X-ray features to predict ankle fracture mechanism.

Introduction: The genetic Lauge-Hansen classification has been traditionally used for reconstruction of the mechanism of ankle injury. The ability of the Lauge-Hansen classification to predict actual mechanism of the injury has been questioned in recent studies, leaving a void in medicolegal reasoning. The aim of this study is to identify morphologic features of malleolar fractures on plain X-rays that may be used to reveal the fracture mechanism.

Anatomy of the tibial incisura as a risk factor for syndesmotic injury.

Background: The study aims at comparing the bony anatomy of the syndesmosis in patients who sustained a high fibular fracture with syndesmosis disruption and that of the non-injured population. We hypothesised that there are certain anatomical features making the syndesmosis susceptible to injury.

Methods: The CT examinations of 75 patients who sustained a high fibular fracture with syndesmosis disruption and control group of 75 patients with unrelated foot problems were compared.

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior.

For a foot drop resulting from peroneal nerve palsy transferring the tibialis posterior tendon is a standard surgical treatment. The situation of foot drop with no functioning tibialis posterior presents a challenge. We describe a case of successful flexor hallucis longus transfer in such a case.

Correlation of Incisura Anatomy With Syndesmotic Malreduction.

Background: The anatomy of the syndesmosis is variable, yet little is known on the correlation between differences in anatomy and syndesmosis reduction results. The aim of this study was to analyze the correlation between syndesmotic anatomy and the modes of syndesmotic malreduction.

Methods: Bilateral postreduction ankle computed tomography (CT) scans of 72 patients treated for fractures with syndesmotic disruption were analyzed.

Ankle fracture - Correlation of Lauge-Hansen classification and patient reported fracture mechanism.

Introduction: The genetic Lauge-Hansen classification is used for reconstruction of the mechanism of ankle injury. In this study, we addressed the question of agreement between the mechanism of the fracture as postulated by the Lauge-Hansen classification and mechanism reported by the patient in rotational ankle fractures.

Material And Methods: Radiographs of 78 patients with acute malleolar fractures were analyzed and compared with fracture mechanisms reported by these patients.

Talus Bipartitus Etiology - Is Neonatal Infection Involved?

Unlabelled: Talus bipartitus is a rare skeletal variation. Several causative factors have been proposed, but none of them seem to be convincing. We hypothesize that talus bipartitus may result from ossification disruption in neonatal period caused possibly by an infection.

Chronically unreduced posterior dislocation of the elbow.

Background: Chronically unreduced posterior dislocation of the elbow is a complex and difficult problem for the surgeon and its treatment significantly influences future functional performance of the patient. There are few reports in the literature regarding chronically unreduced dislocations, and most of them are based on observations of individual patients.

Material And Methods: A total of 9 patients with chronically unreduced posterior dislocations of the elbow were treated in the Department of Orthopaedics and Traumatology between 2004 and 2012.

Is the postero-medial portal safe in posterior ankle arthroscopy?

Background: Posterior ankle arthroscopy is considered to pose a risk of neurological and vascular complications. Some authors consider the postero-medial portal to be risky and recommend using only the postero-lateral portal. The aim of this study was to analyze the margin of error offered by posterior ankle arthroscopy portals.