Classifications in Brief: Lauge-Hansen Classification of Ankle Fractures

Tartaglione, Jason P.; Rosenbaum, Andrew J.; Abousayed, Mostafa M.; DiPreta, John A.

doi:10.1007/s11999-015-4306-x

Cited by 76 publications

(75 citation statements)

References 28 publications

(35 reference statements)

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“…In ankle injuries, different classifications have been proposed for the evaluation of fractures, clinical decision making, determination of prognosis, documentation and understanding of researches and literature. In these classifications, fractured bone, fracture localization, fracture type and extension of the fracture into the joint space are important parameters (2,14). However, XR has been reported to be insufficient for the imaging of extension of the fracture into the joint space.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Avcı¹,

Kozacı²,

Yüksel³

et al. 2019

Ann Med Res

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The aim of this study was to compare computed tomography (CT) and radiography (XR) images of patients presented to the emergency department with ankle trauma and undergone CT imaging, and to describe the fractures for which XR is insufficient and the characteristics of these fractures. Material and Methods: This retrospectively designed study included patients presented to the emergency department with ankle trauma between January 2016 and December 2017. Patients who had ankle trauma, who performed XR and CT imaging were included in the study. The XR and CT images were reinterpreted by a radiologist. Results: Three hundred and sixteen patients were enrolled in the study. Of the patients, 137 (43.4%) had fracture on XR and 168 (53.2%) had fracture on CT. The most common bone fractures were detected lateral malleolus and distal tibia fractures. The sensitivity and specificity of XR in detecting fracture compared to CT were 75% and 93%, respectively. Sixty-three (20%) of the patients had two simultaneous fractures. The sensitivity and specificity of XR in detecting two simultaneous fractures were 56% and 94%, respectively. Twelve (3.8%) of the patients had distal tibial, medial malleolus and lateral malleolus fractures (trimalleolar fracture). The sensitivity and specificity of XR in detecting trimalleolar fracture were 17% and 100%, respectively. Conclusion: XR has a low sensitivity in identifying ankle fractures. The sensitivity is much lower in cases of two simultaneous fractures and trimalleolar fractures. Therefore, CT imaging should be preferred in patients with complex ankle injuries.

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Section: Discussionmentioning

confidence: 99%

“…Ankle injuries show a bimodal distribution with peaks in young males and elderly females. The cause is high-energy trauma in the first group, while it is osteopenia and osteoporosis in the second group (2).…”

Section: Introductionmentioning

confidence: 99%

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Avcı¹,

Kozacı²,

Yüksel³

et al. 2019

Ann Med Res

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“…Physical examination of the lower extremities was performed by the researcher prior to gait analysis . Using plain pre‐operative radiographs and computed tomography scans, fractures were classified by the number of fractured malleoli and by the AO‐classification . This was performed by two observers blinded for other results in this study.…”

Section: Methodsmentioning

confidence: 99%

“…Ankle fractures are among the most common lower limb fractures and account for 9% of all fractures . There are various classification systems to describe ankle fractures, for example, the AO‐classification, the Lauge–Hanssen classification, and the number of fractured malleoli . Functional outcome studies have been performed among patients with ankle fractures, analyzing patient‐reported outcome measures (PROM), physical examination, and radiographic findings .…”

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confidence: 99%

Gait analysis related to functional outcome in patients operated for ankle fractures

Hoeve

Houben

Verbruggen

et al. 2019

Journal Orthopaedic Research

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Ankle fractures are among the most common lower limb fractures. Associations between postoperative radiographic results and clinical outcome have been found, but less is known about the relevant ankle biomechanics. This study analysed ankle kinematics, radiographic findings and patient-reported outcome measures (PROM) in patients treated for ankle fractures. The hypothesis was that patients after ankle fracture surgery had less flexion/extension in the ankle compared to healthy subjects and that fracture severity had significant influence on kinematics and patient satisfaction. Thirty-three patients (n=33 feet) operated for ankle fractures were recruited. Ankle kinematics were analysed using the Oxford Foot model, and results were compared with an age-matched healthy control group (11 patients, 20 feet). In addition, patients were divided by fracture (severity) classification and kinematic results were correlated with PROM and radiographic findings. Patients treated for ankle fracture showed lower walking speed (p<0.001) when asked to walk in preferred normal speed. When compared at equal speed, significantly less range of motion (ROM) between the hindfoot and tibia in the sagittal plane (flexion/extension) during loading and push-off phases (p=0.003 and p<0.001) was found in patients after ankle fractures compared to healthy subjects. Lowest ROM and poorest PROM results were found for patients with trimalleolar ankle fractures. There was a significant correlation between ROM (flexion/extension) during the push-off phase and SF-36 physical functioning (r =0.403, p=0.027) and SF-36 general health (r =0.473, p=0.008). Fracture severity was significantly correlated with flexion/extension ROM in the ankle during both loading and push-off phases (r =-0.382, p=0.005, and r =-0.568, p<0.001) and was also significantly correlated with PROM. This study found that patients with ankle fractures had significantly altered ankle kinematics compared to healthy subjects. The poorest results were found among patients with trimalleolar fractures. Weak to strong significant correlations were found between fracture severity, ankle kinematics and PROM. This article is protected by copyright. All rights reserved.

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“…It was based on experimental, clinical and radiological findings with the fracture type depending on parameters such as the position of the foot and the direction of the force at the time of injury. The term of Lauge-Hansen's classification is basically a cadaveric study [19] ( Table 1 categories and stages of Lauge-Hansen classification system).…”

Section: Lauge-hansen Classificationmentioning

confidence: 99%

Treatment of Posterior Malleolus Fracture through Posterolateral Approach

Kumar¹,

Lü²,

Ratish³

et al. 2019

OJO

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Posterior malleolus fractures are quite common and usually result from rotational ankle injuries. For the management of posterior malleolus fractures, more studies are still required, though it is already well-recognized for medial and lateral structure. Therefore, fracture of posterior malleolus is striking subject of study among orthopedic surgeons. Most orthopedic surgeons recommend fixing the posterior malleolus fracture if it is larger than 25% to 33% of the distal articular surface. Further attention is required for the reduction and fixation of fractures involving posterior malleolus. Several approaches and methods for fixation of posterior malleolus have been defined in the literature. Previously, the most common method of fixation of the posterior malleolus is by indirect reduction and anteroposterior screws, it is minimally invasive, the anterior incision does not allow satisfactory visualization of the fragment, so good anatomical reduction is difficult to achieve thorough this approach. Operative management goals to reach a stable ankle with maximal function, decrease the risk of post-traumatic degenerative changes, and diminish the risk of complication. Nowadays, posterolateral approach is gaining the popularity due to adequate visualization and accurate anatomic reduction.

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Classifications in Brief: Lauge-Hansen Classification of Ankle Fractures

Cited by 76 publications

References 28 publications

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Gait analysis related to functional outcome in patients operated for ankle fractures

Treatment of Posterior Malleolus Fracture through Posterolateral Approach

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