2,794 results match your criteria: "Ankle Injury Soft Tissue"

Article Synopsis
  • Central collapsed fracture blocks, particularly pilon fractures classified under 43B2.3, present challenges with traditional reduction methods, risking soft tissue damage and tibial strength.
  • In two cases of pilon fractures with central articular surface collapse and intact anterior cortex, a novel surgical approach using posterior tibial fenestration was employed, allowing for effective realignment of the bone.
  • This technique resulted in successful recovery and functional improvement in patients, highlighting its advantages like minimizing tissue damage and facilitating bone grafting, thus offering a valuable alternative in surgery for such fractures.
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Successful closed reduction of Bosworth ankle fracture-dislocation: A case report.

Trauma Case Rep

October 2024

Department of Orthopaedic Surgery, Misawa City Hospital, 164-65 Horiguchi, Misawa, Misawa-shi, Aomori 033-0022, Japan.

Bosworth fracture-dislocation presents a challenge in ankle joint injuries owing to its irreducible nature, requiring open reduction in most cases. Reports on successful outcomes following closed reduction are limited, necessitating exploration into alternative treatment approaches. Herein, we report a case of Bosworth fracture-dislocation in a 39-year-old man, with radiographic evidence of posterior displacement of the distal portion of the proximal fibular fragment incarcerated behind the tibia.

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Article Synopsis
  • The Shepherd fracture, a rare injury to the lateral tubercle of the talus, typically occurs from sports-related trauma and is often missed on standard X-rays, necessitating CT scans for proper diagnosis and treatment planning.
  • Surgical intervention is frequently recommended for displaced or complex fractures as conservative treatments can lead to poor long-term outcomes, and minimally invasive techniques like arthroscopic reduction and internal fixation (ARIF) are gaining traction.
  • A case study of a 27-year-old professional football player successfully treated with ARIF illustrates the benefits of a two-port arthroscopic approach, allowing for accurate fracture reduction and faster recovery with less tissue damage.
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Background Pilon fractures are infrequent and among the most challenging to manage. One reason is the extensive soft tissue injury surrounding the distal tibia. Second, the articular surface of the distal tibia with a complex fracture pattern needs anatomic reduction.

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Article Synopsis
  • Defects in the lower limbs, especially around the ankle, are common and often caused by trauma, leading to challenges like severe edema and necrosis of thin skin.
  • The study discusses the use of a propeller flap technique, specifically a SCIP flap, to cover a defect and provide adequate tissue for healing while managing skin tension during closure.
  • Emphasizing the importance of preserving perforator vessels during surgery, the case highlights how they can facilitate the use of additional flaps to achieve a tension-free closure, making the reconstruction process more effective.
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Limb Salvage Using Microsurgical Free Tissue Transfer in Severe Frostbite.

Ann Plast Surg

August 2024

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.

Article Synopsis
  • The report showcases the largest case series on frostbite injuries that needed microsurgical reconstruction for preserving limbs, highlighting that conservative management is often insufficient in severe cases.
  • A retrospective review from 2008 to 2022 was conducted on eight patients who underwent free tissue transfer, documenting demographics, surgical details, and outcomes.
  • Results showed all 16 surgical flaps survived, with a mean follow-up of 505.7 days, and all patients eventually regained the ability to bear weight on their lower extremities within about 125 days after their injuries.
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The objective of this clinical appraisal was to assess the clinical-radiological results of ankle deformity correction secondary to physeal injury, utilizing the methods based on the age of the child, site & severity of the deformity, remaining growth potential, condition of the soft tissue envelop and integrity of neurovascular status. Fifteen subjects ≤ 16 years of age, with angular deformities of the ankle secondary to physeal injury, were included. Deformities secondary to infection and pathological fractures were excluded.

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Article Synopsis
  • * Involving 39 patients over a follow-up period of at least one year, results showed all flaps succeeded, with minimal complications and no significant difference in pain or functional scores between the groups.
  • * Overall, both types of flaps demonstrated comparable clinical outcomes, indicating that either can be suitable for foot reconstruction in patients with large defects.
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Distally based peroneus brevis flap: Reconstruction of complex soft-tissue defects with bony infection of the lateral malleolus.

