Ankle fractures in adults: an overview

Westerman, Richard W.; Porter, KM

doi:10.1177/1460408607088292

Cited by 8 publications

(5 citation statements)

References 23 publications

(18 reference statements)

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“…The incidence of ankle fractures is gender-related (21). For males the peak age range is 15–24 years, whereas it is 65–75 years for females.…”

Section: Discussionmentioning

confidence: 99%

Absorbable implants versus metal implants for the treatment of ankle fractures: A meta-analysis

Guo

et al. 2013

Experimental and Therapeutic Medicine

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This meta-analysis was performed to evaluate the efficiency and the safety of absorbable implants. Five major electronic databases (PubMed, Embase, Cochrane Library, SinoMed and Wanfang Data) were systematically searched for randomized controlled trials (RCTs) from their establishment to November 2012. Studies on absorbable implants and metal implants for ankle fractures were selected. The meta-analysis was performed using RevMan 5.1. Ten studies with 762 patients were included and analyzed. Compared with metal implants, absorbable implants used for the internal fixation of ankle fractures produce similar radiographic and functional outcomes (P= 0.52). Normally, removal of the internal fixation is unnecessary (P<0.0001) and the incidence of palpable implants is lower (P=0.02) for absorbable implants. No statistically significant difference was observed between the two groups with regard to foreign body reactions (P=0.07), infection (P= 0.69), osteoarthritis (P= 0.39), pain (P= 0.06), refracture (P=0.67), skin necrosis (P=0.99), deep vein thrombosis (P=0.21) and nerve injury (P=0.94). Absorbable implants used in ankle fractures rarely require reoperation and result in similar functional outcomes and complications compared with metal implants. These characteristics make them efficient and reasonably safe for the treatment of ankle fractures.

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“…The incidence of ankle fractures is gender-related (21). For males the peak age range is 15–24 years, whereas it is 65–75 years for females.…”

Section: Discussionmentioning

confidence: 99%

Absorbable implants versus metal implants for the treatment of ankle fractures: A meta-analysis

Guo

et al. 2013

Experimental and Therapeutic Medicine

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“…Evaluation of the pattern of injury further classified into isolated or bimalleolar fracture, Lauge-Hansen classification and Danis-Weber classification based on pre-operative radiograph film [2] [16] [17] as shown in examples of cases below in Figure 1 and Figure 2. Patient was put in supine position and tourniquet applied.…”

Section: Methodsmentioning

confidence: 99%

“…Ankle fractures are commonly seen in trauma settings consists 55% of all frac- tures in the foot and ankle region [1]. The ankle fracture can be treated by operative or non-operative method depending on the severity of the injury [2]. The prognosis however is uncertain.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Assessment of Intra-Articular Injury in Patients with Acute Unstable Malleolar Fracture

Hayadin¹,

Foo²,

Subramaniam³

et al. 2020

OJO

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Introduction: Purpose to study prevalence of the intraarticular chondral lesion in the malleolar fracture by using ankle arthroscopy to fully understand the severity and complexity of the injury. Methods: Cross sectional study of 32 patients diagnosed with ankle fracture and undergone open reduction and internal fixation with arthroscopic assessment performed stimultaneously. The mechanism of injury, patterns of injury and intraarticular chondral injury were documented. Results: Mean age was 38 years (SD = 14.1, range 18 -68 years). Eighteen were female and 14 were male. Fifteen involved syndesmostic distruption, 22 had Danis-Weber B injury and 16 had supination external rotation (SER). Ten (31.2%) had positive intraoperative cartilage injury. Significant correlation between the Lauge-Hansen classifications with positive findings with 6 had SER, 2 had pronation adduction and 2 had pronation external rotation. Conclusion: The prevalence of chondral injury in ankle fracture was quite high and may leads to poor outcome. Arthroscopy procedure allow surgeon to assess intraarticular surface and reduction of the ankle fracture which prompt further intervention that may improve the clinical outcomes and prognosis of the patients.

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“…In spite of progress of surgeries, results are not generally brilliant and intricacies influence 20-half of patients [13].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study between Supracutaneous Plate and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fracture

E.Kazem

Faraj

Tabl

et al. 2020

Benha Journal of Applied Sciences

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Tibial fractures are the most common fracture of long bones. These wounds result from highvitality injury, for example, tumble from tallness and vehicle accidents.Management of distal tibia breaks, with or without articular association, is a restorative test. Numerous osteosynthesis procedures can be utilized for these breaks and these methods have favorable circumstances and disservices and there is no agreement concerning the administration of these cracks. Randomized forthcoming examination included 40 patients with distal third extra-articular tibia shaft cracks (20 rewarded with supracutaneous -LCP and 20 with MIPO plate), were chosen dependent on the break example and grouped utilizing the AO characterization (AO/OTA types 43A and distal 42A-C as it were). Gathering I, 15% of patients accomplished relationship between 20-24 weeks, 70% of patients accomplished joining between 17-20 weeks and 15% of patients accomplished association ≤ four months. In Group II, 5% of patients accomplished association ≥ 24 weeks, 10% of patients accomplished relationship between 20-24 weeks and 40% of patients accomplished joining between 17-20 weeks and in 45% of patients association took ≤ four months. The Lower Extremity Functional Scale is 74.87% in supracutaneous plate bunch l with mean (60.3±4.87). Furthermore, 75.93% in Mipo bunch ll with mean (60.3±4.87).with no measurably noteworthiness, (P. esteem is 0.481). This examination results show a predominance of supracutaneous plate over MIPO method as far as expelled after association with most straightforward expulsion, lower paces of profound contaminations and shorter opportunity to full weight bearing. Though MIPO procedure gave off an impression of being profitable over supracutaneous plate as far as prompting a superior anatomical and fixed decreases of the crack, a fast and straight forward application, has a diminished careful time and a lower pace of association difficulties.

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Ankle fractures in adults: an overview

Cited by 8 publications

References 23 publications

Absorbable implants versus metal implants for the treatment of ankle fractures: A meta-analysis

Absorbable implants versus metal implants for the treatment of ankle fractures: A meta-analysis

Arthroscopic Assessment of Intra-Articular Injury in Patients with Acute Unstable Malleolar Fracture

Comparative Study between Supracutaneous Plate and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fracture

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