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Fractures de la cheville
Synonyme(s)
Fractures de la malléole externe; Fractures de la malléole péronière; Fractures trimalléolaires; Fractures de la malléole interne; Fractures de la malléole tibiale; Fractures de la malléole postérieure; Fractures bimalléolaires; Équivalents de fractures bimalléolairesRelation(s)
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[article]
in The Foot > 34 (Mars 2018) . - p. 48-52
Titre : Ankle fractures: getting it right first time Type de document : article de périodique Auteurs : Victoria Sinclair ; [et al.] Année de publication : 2018 Article en page(s) : p. 48-52 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / chirurgie
[Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / thérapie
[Thésaurus Mesh]Fixateurs internes
[Thésaurus Mesh]Fractures de la chevilleMots-clés : ankle fractures internal fixators Résumé : Introduction
Ankle fractures are common injuries presenting to trauma departments and ankle open reduction and internal fixation (ORIF2) is one of the first procedures targeted in early orthopaedic training. Failure to address the fracture pattern with the appropriate surgical technique and hardware may lead to early failure, resulting in revision procedures or premature degenerative change. Patients undergoing revision ORIF are known to be at much greater risk of complications and many of these secondary procedures may be preventable.
Method
A retrospective analysis of all patients attending our unit for ankle ORIF over a two year period was undertaken. Patients were identified from our Bluespier database and a review of x-rays was undertaken. All patients undergoing re-operation within eight weeks of the primary procedure were studied. The cause of primary failure was established and potential contributing patient and surgical factors were recorded.
Results
236 patients undergoing ankle ORIF were identified. 13 patients (5.5%) returned to theatre for a secondary procedure within eight weeks. Within this group, seven (54%) patients returned for treatment of a neglected or under treated syndesmotic injury, three (23%) for complete failure of fixation, two (15%) with wound problems and one (8%) for medial malleolus mal-reduction. Of the patient group, five (39%) were known type 2 diabetics. Consultants performed two (15%) procedures, supervised registrars five (39%) and unsupervised registrars six (46%) operations.
Conclusion
Errors are being made at all levels of training in applying basic principles such as restoring fibula length and screening the syndesmosis intra-operatively. Appropriate placement and selection of hardware is not always being deployed in osteopenic bone resulting in premature failure of fixation and fracture patterns are not being fully appreciated. Patients are undergoing preventable secondary procedures in the operative treatment of ankle fractures.
En ligne : https://reader.elsevier.com/reader/sd/48ED778B7C48F39F82112143BB4B104E9250E9CC01 [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité F Périodique Erasme - périodiques Périodiques Disponible F Périodique Erasme - périodiques Périodiques Disponible Assessing the potential of realignment fibula osteotomy for distal fibula malunion / Nicholas Bevilacqua in Podiatry today, vol.31, 9 (Septembre 2018)
[article]
in Podiatry today > vol.31, 9 (Septembre 2018) . - p. 18-20
Titre : Assessing the potential of realignment fibula osteotomy for distal fibula malunion Type de document : article de périodique Auteurs : Nicholas Bevilacqua Année de publication : 2018 Article en page(s) : p. 18-20 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:prise en charge
[Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / complications
[Thésaurus Mesh]Fractures de la chevilleMots-clés : ankle fractures management dome talien talar dome Résumé : The primary goal of ankle fracture management is to improve the functional outcomes of patients and decrease complications. All facets of surgical care for ankle fractures continue to evolve but the foundation of treatment remains achieving anatomic healing of the ankle mortise. The talar dome bears more weight per unit area than any other joint surface and is extremely sensitive to even small tibiotalar incongruences. En ligne : https://www.podiatrytoday.com/assessing-potential-realignment-fibula-osteotomy-d [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité P Périodique Erasme - périodiques Périodiques Disponible Bone Morphology as a Determinative Risk Factor for Type of Ankle Fracture / Sefa Giray Batıbay in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 02 (Mars 2023)
