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Effect of dorsoplantar miniscrew fixation of the second metatarsal base fracture on residual diastases in acute lisfranc fracture-dislocation.
Int Orthop
November 2024
Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University, 170 Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do, South Korea.
Article Synopsis
- The study compares two surgical techniques for treating acute Lisfranc fracture-dislocation involving a second metatarsal base fracture: isolated Lisfranc screw fixation and combined Lisfranc joint fixation with miniscrew fixation.
- Results showed that the isolated Lisfranc screw fixation group had a significantly greater postoperative C1-M2 distance and higher rates of residual diastasis than the combined fixation group.
- Although both groups had similar postoperative daily living ability scores, the sports performance scores were significantly better in the group that received combined fixation, suggesting it might be the superior technique.
A Professional Basketball Player Who Suffered an Open Ankle Dislocation Without an Associated Fracture Achieves His Prior Performance Level Three Months Later.
Cureus
July 2024
Department of Orthopaedic Surgery, Fukushima Medical University, Fukushima, JPN.
An ankle dislocation without an accompanying fracture is extremely rare, and an open ankle dislocation is even rarer. Due to its rarity, there is no consensus on the optimal treatment strategy. A professional basketball player (a 28-year-old male) incurred an open ankle dislocation (with no accompanying fracture) during a basketball game due to plantar flexion and inversion of his ankle during the transition from dashing to stop motion.
View Article and Find Full Text PDF["Calcaneogenesis" with secondary Achilles tendon-bone allograft for repair of the loss of hindfoot function : A 12-year case report].
Unfallchirurgie (Heidelb)
September 2024
UniversitätsCentrum für Orthopädie, Unfall- und Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
Article Synopsis
- Calcanectomy and Achilles tendon resection are complex procedures, but Ilizarov's technique allows for the reconstruction of the calcaneus while preserving the ankle joint.
- A case study of a 25-year-old motorcyclist who underwent significant surgeries showed a marked improvement in function, with an AOFAS score increase from 35 to 70 over 12 years and nearly complete recovery of plantar flexion strength.
- This innovative approach demonstrated that even after substantial muscle disconnection, it is possible to restore almost full push-off force using a fresh-frozen tendon-bone allograft, despite the neo-calcaneus being smaller than normal.
Open Reduction of 2nd Metatarsophalangeal Joint as a Method to Reduce Combined Lesser Metatarsophalangeal Dislocation - A Case Report.
J Orthop Case Rep
April 2024
Department of Orthopedics, Government Medical College, Manjeri, Kerala, India.
Introduction: Combined dislocation of lesser metatarsophalangeal (MTP) joints is a rare occurrence. This case report details the successful open reduction of combined lesser MTP dislocation.
Case Report: A 54-year-old male presented with trauma to his right foot following a fall from height.
Long-term Clinical and Radiographic Outcomes Following Surgical Treatment for Ankle Fracture-Dislocations: Do poor radiographic outcomes always matter?
J Am Podiatr Med Assoc
February 2024
5Koc University, School of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.
Article Synopsis
- Ankle fractures are common, making up 10% of all traumatic fractures, and often occur with tibiotalar dislocations, leading to more serious complications and challenges in treatment for orthopedic surgeons.
- A study of 27 patients revealed that those with severe ankle injuries experienced reduced range of motion and higher rates of post-traumatic osteoarthritis, with 24 exhibiting radiographic signs of the condition.
- Despite the high incidence of osteoarthritis, there were no significant differences found across various stages of the condition regarding clinical outcomes like range of motion and pain levels.
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