High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.
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http://dx.doi.org/10.1155/2018/7902641 | DOI Listing |
Ulus Travma Acil Cerrahi Derg
October 2024
University of Health Sciences Istanbul Kanuni Sultan Suleyman Training and Research Hospital, İstanbul-Türkiye.
Foot Ankle Surg
August 2024
Guthrie Clinic, Sayre, PA, USA. Electronic address:
Background: Due to the variability in evidence supporting either trans-syndesmosis fixation or deltoid ligament repair in unstable ankle fractures with medical clear space (MCS) widening makes it unclear which surgical technique leads to the best patient outcomes. The goal of our systematic review and meta-analysis was to compare clinical outcomes of trans-syndesmotic fixation versus anatomic deltoid ligament repair in the management of unstable ankle fractures with MCS widening.
Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized in this study.
J Orthop Trauma
November 2024
Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada.
Foot Ankle Surg
January 2025
Graduate School of Medical and Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba 260-8670, Japan.
Background: Clamping along the transsyndesmotic (TS) axis decreases the risk of malreduction when reducing syndesmotic diastasis. We aimed to measure the difference between the TS axis and the axis determined by the newly proposed fluoroscopic incisura tangent (IT) method. The measurements were compared to those between the TS axis and those based on the center-center (CC) and talar dome lateral (TL) methods.
View Article and Find Full Text PDFBMJ Open
January 2024
Department of Orthopedic Surgery, Innlandet Hospital Trust Gjøvik Hospital, Gjovik, Norway.
Introduction: Surgery is widely recognised as the treatment of choice for suprasyndesmotic ankle fractures, because of the assumption that these injuries yield instability of the ankle joint. Stability assessment of ankle fractures using weightbearing radiographs is now used regularly to guide the treatment of transsyndesmotic and infrasyndesmotic ankle fractures. Patients with a congruent ankle joint on weightbearing radiographs can be treated non-operatively with excellent results.
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