Titre : Bone Morphology as a Determinative Risk Factor for Type of Ankle Fracture Type de document : article de périodique Auteurs : Sefa Giray Batıbay ; Serkan Bayram ; Ömer Polat Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Os et tissu osseuxMots-clés : Morphologie osseuse type de fracture Résumé : Background: We investigated the relationship between ankle radiographic bone morphology and observed fracture type. Methods: We retrospectively reviewed patients who had visited the emergency department with ankle injuries between June 1, 2012, and July 31, 2018. Patients were treated with open reduction and internal fixation. Patients were grouped by fracture pattern. Group 1 consisted of isolated lateral malleolar fractures, and group 2 comprised bimalleolar fractures. Group 1 was further divided into subgroups A and B based on classification as Weber type B and C fractures, respectively. Four radiographic parameters were measured postoperatively on a standing whole-leg anteroposterior view of the ankle: talocrural angle (TCA), medial malleolar relative length (MMRL), lateral malleolar relative length (LMRL), and distance between the talar dome and distal fibula. Results: One hundred seventeen patients were included in group 1-A, 89 in group 1-B, and 168 in group 2. The TCA and MMRL were significantly larger in group 2 than in group 1. Lateral to medial malleolar length ratio was also significantly different between the groups. However, there were no significant differences between the groups in terms of LMRL and the distance between the distal fibula tip and talar process. Between subgroups 1-A and 1- B, LMRL (P = .402) and MMRL (P = .592) values were not significantly different. However, there was a significant difference between groups in TCA and the distance between the distal fibula tip and talar process. Conclusions: The TCA, MMRL, and lateral malleolar length to medial malleolar length ratio were significantly higher in patients with bimalleolar fracture than in patients with isolated lateral malleolar fractures. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Comparison of Supination-Adduction Type 2 and Supination–External Rotation Type 4 in Bimalleolar Ankle Fractures: Does Partial Pylon Variant of Supination-Adduction Type Fracture Affect Functional Outcomes? / Ali Yüce in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Comparison of Supination-Adduction Type 2 and Supination–External Rotation Type 4 in Bimalleolar Ankle Fractures: Does Partial Pylon Variant of Supination-Adduction Type Fracture Affect Functional Outcomes? Type de document : article de périodique Auteurs : Ali Yüce ; Tahsin Olgun Bayraktar ; Mustafa Yerli ; Bülent Karslıoglu ; Süleyman Semih Dedeoglu ; Mustafa Çaglar ; Hakan Gürbüz Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Douleur
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Procédures de chirurgie opératoire
[Thésaurus Mesh]Rotation
[Thésaurus Mesh]Supination
[Thésaurus Mesh]ThérapeutiqueMots-clés : adduction fractures bimalléolaires en supination-adduction fractures bimalléolaires SER Résumé : Background: Supination-adduction (SAD) type injuries are pylon variant injuries and lie between partial intra-articular pylon fractures and rotational ankle fractures. We aimed to evaluate functional outcomes of SAD type 2 bimalleolar fractures in comparison to supination–external rotation (SER) type 4 fractures.
Methods: We retrospectively reviewed data of 42 cases with SER type 4 and 20 cases with SAD type 2 injuries. Patients with a history of rheumatic disease, open fractures, pathologic fractures, nonbimalleolar fractures, neuropathic disease, and talus osteochondral lesion, and those operated on after greater than 72 hours because of skin lesion or managed with a two-stage surgical protocol after external fixation, were not included in the study. We compared these two groups in terms of the mean age, follow-up time, visual analog scale pain and American Orthopedic Foot and Ankle Society scores, Kellgren-Lawrence arthrosis classification, union time, and complications.
Results: The groups did not differ in terms of mean age (P = .115) and sex (P = .573). There was no significant difference in terms of union time between the groups (P = .686). American Orthopedic Foot and Ankle Society score was significantly higher in the SER group (91.2 ± 9.9) than in the SAD group (86.1 ± 13.2; P = .034). Visual analog scale pain scores were similar in the SAD (0.3 ± 0.92) and the SER (0.26 ± 0.7) groups (P = .897).
