Early Protected Weightbearing After Open Reduction Internal Fixation of Ankle Fractures With Trans-syndesmotic Screws

King, Christy M.; Doyle, Matthew D.; Castellucci-Garza, Francesca M.; Nguyentat, Annie; Collman, David R.; Schuberth, John M.

doi:10.1053/j.jfas.2020.01.003

Cited by 9 publications

(16 citation statements)

References 20 publications

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“…Examination should include inspection for deformity, bruising, effusion and open wounds (BOA & BAPRAS 2017; Lampridis et al 2018). Palpation is performed in a methodical sequence across both the lateral and medial ankle as well as proximal fibula (for a potential Maisonneuve injury) (Lampridis et al 2018). Tenderness is suggestive of an underlying fracture rather than sprain.…”

Section: Preoperative Considerationsmentioning

confidence: 99%

“…If radiographs are equivocal or significant ligament/tendon injury is expected, a magnetic resonance imaging scan is the imaging of choice (Sawant & Sanghvi 2018). Computed tomography (CT) scanning is useful for the assessment of complex ankle fractures, especially those involving the posterior malleolus and/or comminuted malleolar fractures (Lampridis et al 2018; Leung et al 2016).…”

Section: Preoperative Considerationsmentioning

confidence: 99%

“…Intraoperative fluoroscopy is used to monitor reduction and fixation (BOA 2016). Lateral malleolar fractures are most commonly fixed using an interfragmentary lag screw and a neutralisation plate (Lampridis et al 2018). However, if the fracture pattern allows more than one lag screw, a neutralisation plate is not mandatory (Lampridis et al 2018).…”

Section: Operative Considerationsmentioning

confidence: 99%

“…Lateral malleolar fractures are most commonly fixed using an interfragmentary lag screw and a neutralisation plate (Lampridis et al 2018). However, if the fracture pattern allows more than one lag screw, a neutralisation plate is not mandatory (Lampridis et al 2018). Comminuted high-energy fibula fractures require stronger fixation with locking or reconstruction plates (Lampridis et al 2018).…”

Section: Operative Considerationsmentioning

confidence: 99%

“…However, if the fracture pattern allows more than one lag screw, a neutralisation plate is not mandatory (Lampridis et al 2018). Comminuted high-energy fibula fractures require stronger fixation with locking or reconstruction plates (Lampridis et al 2018). Alternatively, unstable distal fibular fractures can be treated using intramedullary fixation.…”

Section: Operative Considerationsmentioning

confidence: 99%

See 4 more Smart Citations

Principles and guidelines in the management of ankle fractures in adults

Kyriacou

Mostafa

Davies

et al. 2021

Journal of Perioperative Practice

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Ankle fractures are common injuries that have many physical and psychosocial complications. As a result, it is important to be aware of how these patients present and are managed perioperatively. Detailed guidelines from NICE and the British Orthopaedic Association have been produced on this topic, including recent developments such as the decision to weight-bear early after surgery and the use of virtual fracture clinics. This article provides an overview of the key perioperative factors that need to be considered in cases of ankle fracture and the relevant clinical guidelines.

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Section: Preoperative Considerationsmentioning

confidence: 99%

Section: Preoperative Considerationsmentioning

confidence: 99%