A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia

Lavini, F.; Maluta, Tommaso; Carpeggiani, Guilherme; Dall'Oca, Carlo; Samaila, Elena Manuela; Marconato, G.; Magnan, Bruno

doi:10.1007/s12306-017-0472-1

Cited by 12 publications

(5 citation statements)

References 22 publications

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“…Several techniques have been introduced for the initial treatment of severe fractures, such as external xator xation, splint xation, and calcaneal traction. Typically, these techniques have been applied to complex tibial plateau fractures, pilon fractures, and other severe injuries [17][18][19][20]. A paradigm shift has been achieved by adding ankle fracture-dislocations to the indications for two-stage management.…”

Section: Discussionmentioning

confidence: 99%

Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations

Xie

Zhang

Cui

et al. 2023

Preprint

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Purpose Ankle fracture–dislocations are among the most severe injuries, and the use of an external fixator as a recommended fixation method has some disadvantages. The aim of this study was to compare the clinical outcomes and complication rates of external and K-wire fixations in the treatment of ankle fracture dislocations. Methods A total of 67 patients with ankle fracture–dislocations requiring temporary external or percutaneous K-wire fixation were included. The exclusion criteria were pilon fractures, open fractures, and those who required acute open reduction internal fixation (ORIF). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle–hindfoot score, a 10-point visual analog scale (VAS) score (range 0–10), and complications before and after the definitive surgery were recorded. Results A significant difference between the two groups was not observed for age, sex, affected side, fracture type, smoking status, or diabetes. The average AOFAS scores were 83.2 and 83.3, the median VAS scores were 3 and 3, and the complication rates were 32.4% and 6.7% in the external and K-wire fixation groups, respectively (p = 0.010). However, skin necrosis, re-dislocation of the ankle, surgical wound infection, and posttraumatic ankle osteoarthritis frequency were not significantly different between the groups, except for pin-sites infection (p = 0.036). Conclusion Ankle fracture–dislocations using percutaneous k-wire fixation showed a low rate of complications and favorable clinical outcomes. This method could be a good alternative treatment option for ankle fracture-dislocations.

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Section: Discussionmentioning

confidence: 99%

Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations

Xie

Zhang

Cui

et al. 2023

Preprint

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“…Suspicious for dilated lymphatics Lymphatic malformation. Differential diagnosis: post traumatic venolymphatic malformation [10] . AP and lateral views of plain x-rays of ankle and tibia full length show multiple osteophytes around left ankle joint.…”

Section: Case Reportmentioning

confidence: 99%

A rare case of early onset arthritis as a sequelae of fracture dislocation of ankle

Kumar,

Nazareth,

Shetty

et al. 2024

Int. J. Orthop. Sci.

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Ankle Fracture-Dislocation (AFD) poses a significant risk to the joint and has the potential to lead to complications and functional impairment [1] . A young male patient was referred to the OPD with complaints of left ankle pain and swelling. He has had fracture-dislocation of the left ankle 5 years ago, surgical corrected with plating and cc screw. And the patient underwent Implant removal 3 years ago, with broken cc screw left in situ. He is diagnosed as Arthritis of left ankle with varus deformity as a sequel to fracture-dislocation, Venolymphatic malformation around left ankle and leg and possible Plexiform Neurofibromatosis.

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“…In recent years, suture-anchor was widely used for patients treated with deltoid ligament repair (DLR) [9][10][11], and plaster casts were most often used in treatment without DLR. Previous studies had shown that transarticular external fixators might raplace the plaster casts well by offering the opportunity for self-healing of deltoid ligament and allowing early weight bearing [12][13][14]. Our previous study had also shown that open reduction and internal fixation (ORIF) with transarticular external fixation (TEF) but no DLR could achieve satisfactory outcomes in treating SER IV ankle fractures [15].…”

Section: Introductionmentioning

confidence: 98%

Transarticular external fixation versus deltoid ligament repair in treating SER IV ankle fractures: a comparative study

Wang

Zhang

et al. 2019

Preprint

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Background The topic that whether the injured deltoid ligament should be repaired when associated with ankle joint fractures is still discussed. The objective of this study was to compare the clinical effect of open reduction and internal fixation (ORIF) with deltoid ligament repair (DLR) or transarticular external fixation (TEF) in treating supination-external rotation type IV (SER IV) ankle fractures. Methods Between January 2012 and December 2015, 43 patients were diagnosed as SER IV ankle fractures, 20 underwent ORIF and transarticular external fixation (TEF) without DLR (group 1), 23 were treated with ORIF and DLR (group 2). The pre- and post-operative radiographic examination were performed, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, the visual analog scale (VAS), the Medical Outcomes Short Form 36-item questionnaire score (SF-36), and the ankle range of motion (ROM) were used for functional evaluation. Results In both groups, the three scores improved significantly after surgery, but there was no significant difference between the two groups. At 6 weeks after surgery, patients in group 2 had better ankle ROM than group 1 (29.35 ± 2.033 vs. 40.35 ± 3.550, P < 0.001), but there was no difference at 12 months postoperatively. No cases of bone nonunion or post-traumatic arthritic changes were seen during the follow-up. Patients in group 1 required a shorter time to achieve fracture union than patients in group 2. Conclusions ORIF with TIF is an optional strategy to manage SER IV ankle fractures as it achieves comparable functional results to ORIF with DLR. It also allows patients to start relatively earlier weight-bearing and may promote fracture union. Keywords Transarticular external fixation; ORIF; Deltoid ligament repair; Supination-external rotation; Ankle fracture

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A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia

Cited by 12 publications

References 22 publications

Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations

Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations

A rare case of early onset arthritis as a sequelae of fracture dislocation of ankle

Transarticular external fixation versus deltoid ligament repair in treating SER IV ankle fractures: a comparative study

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