Fractures of talus are relatively uncommon injuries with majority of them involving the neck region. Talar body fracture in sagittal plane in combination with medial malleolus fracture is very rare with few cases being reported in the literature earlier. We report such an unusual combination in an adolescent, which was treated with open reduction and internal fixation with screws for both talus and medial malleolus. This was followed by physiotherapy and non-weight bearing till the fracture united.
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http://dx.doi.org/10.1016/j.jcot.2016.10.003 | DOI Listing |
Foot Ankle Surg
December 2024
Faculty of Medicine, University of Barcelona, Spain; Clínica Nostra Senyora del Remei, Barcelona, Spain; Unitat d`Anatomia i Embriologia Humana, Spain.
Introduction: There is evidence that the presence of a posterior malleolus fracture (PMF) worsens the prognosis of ankle fractures, making conservative treatment a poor choice. PMFs include a heterogeneous group of bone injury patterns that are sometimes associated to medial malleolus extensions, as well as fibula fractures or syndesmotic damage. This requires the surgeon to be well-versed in anatomy to choose the appropriate surgical approach.
View Article and Find Full Text PDFZhongguo Gu Shang
December 2024
Department of Traumatic Joints, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100102, China.
Objective: To explore weight-bearing stability of Pilon fracture fixed by external fixator.
Methods: Six ankle bone models (right side) and 4 pairs (8 ankle cadaver specimens) were selected. Pilon fracture model was prepared by using the preset osteotomy line based on Ruedi Allgower Pilon fracture type.
Foot Ankle Orthop
October 2024
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Background: Medial malleolar stress fractures (MMSFs) naturally appear to occur primarily in athletes participating in sports requiring prolonged running or repetitive jumping. Nonoperative and operative modalities have been described, yielding a wide range of outcomes and return to activity (RTA) rates.
Hypothesis/purpose: To systematically review the current literature to identify reports of MMSFs to better understand the current state of treatment, outcomes, and RTA rate.
Am J Transl Res
November 2024
Department of Trauma Repair Surgery, Yan'an University Affiliated Hospital Yan'an 716000, Shaanxi, China.
Objective: To evaluate the impact of different surgical fixation sequences on ankle joint stability and functional recovery in patients with trimalleolar fractures.
Methods: A retrospective analysis was conducted on the medical records of 144 patients with trimalleolar fractures treated at Xi'an International Medical Center Hospital. Among these, 78 patients underwent the fixation sequence of lateral malleolus-posterior malleolus-medial malleolus (Group A), while 66 patients underwent the sequence of posterior malleolus-lateral malleolus-medial malleolus (Group B).
Foot Ankle Surg
November 2024
Clínica Nostra Senyora del Remei, Barcelona, Spain; Foot and Ankle Surgery of the Faculty of Medicine, University of Barcelona, Spain; Unitat d`Anatomia i Embriologia Humana. Director of the Doctorate in Medicine and Translational Research, Faculty of Medicine, University of Barcelona, Spain; Council E.F.A.S. 2018. President S.E.C.O.T. 2023-2024, Spain.
Introduction: The presence of a fracture of the posterior malleolus gives a poor prognosis for ankle fractures. This study aimed to analyze the anatomical structures at risk in the traditional postero-medial (TPM) approach.
Methods: Of a total of 21 cadaveric pieces, 11 were female and 10 were male; 9 ankles/right foot and 11 ankles/left foot.
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