Reconstruction of Failed Ankle Fractures

Henderson, W. Bryce; Lau, Johnny

doi:10.1016/j.fcl.2005.12.006

Cited by 16 publications

(30 citation statements)

References 13 publications

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“…Fibular shortening and fibular malrotation are the most common types of malunion following ankle fracture surgery (van Wensen et al 2011, Thordarson 2012. Unfortunately, they are also the most difficult to reconstruct (Henderson and Lau 2006). Plain radiographic findings on ankle fracture malunion include asymmetry of the medial and lateral clear space, talar tilt or talar shift, talar subluxation anteriorly or posteriorly, and shortening of the fibula.…”

Section: Loss Of Reduction and Malunionmentioning

confidence: 99%

Complications in ankle fracture surgery

Ovaska¹

2015

Acta Orthopaedica

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Section: Loss Of Reduction and Malunionmentioning

confidence: 99%

Complications in ankle fracture surgery

Ovaska¹

2015

Acta Orthopaedica

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“…Only advanced degenerative changes were considered as a contraindication for an osteotomy of the distal fibula by most authors [8, 12, 15, 17, 20, 23, 28, 29]. Unfortunately, postoperative degenerative changes occur.…”

Section: Discussionmentioning

confidence: 99%

Reconstructive osteotomy of fibular malunion: review of the literature

Wensen¹,

Bekerom²,

Marti³

et al. 2011

Strategies in Trauma and Limb Reconstruction

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The treatment of ankle fractures has a primary goal of restoring the full function of the injured extremity. Malunion of the fibula is the most common and most difficult ankle malunion to reconstruct. The most frequent malunions of the fibula are shortening and malrotation resulting in widening of the ankle mortise and talar instability, which may lead to posttraumatic osteoarthritis. The objective of this article is to review the literature concerning the results of osteotomies for correcting fibular malunions and to formulate recommendations for clinical practice. Based on available literature, corrective osteotomies for fibular malunion have good or excellent results in more than 75% of the patients. Reconstructive fibular osteotomy has been recommended to avoid or postpone sequela of posttraumatic degeneration, an ankle arthrodesis or supramalleolar osteotomy. The development of degenerative changes is not fully predictable; therefore, it is advisable to reconstruct a fibular malunion soon after the diagnosis is made and in presence of a good ankle function. Recommendations were made for future research because of the low level of evidence of available literature on reconstructive osteotomies of fibular malunions.

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“…Ankle fractures are among the commonest of skeletal injuries with a reported incidence of 125/100,000/year. [1][2][3][4][5][6] Malunion is equally common with a reported occurrence of up to 68% in some studies. 1 The main objective of treating ankle malunion is to restore the anatomy of the ankle mortise, fibula length and orientation.…”

Section: Introductionmentioning

confidence: 99%

“…The results of this study compare favourably with many other studies. 3,[7][8][9][10] Its currently believed just like Weber (1972) that the fibula remains the main key pillar in the ankle joint biomechanics. That anatomic restoration of the ankle mortise is possible only by reinstatement of the fibular length and rotation.…”

Section: Introductionmentioning

confidence: 99%

Delayed surgical reconstruction of adult ankle malunion by supramalleolar osteotomy

Opondo

2019

Int J Res Orthop

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Background: Malunion of the ankle fractures is a frequent cause of morbidity. The normal ankle is essential for normal mobility. Ankle malunion is a common cause of chronic pain, posttraumatic arthritis and work related disability. The importance of proper treatment of these injuries cannot be over emphasised. Lateral talar shift of only 1 mm decreases the tibio-talar contact area by 42%. This increases contact pressure stress by 36%. Together with instability this results in chronic pain and arthrosis.Methods: A retrospective study was designed to review 21 cases reconstructed after several months to many years of neglect prior to this review. The case reports, operative records, X-rays and CT scans of the patients in addition to physical examination findings were analysed. Results: Good to excellent results were achieved using basic orthopaedic instrument and implants. This technique is an important armamentarium to orthopaedic surgeons in the third world where late presentation of ankle fractures is common and ideal implants are scanty.Conclusions: Good to excellent radiological and functional outcomes are achievable with proper preoperative planning and corrective supramalleolar osteotomies.

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Reconstruction of Failed Ankle Fractures

Cited by 16 publications

References 13 publications

Complications in ankle fracture surgery

Complications in ankle fracture surgery

Reconstructive osteotomy of fibular malunion: review of the literature

Delayed surgical reconstruction of adult ankle malunion by supramalleolar osteotomy

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