Conclusions: Supination-adduction bimalleolar fractures may have worse functional outcomes in the intermediate term than do SER bimalleolar fractures, implying pylon variant fractures as a mechanism of injury. Supination-adduction bimalleolar fractures might be associated with a high rate of intra-articular cartilage impaction, resulting in varus deformity after surgery.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Distal Tibiofibular Malreduction in Ankle Fractures Received Fibula Plate and Syndesmotic Screw Fixation / Ali Yüce in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Distal Tibiofibular Malreduction in Ankle Fractures Received Fibula Plate and Syndesmotic Screw Fixation Type de document : article de périodique Auteurs : Ali Yüce ; Mustafa Yerli ; Yunus Imren ; Süleyman Semih Dedeoglu ; Haluk Cabuk ; Hakan Gürbüz Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / chirurgie
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Période postopératoireMots-clés : Malréduction tibiofibulaire distale malréductions postopératoires vis syndesmotique plaque de péroné distal latéral anatomiquement verrouillée Résumé : Background: The aim of the study was to examine the effect of the position of the plate and syndesmotic screw on postoperative tibiofibular joint malreductions in cases where the syndesmotic screw is inserted through the hole of the anatomically locked lateral distal fibula plate.
Methods: Thirty patients (13 female and 17 male patients) with postoperative computed tomographic scans were examined retrospectively. Patient information (eg, tibiofibular congruence measured from postoperative computed tomographic scans, the anterior and posterior tibiofibular distance at axial sections, the presence and orientation of fibular rotation, the presence of tibiofibular intraarticular piece, the angle between the syndesmotic screw and incisural line, the placement of the plate, and the localization of the screw on the fibula in axial images) was recorded.
Results: Those with fibular internal rotation had a lower syndesmotic screw–incisural line angle (SIA) (P = .001).There was a very strong negative significant correlation between the tibiofibular angle and SIA (rho, −0.780; P = .001). The median tibiofibular angle was found to be higher in cases with the fibula plate placed anteriorly (P = .009).The median SIA was found to be lower in cases with the fibula plate placed anteriorly (P = .004).The rate of placement of syndesmotic screw in the anterior third of the fibula was found to be high in cases with the fibula plate placed anteriorly (P = .049).
Conclusions: In ankle fractures treated with insertion of a syndesmotic screw through the plate, the orientation of the syndesmotic screw in the axial plane and the position of the plate may be associated with the incidence of postoperative syndesmosis malreduction.Note de contenu :
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Effectiveness of diagnosis and treatment of spiral fracture of the distal third of the tibia combined with posterior malleolus fracture / Qun Chen in Journal of the American Podiatric Medical Association, vol. 108, 2 (Mars-avril 2018)
PermalinkFactors Affecting the Clinical Outcomes of Surgically Treated Ankle Fractures Associated with the Posterior Malleolar Fragment / Mehmet Kuyumcu in Journal of the American Podiatric Medical Association, vol. 111, 05 (septembre-octobre 2021)
PermalinkFactors Affecting the Clinical Outcomes of Surgically Treated Ankle Fractures Associated with the Posterior Malleolar Fragment / Mehmet Kuyumcu in Journal of the American Podiatric Medical Association, vol.111,05 (septembre-octobre 2021)
PermalinkFibular-lengthening osteotomy to correct a malunited ankle fracture using fresh-frozen femoral head allograft : a case study / Harry J. Visser in Journal of the American Podiatric Medical Association, vol. 107, 4 (Juillet- août 2017)