J Plast Reconstr Aesthet Surg

August 2024

Department of Plastic, Reconstructive, and Aesthetic Surgery, Geneva University Hospitals, Geneva University, 1205 Geneva, Switzerland. Electronic address:

Background: Managing wounds of the lateral malleolus is challenging owing to limited nearby tissues and possibly injured or inadequate vessels for free flaps, especially in case of underlying infections. Moreover, free flaps require specialized skills and are not suitable for every patient. Therefore, identifying reliable local alternatives is crucial.

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Isolated pure posteromedial tibiotalar joint dislocation unassociated with fracture: A case report.

Int J Surg Case Rep

August 2024

Department of Orthopedics and Trauma-Surgery (P32), CHU Ibn-Rochd, Faculty of Medicine and Pharmacy Hassan-II, Casablanca, Morocco.

Article Synopsis
  • Isolated tibiotalar dislocation is a rare injury usually resulting from high-energy trauma, such as road accidents.
  • A case study of a 45-year-old patient showed that after emergency treatment and six weeks in a cast, the patient had a stable, pain-free ankle with good mobility twenty months later.
  • Immediate orthopedic intervention is crucial for effective treatment, as delays and certain complications can lead to poor outcomes.
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Surface electromyography analysis of ankle flexor and extensor activity under different standing stability levels.

J Orthop Surg (Hong Kong)

June 2024

Department of Physical Medicine and Rehabilitation, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

To observe the activation strategies of the ankle muscles using surface electromyography (sEMG) during single-leg standing (SLS) and both-leg standing (BLS) on flat ground (FG), soft mat (SM), and BOSU ball (BB) surfaces. Thirty healthy young adults participated in the study. The muscle activities of the tibialis anterior (TA) and gastrocnemius medial (GM) were measured on the three surfaces during SLS and BLS.

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Purpose: Lesions of the peroneal tendons are frequently overseen after ankle sprain. The symptoms consist of stress-dependent pain that extends from the inframalleolar to the proximal part along the course of the peroneal tendons as well as ankle instability and soft-tissue swelling. In case of unsuccessful conservative treatment, surgical therapy is recommended.

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Potential Roles of Inflammation on Post-Traumatic Osteoarthritis of the Ankle.

Int J Mol Sci

May 2024

Neurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

Post-traumatic osteoarthritis of the ankle (PTOA) is frequently observed following a debilitating consequence of intra-articular ankle fractures. Numerous risk factors contribute to the pathogenesis of PTOA, including articular incongruity, joint malalignment, and concomitant soft tissue damage. Despite attempts to restore joint anatomy and manage soft tissues to avoid long-term complications after intra-articular ankle fractures, the incidence of PTOA remains markedly elevated.

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Background: In distal forefoot defect, finding wound closure is challenging because of the distal site and small blood vessels involved. One possible resolution is the utilization of a metatarsal artery flap in a 'U-turn' design. This method offers several advantages, including its long length and a viable option for distal forefoot defect.

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Background: Tarsal tunnel syndrome (TTS) is a condition in which the tibial nerve (TN) (or its terminal branches) is compressed by the flexor retinaculum (FR) and the deep fascia of the abductor hallucis muscle at the tarsal tunnel, causing symptoms that negatively impact the patient's quality of life, including numbness, a sensation of a foreign object, coldness, and pain. FR release via microtrauma using needle-knife has proven to be effective in China and is widely used by clinicians. The traditional acupotomy, however, is the "blind knife" treatment, which cannot guarantee patient safety due to risk of injury to important structures, particularly the neurovascular bundle.

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Background: Fixation of calcaneus through the sinus tarsi approach is increasingly popular due to the lower rate of wound complications. The use of postoperative CT provided a better evaluation tool than using plain radiography. Our objective of the present study is to evaluate the quality of fracture reductions by postoperative 3D CT scans after surgical intervention using the sinus tarsi approach and fixation with 3.

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Bosworth ankle fracture-dislocation: current concept review.

EFORT Open Rev

June 2024

Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic.

Bosworth fracture (BF) is a special type of locked ankle fracture-dislocation, characterized by displacement of a fragment of the fractured fibula from the fibular notch behind the posterior surface of the distal tibia. BF is a complex injury affecting multiple structures of the ankle joint, which is still frequently misjudged even today, potentially leading to severe complications. CT examination, including 3D reconstructions, should be the diagnostic standard in BF, as it provides a complete picture of the fracture pathoanatomy, most prominently the morphology of the frequently associated posterior malleolar fracture.

