Comparison of Two Intraoperative Assessment Methods for Injuries to the Ankle Syndesmosis

Stoffel, Karl; Wysocki, David; Baddour, Edward; Nicholls, Rochelle; Yates, Piers

doi:10.2106/jbjs.g.01537

Cited by 118 publications

(90 citation statements)

References 28 publications

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“…A cadaveric study published in2009 compared two stress tests for the detection of syndesmotic injury at the site of ankle fractures on stress radiographs. The lateral stress test appeared to be superior to the external rotation stress test in this cadaver model [29].…”

Section: Intra-operative Imagingmentioning

confidence: 68%

Ankle Fractures: A Literature Review of Current Treatment Methods

Singh¹,

Kamal²,

Roulohamin³

et al. 2014

OJO

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Ankle fracture is one of the most common lower limb fractures for they account for 9% of all fractures representing a significant portion of the trauma workload. Ankle fractures usually affect young men and older women, however, below the age of 50; ankle fractures are the commonest in men. Two commonly used classification systems for ankle fractures include the danis weber AO classification and the Lauge-Hansen classification. There is biomechanical evidence that posterior non-locking plates are superior in stability than laterally placed plates; however there is little clinical evidence. There are several different methods of ankle fracture fixation, however the goal of treatment remains a stable anatomic reduction of talus in the ankle mortise and correction of the fibula length as a 1 mm lateral shift of the talus in the ankle mortise reduces the contact area by 42%, and displacement (or shortening) of the fibula more than 2 mm will lead to significant increases in joint contact pressures. Further research both biomechanically and clinically needs to be undertaken in order to clarify a preferable choice of fixation.

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Section: Intra-operative Imagingmentioning

confidence: 68%

Ankle Fractures: A Literature Review of Current Treatment Methods

Singh¹,

Kamal²,

Roulohamin³

et al. 2014

OJO

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“…The diagnosis of SD was based solely on anteroposterior and lateral radiographs of the ankle. No physical tests were conducted because of severe local tenderness and swelling [22][23][24].…”

Section: Methodsmentioning

confidence: 99%

“…The medial malleolar fracture was then openly reduced, and a cancellous screw (Synthes, Bettlach, Switzerland) was inserted. With mediolateral manipulation, the stability of the syndesmosis was routinely checked [22][23][24]. If the stability was insufficient, one cortical screw of the semi-tubular plate, 2-3 cm proximal to the tibial plafond, was replaced by a 3.5-mm cancellous screw (Synthes, Bettlach, Switzerland).…”

Section: Surgical Techniquementioning

confidence: 99%

Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function

Hsu

Lee

et al. 2010

International Orthopaedics (SICOT)

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“…Therefore, the decision to stabilize the distal tibiofibular syndesmosis should always be based on intraoperative dynamic stress testing following malleolar fracture fixation (van den Bekerom et al 2007, Pakarinen et al 2011b). The intraoperative testing can be done with the Cotton test (lateral fibular translation test), external rotation stress test, or with sagittal plane stress test (Candal-Couto et al 2004, Jenkinson et al 2005, Stoffel et al 2009, Hak et al 2011, Pakarinen et al 2011b). The sensitivity of any of these tests alone is insufficient to adequately detect instability of the syndesmosis (Pakarinen et al 2011b), thus a combination of various tests should probably be used (van den Bekerom 2011).…”

Section: Syndesmosismentioning

confidence: 99%