The authors discuss fractures of the posteromedial process of the talus. The surgical approach for open reduction of these injuries is detailed.
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http://dx.doi.org/10.7547/87507315-84-2-66 | 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 PDFArch Orthop Trauma Surg
December 2024
Sporthopaedicum Regensburg, Regensburg, Germany.
Purpose: Varus posteromedial rotatory instability (VPMRI) involves anteromedial coronoid fracture (AMCF), lateral ulnar collateral ligament (LUCL), and medial collateral ligament (MCL) injury. There is no general consensus regarding the surgical treatment, but most surgeons recommend internal fixation of the coronoid along with primary ligament repair. This methodology involves postoperative immobilization to allow ligament healing, occasionally associated with stiffness.
View Article and Find Full Text PDFZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
December 2024
Department of Orthopedics, Yangpu Hospital, Tongji University, Shanghai, 200090, P. R. China.
Objective: To summarize the characteristics of posterior coronal banana-shaped fragments and its research progress in treatment of intertrochanteric femoral fracture with cephalomedullary nail, provide valuable reference for clinical practice.
Methods: Relevant domestic and foreign literature was extensively reviewed to summarize the history, anatomical structure of posterior coronal banana-shaped fragments, and the need for reduction and fixation, the influence on the stability of cephalomedullary nail, and the remedies.
Results: The posterior coronal banana-shaped fragments refers to the second level fracture line of the intertrochanteric femoral fracture, involving four anatomical structures, namely, the posterior part of the greater trochanter, the intertrochanteric crest, the lesser trochanter, and the posteromedial cortex.
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.
Int J Burns Trauma
October 2024
Department of Orthopedics, PGIMER Chandigarh, India.
A 30-year-old male sustained a road traffic accident and presented to our trauma centre with injuries to his pelvis and right knee. Radiology showed closed fractures of the right posterior wall and posterior column of the acetabulum and PCL bony avulsion with posteromedial tibial plateau osteochondral fracture, without any distal neurovascular deficit. He was managed with surgical intervention for both injuries.
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