Long-term follow-up after fractures of the tibial and fibular shafts.

Merchant, Thomas C.; Dietz, Frederick R.

doi:10.2106/00004623-198971040-00016

Cited by 210 publications

(89 citation statements)

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“…Ankle osteoarthritis (OA) is not uncommon in patients with malalignment of the mechanical axis of the lower limb [1] or tibial malalignment after fractures [2,3]. Malalignment of the lower limb may thus accelerate degenerative change in the ankle joint.…”

Section: Introductionmentioning

confidence: 99%

Long-term stress distribution patterns of the ankle joint in varus knee alignment assessed by computed tomography osteoabsorptiometry

Onodera

Majima

Iwasaki

et al. 2012

International Orthopaedics (SICOT)

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Purpose The stress distribution of an ankle under various physiological conditions is important for long-term survival of total ankle arthroplasty. The aim of this study was to measure subchondral bone density across the distal tibial joint surface in patients with malalignment/instability of the lower limb. Methods We evaluated subchondral bone density across the distal tibial joint in patients with malalignment/instability of the knee by computed tomography (CT) osteoabsorptiometry from ten ankles as controls and from 27 ankles with varus deformity/instability of the knee. The quantitative analysis focused on the location of the high-density area at the articular surface, to determine the resultant long-term stress on the ankle joint. Results The area of maximum density of subchondral bone was located in the medial part in all subjects. The pattern of maximum density in the anterolateral area showed stepwise increases with the development of varus deformity/instability of the knee.Conclusions Our results should prove helpful for designing new prostheses and determining clinical indications for total ankle arthroplasty.

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Section: Introductionmentioning

confidence: 99%

Long-term stress distribution patterns of the ankle joint in varus knee alignment assessed by computed tomography osteoabsorptiometry

Onodera

Majima

Iwasaki

et al. 2012

International Orthopaedics (SICOT)

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“…Mean time to bone union was 13.8 weeks (range, 12-24 weeks). The clinical results using the IOWA-ankle rating system 13) were as follows: excellent in 23 patients (37.7%), good in 33 (54.1%), and fair results in 5 patients (8.2%). Fifty-six patients (91.8%) had excellent or good results (Table 1).…”

Section: General Resultsmentioning

confidence: 95%

“…Bony union was defined when a callus formed on more than 75% of the main fracture line on anteroposterior and lateral radiographs, and no motion or tenderness was detected at the fracture site. Clinical results were analyzed using the IOWA-ankle rating system [13]. Postoperative complications were also recorded and analyzed.…”

Section: Methodsmentioning

confidence: 99%

Postoperative Complications of Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibial Metaphyseal Fractures

Kim

Lee

Yang³

et al. 2016

IJBSBT

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“…A clinical evaluation for the functional assessment of the ankle was obtained by using the "Ankle-Evaluation Rating System" by Merchant and Deitz. 10 The final results were evaluated using the "Johner&Wruhs' Criteria" as excellent, good, fair and poor. 12 The data was analyzed by student's unpaired t-test by SPSS 6 version software.…”

Section: Postoperative Regimementioning

confidence: 99%

A prospective randomized comparative study on fractures of lower third of both bones of the leg treated by interlock nailing of tibia with or without fixation of fibula

Devatheya¹,

Assat

Dayama

et al. 2017

Int J Res Orthop

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Background: In the treatment of fractures of the distal third of tibia and fibula treated by interlocking nail of tibia, the role of fixing the fibular fracture is not clearly defined. This study was conducted to assess the benefits of fixation of fibular fracture in distal third leg bones fractures.Methods: 95 patients were enrolled into study and divided randomly into two groups based on whether fibula fixed or not with interlock intramedullary nailing tibia. Patients were followed for an average period of 11 months both radiologically and clinically.Results: We observed that the average valgus angulation was significantly less (P =0.001) in the group where fibula was fixed. The outcome of the two groups for clinical ankle score, time of union and complication showed no difference (P ≥0.05). Conclusions: We concluded that fixation of fibula decrease the malalignment of tibia in distal third fractures of tibia and fibula treated with interlocking nail of tibia.

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Long-term follow-up after fractures of the tibial and fibular shafts.

Cited by 210 publications

References 0 publications

Long-term stress distribution patterns of the ankle joint in varus knee alignment assessed by computed tomography osteoabsorptiometry

Long-term stress distribution patterns of the ankle joint in varus knee alignment assessed by computed tomography osteoabsorptiometry

Postoperative Complications of Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibial Metaphyseal Fractures

A prospective randomized comparative study on fractures of lower third of both bones of the leg treated by interlock nailing of tibia with or without fixation of fibula

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