Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Fractures of the Ankle and the Distal Part of the Tibia*†

Griend, R Vander; Michelson, James D.; Bone, Lawrence B.

doi:10.2106/00004623-199611000-00021

Cited by 53 publications

(10 citation statements)

References 47 publications

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“…The treatment of ankle fractures involves both a risk-benefit and a cost-benefit analysis. 4 The primary risk associated with early walking in postoperative period is loss of fixation or wound complication which can lead to a poor outcome.…”

Section: Discussionmentioning

confidence: 99%

Early weight bearing compared with non-weight bearing functional mobilization after operative treatment of an ankle fracture

Paudel

2012

J Coll Med Sci-Nepal

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Ankle fractures are the most common types of fractures treated in orthopaedics. When to begin ankle movement and weight bearing and the type of immobilizing devices to use post-operatively have had more intense clinical study than most other aspects of ankle fracture treatment. Aim of this study is to compare the results of two functional methods of post-operative treatment in internally fixed ankle fractures, i.e. one after early weight bearing using walking plaster and the other after non-weight bearing functional mobilization in the first six weeks following stable internal fixation. This is a prospective, non-randomized study. Between March 2004 and February 2006, thirty- five patients with displaced ankle fractures treated by internal fixation were assigned in a way that every alternate patient fell in different groups. Group A patients, 17, were managed with a below-knee walking plaster and group B patients, 18 with non-weight bearing mobilization with crutches. Five patients were lost in follow up and 30 were followed regularly as in the protocol. There was a temporary benefit in subjective evaluation (63 v 48 points, student t test. P=0.262), return to work (53.8 v 72.9 days, student t test, p=0.079) for those with a below-knee walking plaster at six week. There were minimal differences between the groups in the loss of dorsal range of movement (14.7 v 13.1 degree) or in the overall clinical results at the first follow up. But the differences disappeared in any evaluation after three months. Both treatments were considered to be satisfactory and the treatment choice depends on the ability to mobilize or weight bearing, the type of work and personal preference. DOI: http://dx.doi.org/10.3126/jcmsn.v7i1.5972 JCMSN 2011; 7(1): 40-46

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Section: Discussionmentioning

confidence: 99%

Early weight bearing compared with non-weight bearing functional mobilization after operative treatment of an ankle fracture

Paudel

2012

J Coll Med Sci-Nepal

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“…Open reduction and internal fixation is considered as the standard treatment of these fractures. 1 Depending on the fracture configuration and comminution, this can be achieved with 4 mm partially threaded cancellous screws, a combination of screw and K wire or tension band wiring. 2 Medial malleolar fractures have been classified by Herscovici et al based on the location of fracture into four types.…”

Section: Introductionmentioning

confidence: 99%

Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures – A novel technique

Saini

Aggrawal

Meena

et al. 2014

Journal of Clinical Orthopaedics and Trauma

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MiniarthrotomyPercutaneous screws a b s t r a c t Aim: To describe here a technique of miniarthrotomy assisted percutaneous screw insertion for displaced Herscovici type B and C medial malleolar fractures.Method: Incision was made centred over the superomedial angle of the ankle mortise, about half a cm medial to tibialis anterior. Arthrotomy was done and reduction obtained. Percuntaneously, two 4 mm cancellous cannulated screws were inserted through medial malleolus. Results and conclusion:This approach allows direct visualization of reduction, removal of entrapped soft tissue and preservation of saphenous vein and nerve.

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“…1 Open reduction and internal fixation is, therefore, considered the standard management for these fractures. [1][2][3] Single screw fixation can be used; 4 however, most authors advocate the use of two screws to prevent rotation. [1][2][3]5 An interfragmentary lag screw is most efficient when it is perpendicular to the fracture surface.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Single screw fixation can be used; 4 however, most authors advocate the use of two screws to prevent rotation. [1][2][3]5 An interfragmentary lag screw is most efficient when it is perpendicular to the fracture surface. 5 Therefore, when two screws are used to fix a transverse fracture of the medial malleolus (Fig.…”

Section: Introductionmentioning

confidence: 99%

Parallel Screw Fixation of the Medial Malleolus

Hamilton

2007

annals

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Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Fractures of the Ankle and the Distal Part of the Tibia*†

Cited by 53 publications

References 47 publications

Early weight bearing compared with non-weight bearing functional mobilization after operative treatment of an ankle fracture

Early weight bearing compared with non-weight bearing functional mobilization after operative treatment of an ankle fracture

Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures – A novel technique

Parallel Screw Fixation of the Medial Malleolus

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