Combined tibial lengthening and ankle arthrodesis for patients with certain type of sequelae of poliomyelitis

Wu, Chi‐Chuan

doi:10.1177/2309499016684415

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Clinical and radiographic healing processes were evaluated at the OPD. We de ned fracture union as no pain and tenderness on clinical examination and no fracture gaps or the callus having bridged the gap seen on radiography [19].…”

Section: Surgical Proceduresmentioning

confidence: 99%

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

Yeh

Lee

et al. 2021

Preprint

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BackgroundAnkle injuries are common; however, simultaneous malleolar fractures and syndesmotic diastasis (SD) are relatively fewer. There is no consensus about the optimal technique for syndesmotic stabilization. We hypothesized that the optimal location of stabilization should be at the syndesmosis based on theoretical consideration. The aim of this study was to compare the various locations of a stabilizing screw and determinate the preferable location from clinical and theoretical viewpoints. Patients and MethodsOver a 10-year period, we retrospectively studied 63 consecutive adult patients with combined injuries. The malleolar fractures were internally stabilized with screws and plates, and stress tests were performed to re-confirm syndesmotic instability. The diastatic syndesmosis was stabilized with cortical screws under image intensifier guidance. In the present study, we enrolled patients with only one syndesmotic screw (55 patients) and divided them into the trans-syndesmotic (TR) or the supra-syndesmotic (SU) group. Clinical and functional outcomes between the two groups were compared. The favored location was determined based on the data analysis.ResultsWe followed 48 patients for at least one year (average, 1.8 years; range, 1.0-7.0 years). The TR group included 31 patients and the SU group included 17 patients. None of the clinical and functional comparisons were statistically significant (p > 0.05).ConclusionAlthough statistical comparison showed no significant differences, TR screw insertion has biomechanical and biological merits. The study’s failure to show clear advantages of TR screw insertion for clinical and functional outcomes can be attributed to the small sample size and early screw removal. Clinically, TR insertion of a screw with late removal (> 3 months) might be a better choice.Level of evidence: Therapy/Prevention, III, retrospective cohort study.

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Section: Surgical Proceduresmentioning

confidence: 99%

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

Yeh

Lee

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Clinical and radiographic healing processes were evaluated at the OPD. Fracture union was de ned as clinically no pain and tenderness, and radiographically fracture gaps being vanished or the callus having bridged the gap [19].…”

Section: Surgical Proceduresmentioning

confidence: 99%

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

Yeh

Lee

et al. 2020

Preprint

Self Cite

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Background Although ankle injuries are common, combined malleolar fractures and syndesmotic diastasis (SD) are relatively fewer. The optimal technique for syndesmotic stabilization has yet achieved consensus. The favored location of a stabilizing screw for SD was investigated clinically and theoretically. Methods For the 10-year period, 63 consecutive adult patients with combined injuries were retrospectively studied. After malleolar fractures were internally stabilized with screws and plates, stress tests were performed to re-confirm syndesmotic instability. The diastatic syndesmosis was stabilized with cortical screws under image intensifier guidance. In the present study, only patients with one syndesmotic screw (55 patients) were enrolled and divided into the trans-syndesmotic (TR) or the supra-syndesmotic (SU) group. Clinical and functional outcomes between the two groups were compared. The favored location was speculated consequently.Results Forty-eight patients were followed for at least one year (average, 1.8 years; range, 1.0-7.0 years). The TR group included 31 patients and the SU group, 17 patients. All clinical and functional comparisons were not statistically significant (p > 0.05). Conclusions Although statistical comparison is insignificant, TR screw insertion possesses biomechanical and biological merits. Unable to reveal advantages of TR screw insertion in clinical and functional comparisons may be imputed to insufficient sample sizes and early screw removal. Practically, TR insertion of a screw with late removal (> 3 months) may be a better choice.

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Combined tibial lengthening and ankle arthrodesis for patients with certain type of sequelae of poliomyelitis

Abstract: The described combined techniques may be an excellent alternate for treating selected patients with sequelae of poliomyelitis. The procedure is not complex but the efficiency is extremely prominent.

Cited by 2 publications

References 17 publications

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

Favored location of a stabilizing screw for syndesmotic diastasis: Recommendation based on clinical and theoretical considerations

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