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Introduction: The distal tibial nail (DTN) is a novel retrograde intramedullary nail used for distal tibial fracture stabilization. We investigated the clinical results of DTN use for distal tibial fractures and compared them with those reported in the literature on locking plates and antegrade intramedullary nails.

Materials And Methods: This multicenter, prospective, observational cohort study examined distal tibial fractures with AO/OTA classification 43 types: A1, A2, A3 or C1.

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Purpose: Ankle sprains remain the most common soft tissue injury presenting to Emergency Departments. Recently, there has been increased awareness and reporting of deltoid ligament injuries in association with injuries to the lateral ligament complex as well as with fibula fractures. This article reviews the currently available literature on the anatomy of the deltoid ligament, clinical and radiological diagnosis of injuries to the deltoid ligament and treatment recommendations.

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Soft Tissue Coverage for Foot and Ankle Trauma.

Clin Podiatr Med Surg

July 2024

Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, 2331 Franklin Road Southwest, Roanoke, VA 24014, USA. Electronic address:

Lower extremity trauma can result in extensive soft tissue loss, which can require a staged multispecialty approach. Flaps can be an excellent choice for significant soft tissue loss. A variety of variables goes into the selection of a flap including understanding what the recipient site needs, available donor sites, nature of trauma, and utilization of indices to predict limb salvageability in order to strategically select the correct flap option.

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Pediatric Trauma.

Clin Podiatr Med Surg

July 2024

WVU Medicine Wheeling Hospital, 10 Medical Park Road, Suite 203, Wheeling, WV, 26003, USA.

Pediatric foot and ankle trauma includes a range of injuries affecting the lower extremities in children, typically aged from infancy to adolescence. These incidents can arise from various causes, including sports-related accidents, falls, and high-velocity injuries. Due to the dynamic growth and development of bones and soft tissues in pediatric patients, managing these injuries requires specialized knowledge and care.

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Rearfoot and Ankle Dislocations.

Clin Podiatr Med Surg

July 2024

Podiatry Surgical Residency, Department of Orthopaedic Surgery, Acclaim Multispecialty Group/John Peter Smith Hospital, 1500 South Main Street, 3rd Floor OPC, Fort Worth, TX, USA. Electronic address:

Subtalar dislocations, ankle dislocations, and total talar dislocations are high-energy injuries. As such, there may be associated osseous or soft tissue injuries that can be diagnosed with advanced imaging such as computed tomography (CT) or MRI. With closed injuries, closed reduction may require sedation or general anesthesia, flexion of the knee to release the tension of the gastrocnemius-soleus complex, distraction is applied, the deformity is accentuated, then the deformity is corrected.

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Current Management of Intra-Articular Calcaneal Fractures.

Clin Podiatr Med Surg

July 2024

Department of Orthopedics, West Penn Hospital Foot & Ankle Surgery, Allegheny Health Network, Pittsburgh, PA, USA. Electronic address:

Article Synopsis
  • * Surgery is usually recommended for fractures that are significantly displaced or shattered, but it comes with risks due to the poor blood supply and delicate soft tissues in the area.
  • * Common surgical methods include the lateral extensile approach, minimal incision (sinus tarsi approach), and percutaneous approach, with the best choice depending on the patient’s overall health, the specifics of the fracture, soft tissue condition, and the patient's functional status before the injury.
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Introduction: The free anterolateral thigh (ALT) flap is commonly used to repair a large loss of soft tissue following a lower-limb injury. An issue to be managed is the choice of adequate recipient vessels when the tibial arteries result damaged. In this scenario, vein grafts can be interposed to connect a healthy recipient vessel to the ALT flap pedicle.

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A rare Bosworth Variant Isolated Distal Fibula Dislocation with a Successful Closed Reduction: A Case Report and Technique.

J Orthop Case Rep

May 2024

Department of Orthopaedic Surgery, McLaren Greater Lansing, Lansing, Michigan, USA.

Introduction: The Bosworth fracture-dislocation is a rare injury originally described as an irreducible dislocation of a distal fibula fracture where the proximal fibular fragment becomes incarcerated behind the distal tibia. There have since been a few cases described of an intact distal fibula with dislocation and similar difficulties in closed reduction attempts, typically seen with associated injuries to the ankle or proximal fibula. Regardless of the specific fracture or dislocation pattern, closed reduction attempts have consistently failed in the significant majority of these cases, which can lead to complications including soft-tissue compromise, severe post-traumatic arthritis, compartment syndrome, avascular necrosis of the talus, and neurovascular compromise.

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