Dislocations of the acromioclavicular joint are common injuries in sports and traffic accidents. The most widely used classification of these injuries is the one of Tossy, Tossy III and Tossy II injuries are indications for operative treatment. Among several different surgical approaches a very common procedure is the temporary fixation of the AC-joint by two pins, tendon band wiring and suturing of the ligaments. Recently we have been using a temporary transfixation by only one pin, tension band fixation with PDS and suturing of the ligaments. The advantages of this method are: preservation of clavicular rotation, easier operation and metal removal, and less damage of the joint cavity. Results and complications are presented.
This study is dealing with the analysis of isolated ankle fractures in ski boots which are nowadays very seldom. Modern equipment and excellent prepared skiing facilities reduced this kind of trauma. In the early sixties about 60% of lower extremity injuries were caused by ankle fractures. Now, 25 years later, only 10% of injuries concerning to lower extremity are injuries of medial and lateral ankle or of the talofibular ligaments. At the department of trauma surgery of the university hospital of Innsbruck we use a questionnaire for winter sports injuries. We made a retrospective follow up study of the last three years, in which we found 100 patients with ankle injuries. Pilon tibial- and tibia shaft fractures are not included. The classification was made by the Lauge-Hansen system. Supination-inversion and supination-eversion fractures were found more often than others. Fractures of both medial and lateral ankles were only seen in three cases. One reason for this result could be a lack of movement of the ankle in the ski-boot. Modern plastic boots seem to protect ankle and distal tibia and fibula. Another remarkable result was the fact that we could not find any difference in the types of fractures comparing patients with released and not released bindings.
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