):1279-1283. Epub 2017 Jun 9.

Consultant, University Orthopaedics, Hand and Reconstructive Microsurgery Cluster, National University Health System, Singapore.

Traumatic dislocation of the subtalar joint is an infrequently occurring injury, with open true posterior dislocation an even rarer injury. We describe our treatment of a young motorcyclist who was brought into hospital after a road traffic accident, having sustained an open posterior subtalar dislocation. After initial reduction and resuscitation in the emergency department, he was taken to the operating theater for emergent wound debridement and external fixation of his ankle using a unilateral external fixator device. Read More

Clin Podiatr Med Surg 2017 Jul 7;34(3):315-325. Epub 2017 Apr 7.

Foot and Ankle Surgery, North Jersey Orthopaedic Specialists, 730 Palisade Avenue, Teaneck, NJ 07666, USA. Electronic address:

This article discusses tarsometatarsal arthrodesis for Lisfranc injuries. Although open reduction and internal fixation has traditionally been the treatment of choice for most Lisfranc fracture-dislocations, there is a trend toward primary fusion, especially for purely ligamentous injuries. Consideration should be made for primary fusion in select fracture-dislocation cases. Read More

Foot Ankle Int 2017 Jul 8;38(7):710-715. Epub 2017 May 8.

4 Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Background: Lisfranc injuries are often missed initially or not anatomically reduced, leading to midfoot collapse, arthrosis, and pain. Operative management of these injuries is also fraught with complications, particularly with respect to the soft tissues. Wound dehiscence and infection are not uncommon. Read More

J Foot Ankle Surg 2017 May - Jun;56(3):697-701

Professor of Surgery, Orthopedic Foot & Ankle and Sports Medicine, Dalhousie University & Queen Elizabeth II Health Sciences Center, Halifax, Nova Scotia, Canada.

Irreducible ankle fracture-dislocations are very rare entities. The present case report demonstrates an unusual finding of tibialis posterior and flexor digitorum longus tendons interposed in the tibiofibular joint impairing successful closed reduction of ankle fracture-dislocation. A 45-year-old patient presented with a bimalleolar pronation-external rotation ankle fracture-dislocation after a motorcycle accident. Read More

Acta Ortop Mex 2016 Sep-Oct;30(5):251-255

Departamento de Anatomía, Clínica del Remei, Universidad de Barcelona, Barcelona, España.

The Bosworth fracture is a pattern of fracture-dislocation of the ankle joint with fixed dislocation of the proximal part of the fibula behind the posterior malleolus. It is a rare injury, which requires high index of suspicion for diagnosis. Fixed dislocation of the fibula does not allow for closed reduction, so open reduction and fixation of fibula or tibia is required. Read More

Orthop Surg 2017 Feb;9(1):54-61

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, China.

Objective: Lisfranc joint injury is a rare injury and can be easily missed at the initial treatment. Once ignored, late reduction is very difficult and requires extensive dissection. Surgical outcome is not as good as in the case of an early reduction. Read More

Foot (Edinb) 2017 Jun 20;31:23-30. Epub 2017 Feb 20.

PGIMER, Chandigarh, India. Electronic address:

Background: Minimally invasive surgery has a significant and evolving role in the treatment of DIACFs, but there is limited literature on this topic.

Objectives: To compare the clinico-radiological outcomes of DIACFs fixed with MIS technique with ORIF.

Methods: This randomised control trial (RCT) included 21 closed Sanders type 2 and 3 DIACFs which were selected from 70 who presented. Read More

J Foot Ankle Surg 2017 May - Jun;56(3):643-647. Epub 2017 Mar 14.

Professor of Orthopedic Surgery, Head of Department, Department of Orthopaedic and Traumatic Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.

Dislocation of the first metatarsophalangeal joint is a relatively rare and still poorly known injury. The current classification includes only the dorsal variety of this lesion; thus, as further cases of other varieties are reported, a larger understanding of this entity is required. We report the case of a young male with dorsal dislocation of the first metatarsophalangeal joint treated by closed reduction. Read More

Injury 2017 Apr 6;48(4):854-860. Epub 2017 Mar 6.

Department of Orthopedic Surgery, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. Electronic address:

Purpose: The impact of isolated malleolar fractures on the intra-articular load distribution within the ankle joint has been studied in several biomechanical cadaver studies during the last decades. Recently, computed tomography osteoabsorptiometry (CT-OAM) has been proposed as a valuable tool to assess intra-articular joint load distribution in vivo. The purpose of this retrospective matched pair analysis was to apply CT-OAM to evaluate in vivo changes of talar load distribution after lateral malleolar fractures in patients treated with open anatomic reduction and internal fixation (ORIF) compared to patients treated non-operatively. Read More

Foot (Edinb) 2017 Mar 6;30:43-46. Epub 2017 Feb 6.

Foot and Ankle Unit, Wrightington Hospital, Wigan, WN6 9EP, UK.

Foot Ankle Clin 2017 Mar;22(1):15-34

Counties-Manukau Health Orthopaedics, Middlemore Hospital, 100 Hospital Road, Otahuhu, Auckland 2104, New Zealand.

To be able to perform percutaneous fixation of Lisfranc injuries, this article emphasizes that an anatomic reduction must be mandatory. When uncertainty remains as to whether closed reduction is anatomic, formal open reduction is recommended because accuracy of reduction is correlated with long-term outcome. Closed injuries with minimal displacement, bony avulsions, and skeletally immature individuals seem the most appropriate indications for percutaneous fixation. Read More