PermalinkFixation of Posterior Malleolar Fractures with Posterior Plating Through a Posterolateral Approach / Fırat Fidan in Journal of the American Podiatric Medical Association, vol. 111, 02 (Mars-avril 2021)
PermalinkFollow-up Evaluation of Medial Clear Space and Talar Tilt After Bimalleolar Equivalent Fracture Fixation Without Primary Deltoid Repair / Dalton Ryba in Journal of the American Podiatric Medical Association, vol. 111, 04 (Juillet-aout 2021)
PermalinkHow Reliable Are Digital Radiographs for Evaluating Intraarticular Displacement in Ankle Epiphyseal Fractures Can Computed Tomography Be Eliminated? / Ali Turgut in Journal of the American Podiatric Medical Association, vol. 112, 06 (Novembre 2022)
PermalinkHurricane Harvey Aftermath: An Interdisciplinary Case Report on the Management of an Open Bimalleolar Fracture / Rosemary Buckle in Journal of the American Podiatric Medical Association, vol. 110, 02 (Mars-avril 2020)
PermalinkImpact of Posterior Malleolus Fixation on Clinical and Functional Results / Olgun Bingol in Journal of the American Podiatric Medical Association, vol. 113, 01 (Janvier 2023)
PermalinkIncidence of Complications and Risk Factors for Nonunion After Ankle Fracture in Diabetes Mellitus / Lawrence A. Lavery in Journal of the American Podiatric Medical Association, vol. 112, 05 (Septembre 2022)
PermalinkIntraobserver and Interobserver Reliability of the Computed Tomography–Based Classifications Used in Posterior Malleolar Fractures: The Haraguchi and Bartoníček-Rammelt Classifications / Ali Turgut in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
PermalinkKeys to deltoid ligament repair after ankle fracture / Jeffrey McAlister in Podiatry today, vol. 31, 10 (Octobre 2018)
PermalinkPartial Excision of a Tibial Sesamoid Fracture Nonunion in a Patient with Congenital Absence of Fibular Sesamoid A Case Study / Bryanna Vesely in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
PermalinkPostoperative Outcomes for Plate-Screw Fixation in Adolescent Patients with Ankle Fracture / Mehmet Ali Talmaç in Journal of the American Podiatric Medical Association, vol. 110, 06 (Novembre-décembre 2020)
PermalinkRadiological assessment of ankle syndesmotic reduction / George Smith in The Foot, 32 (Aout -novembre 2017)
PermalinkRepair of Distal Fibula Fractures with Minimally Invasive Intramedullary Nailing in the Elderly / Rayven L. Bridges in Journal of the American Podiatric Medical Association, vol. 113, 04 (Juillet 2023)
PermalinkSimultaneous Pantalar Dislocation and Bimalleolar Ankle Fracture / Amir R. Vosoughi in Journal of the American Podiatric Medical Association, vol. 110, 03 (Mai-juin 2020)
PermalinkSurgical Treatment of Lateral Malleolar Fractures Using the Compression Cerclage System / Eren Cansü in Journal of the American Podiatric Medical Association, vol. 106, 5 (Septembre-octobre 2016)
PermalinkSyndesmosis Injuries in Lateral Malleolar Fractures Accompanied by a Posterior Malleolar Fracture: A Nonfixed Posterior Fracture Fragment May Not Affect Postoperative Tibiofibular Joint Malreduction Rates / Ali Yüce in Journal of the American Podiatric Medical Association, vol 113, 06 (Novembre 2023)
PermalinkTalar head fracture : a case report, systematic review and suggested algorithm of treatment / Robert Jordan in The Foot, vol.25, 4 (Décembre 2015)
PermalinkTillaux Fracture Associated with Adult Ankle Fracture Injury : A Rare Case Report / Alina T. Tran in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
PermalinkTreatment of Posterior Malleolar Fractures in Elderly Individuals with Kirschner Wire Tension Band Fixation / Bingqi Wang in Journal of the American Podiatric Medical Association, vol. 112, 04 (Juillet 2022)
PermalinkUnstable fragility fractures of the ankle in the elderly: transarticular Steinmann pin or external fixation / J.A. Halm in The Foot, 32 (Aout -novembre 2017)
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