Objectives: To determine whether patients with AO/OTA 43-B anterior impaction tibial plafond fractures have worse clinical outcomes, and an increased risk of progression to ankle arthrodesis.
Design: Retrospective cohort study.
Setting: Level 1 academic trauma center.
Patients: One hundred sixty-eight patients were included in the study, all of whom had tibial plafond fractures.
Intervention: Study patients underwent external fixation and/or open reduction internal fixation (ORIF) as indicated by fracture/injury pattern.
Main Outcome Measurements: Arthrodesis rate.
Results: AO 43-B Anterior impaction tibial plafond fractures have an increased risk of progression to arthrodesis when compared to AO 43-B nonanterior impaction type fractures (19.4% vs 8%).
Conclusions: AO 43-B anterior impaction tibial plafond fractures have a worse clinical outcome compared to AO 43-B nonanterior impaction fractures. These fractures also confer increased risk of progression to arthrodesis.
Conflicts Of Interest: The authors have no conflict of interests to declare.
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http://dx.doi.org/10.1097/OI9.0000000000000076 | DOI Listing |
Introduction: With the increased use of CTs in cases with trimalleolar ankle fractures, bone fragments between the posterior malleolus and the rest of the articular surface tibial plafond surface - described as intercalary fragments (ICFs) - can be recognized. The aim of this study was to determine the ICF size threshold for a significant change in the pressure distribution at the ankle joint, having a considerable impact on the remaining cartilage of the joint.
Design And Methods: Eight human cadaveric lower legs were used, and a posterior malleolus Bartonicek II fracture was created with sequential 2mm, 4mm, 6mm and 8mm ICFs.
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 PDFObjectives: This study aimed to identify the rate at which the anterolateral tibial plafond is affected in comminuted suprasyndesmotic ankle fractures (AO/OTA 44C2) and to assess how its involvement affects clinical outcomes.
Methods: Design: Retrospective review.
Setting: Level 1 Trauma Center.
Foot Ankle Int
January 2025
Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Purpose: The purpose of this study was to determine the effects of medial opening low tibial osteotomy (LTO) on lower limb alignment, including the knee joint, 1 year after low tibial osteotomy.
Methods: This study included 20 legs of 20 patients (mean age, 66.8 ± 5.
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