Vertical Transarticular-Pin Fixation for Unstable Ankle Fractures

Childress, Harold M.

doi:10.2106/00004623-196547070-00004

Cited by 30 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Skin care and continued assessment of soft tissue are facilitated without risking further damage. Exceptionally and under special circumstances, K-wire transfixation can even be considered being a definitive treatment modality in combination with a plaster cast (patient not fit for surgery, persistent skin lesions) [11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…However, no paper in the literature was found which attributed posttraumatic degeneration of the ankle to the transfixation. In 1976, Childress published a study of 92 consecutive patients treated definitively by means of ankle transfixation with a follow-up of 1-16 years [13]. Traumatic arthritis was the most common late disabling factor, which, however, was not related to the pin penetration areas of the ankle joint.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Temporary Kirschner Wire Ankle Transfixation and Delayed ORIF

Meier¹,

Schefold²,

Hug³

et al. 2004

Eur J Trauma

View full text Add to dashboard Cite

European Journal of TraumaAb stract Background and Purpose: Immediate ORIF (open reduction and internal fixation) is the treatment of choice for displaced ankle fractures. However, definitive treatment may have to be delayed due to compromised soft tissues. The value of temporary Kirschner wire ankle transfixation with staged ORIF for closed displaced ankle fractures with tibiotalar dislocations was determined.Patients and Methods: In this retrospective case series (1997)(1998)(1999)(2000)(2001), 92 patients (mean age 54 years, range 20-86 years) who underwent a staged procedure for isolated and closed displaced ankle fractures with tibiotalar dislocations were studied. Patients were primarily treated by means of immediate closed reduction. For stable fractures and adequate soft tissues a split plaster cast was applied (n = 50). K-wire transfixation was performed for unstable fracture-dislocations and/or critical soft tissues (n = 42). All patients underwent delayed ORIF after recovery of the soft tissues.Results: In the K-wire group (KWG), local complication rate was 7%. Mean operating time was 30 min (5-65 min). In the plaster cast group (PCG), local complication rate was 10% (p = 0.72, not significant). Three redislocated ankles (6%) had to be transfixed secondarily. A higher grade of soft-tissue injuries in the KWG (p < 0.05) resulted in a longer time interval between primary treatment and staged ORIF (7 vs. 5 days; p < 0.05) and a longer hospital stay (19 vs. 17 days; p < 0.05) for the KWG.Conclusion: Temporary K-wire ankle transfixation is an effective method for initial treatment of closed displaced ankle fractures with tibiotalar dislocation, if ORIF has to be delayed and immobilization in a split plaster cast is not suitable. Retention is reliable with a low complication rate.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Temporary Kirschner Wire Ankle Transfixation and Delayed ORIF

Meier¹,

Schefold²,

Hug³

et al. 2004

Eur J Trauma

View full text Add to dashboard Cite

show abstract

“…Good results were observed in the patients over 65 in this earlier study but patients were not allowed to weight bear for 6 weeks after surgery and all of the Steinmann pins were removed. 27 This suggests that in frail patients this technique protocol permits early mobilization, is tolerated well and is associated with a low complication rate. Thus the potential benefits outweigh the disability due to fixation of the subtalar and ankle joints.…”

Section: Operative Treatmentmentioning

confidence: 95%

(iii) The osteoporotic ankle fracture

McFadyen¹,

Aqil²

2011

Orthopaedics and Trauma

View full text Add to dashboard Cite

“…21 When the patient's bone is so osteopenic that it will not tolerate traditional fixation or in instances where there is significant vascular compromise, retrograde transarticular fixation may be required. 22,23 In addition, the condition of soft tissues and medical comorbidities can alter the anticipated treatment plan.…”

Section: Indications/contraindicationsmentioning

confidence: 99%

“…Fixation should be inserted so that it crosses the posterior aspect of the ankle joint with the joint held in neutral to slight plantar flexion, this minimizes damage to weight-bearing articular surfaces. 22 The fixation should engage tibial cortex proximally, this improves pullout failure. Wires should be cut 1 cm beneath the skin to allow skin closure.…”

Section: Temporary Transarticular Fixationmentioning

confidence: 99%

Operative Fixation of Osteoporotic Ankle Fractures

Bevan

Barei

Nork

2006

Techniques in Foot &Amp; Ankle Surgery

View full text Add to dashboard Cite

Ankle fractures in patients with osteoporosis present significant operative challenges. Patients have more medical comorbidities and can be poorly compliant. Decreased bone density and fracture comminution make stable fixation difficult. This article presents a variety of techniques that have been reliably used at our institution to address many of these issues. The recent advances in anatomical and low-profile locking plates have enhanced the available options. Surgical treatment of the osteoporotic ankle will remain technically challenging, with the maintenance of any reduction often the most difficult step.

show abstract

Vertical Transarticular-Pin Fixation for Unstable Ankle Fractures

Cited by 30 publications

References 0 publications

Temporary Kirschner Wire Ankle Transfixation and Delayed ORIF

Temporary Kirschner Wire Ankle Transfixation and Delayed ORIF

(iii) The osteoporotic ankle fracture

Operative Fixation of Osteoporotic Ankle Fractures

Contact Info

Product

Resources

About