Applications of the transfibular approach to the hindfoot: A systematic review and description of a preferred technique

Hess, Matthew; Abyar, Eildar; McKissack, Haley; Strom, Shane F; Johnson, Michael D.

doi:10.1016/j.fas.2020.01.006

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…Likewise, to our study, they used a transfibular approach for tibiotalar and tibiotalocalcaneal arthrodesis. An infection rate of 9.5% in our study is similar to those with Hess et al (41). Interestingly, all infections occurred in the plate-fixation group.…”

Section: Discussionsupporting

confidence: 92%

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Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

Heuvel

Penning

Schepers

2022

The Journal of Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 92%

“…For this reason, infection is a more specifically used surgical outcome in ankle arthrodesis. Hess et al (41) reported a low infection rate of 8.6% in their Systematic Review of 32 studies (n = 874). Likewise, to our study, they used a transfibular approach for tibiotalar and tibiotalocalcaneal arthrodesis.…”

Section: Discussionmentioning

confidence: 95%

Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

Heuvel

Penning

Schepers

2022

The Journal of Foot and Ankle Surgery

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“…To our knowledge, four similar incisions or approaches have been described in prior articles. The rst is the trans bular approach used for ankle arthrodesis [31]. It is also a real approach that completely exposes the bular notch, and the distal bula is completely or partially amputated rather than temporarily removed.…”

Section: Discussionmentioning

confidence: 99%

A Fibular Notch Approach for the Treatment of Ankle Fractures Involving the Distal Tibial Plafond

Liu

Cheng

2021

Preprint

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BACKGROUND: Although efficacy is related to many factors, the surgical approach is one of the most important intervention factors for complex ankle fractures. Ankle fractures involving the distal tibial plafond frequently present a surgical challenge in choosing which incisions will be best for surgical treatment. Here we present an innovative fibular notch approach for the treatment of some specific ankle fractures and present a series of patients with either functional or radiographic outcomes.METHODS: Twenty two patients with distal tibial plafond fractures with concomitant fibular and distal tibiofibular syndesmosis injuries were treated through a fibular notch approach in this retrospective study. The details of the surgical technique were reviewed from the operative notes. Relevant data were reviewed from the medical records. The quality of fractures and syndesmosis reduction was examined using CT scans, and lateral stability of the ankle was assessed by physical examination and stress radiographs. The American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS) score was implemented for clinical functional assessment.RESULTS: All surgeries were successfully performed via the fibular notch approach as the primary approach with excellent intraoperative visualization. Postoperative radiography revealed satisfying restoration of all fractures and syndesmosis. All fractures healed with an average time of 17.3±3.6 weeks. Mild posttraumatic osteoarthritis (PTOA) was present in 4 patients. The average AOFAS score was 88.8 at the last followup.CONCLUSIONS: The fibular notch approach is a safe and reliable approach for the treatment of specific ankle fractures involving the distal tibial plafond. This approach provides excellent direct visualization of the fragments and articular surface without significantly increasing iatrogenic injuries. Satisfactory radiographic and clinical results were observed, and further clinical and anatomical studies are recommended to ascertain the feasibility of this approach in the treatment of complex distal tibial fractures.

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Mini-open vs. Transfibular Approach for Ankle Arthrodesis, Which Approach is Superior in Joint Preparation: A Cadaver Study

Chinnakkannu

McKissack

et al. 2020

IJOO

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Applications of the transfibular approach to the hindfoot: A systematic review and description of a preferred technique

Cited by 8 publications

References 32 publications

Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

Open Ankle Arthrodesis: A Retrospective Analysis Comparing Different Fixation Methods

A Fibular Notch Approach for the Treatment of Ankle Fractures Involving the Distal Tibial Plafond

Mini-open vs. Transfibular Approach for Ankle Arthrodesis, Which Approach is Superior in Joint Preparation: A Cadaver Study

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