Posterior fragment in ankle fractures: anteroposterior vs posteroanterior fixation

Vidović, Dinko; Elabjer, Esmat; Muškardin, I.v.a.; Milošević, Milan; Bekić, Marijo; Bakota, Bore

doi:10.1016/s0020-1383(17)30743-x

Cited by 45 publications

(44 citation statements)

References 22 publications

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“…In this study, the incidence of os trigonum was 27.2%, but the incidence in the general population has been reported to be 1–25% [18], probably because the Stieda’s process was classified as a type of os trigonum. In our results, the incidence of type I was 1.9%.…”

Section: Discussionmentioning

confidence: 69%

“…In this study, the incidence of type III os trigonum was the highest among all types, and in a study of ballet dancers, the incidence rate of type III reached 44% [5,6,19,23], perhaps due to dancing from an early age, the development of os trigonum was affected. There was the pain in type III os trigonum, which was mostly caused by the thickening of the posterior capsule of ankle joint caused by impacted tenosynovitis of pollicis longus muscle and edema of soft tissue around it [18,24]. In the case of fracture of the neck of the talus, type III os trigonum could be used for the posterior approach screw implantation and internal fixation [7,12].…”

Section: Discussionmentioning

confidence: 99%

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Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Fu¹,

Zeng

et al. 2019

Med Sci Monit

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Background The os trigonum is an accessory bone that is not fully fused with the talus during secondary ossification, and is one of the risk factors of posterior malleolus impact syndrome. The purpose of this study was to classify the os trigonum and to guide the diagnosis and treatment of related clinical diseases. Material/Methods Ankle computed tomography (CT) scans of 586 Chinese patients between October 2014 and October 2018 were reviewed. CT images of 1011 ankle joints were reconstructed to evaluate the classification of the os trigonum and the measurement of anatomical parameters. Results The incidences of os trigonum in 3 groups were determined as type I (1.9%), type II (10.5%), and type III (14.7%). The macro-axis of type II (0.89±0.31) cm was significantly larger than with type I (0.65±0.24 cm) and type III (0.74±0.23 cm) (p<0.05).The minor axis of similar of type I (0.41±0.23 cm) was significantly shorter than that of type II (0.58±0.32 cm) and type III (0.55±0.16 cm) (p<0.05).The distance from os trigonum to calcaneal tubercle was significantly different than that of type I (1.33±0.52 cm), type II (1.67±0.55 cm), and type III (1.84±0.45 cm) (p<0.05). Conclusions This study showed that os trigonum has a high incidence. Type I was the least common, the volume of type II was larger, and type III was more common. The anatomical parameters of each type may improve treatment of related diseases and the further development of ankle arthroscopic surgery.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Fu¹,

Zeng

et al. 2019

Med Sci Monit

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“…Drifjout et al (5) , en su revisión de 24 pacientes intervenidos mediante síntesis indirecta, obtuvo un 42% de malreducciones (considerando un escalón mayor de 1 mm). En el estudio de Vidovic et al (16) se obtuvo una clara diferencia en la calidad de la reducción a favor de la síntesis directa (80% de reducciones excelentes) frente a la indirecta (45% de excelentes).…”

Section: Discussionunclassified

“…La síntesis del mismo puede realizarse de forma directa o indirecta. Vía indirecta (15)(16)(17) Se realiza de manera percutánea, en dirección AP y con el paciente en decúbito supino. La reducción del peroné favorece la reducción del MP a través de la inserción del LTFPI.…”

Section: Vías De Abordajeunclassified

Cómo sintetizar el maléolo posterior. ¿La mejor opción es la síntesis directa?

Martínez-Giménez¹,

Verdú-Román²,

Agulló-Bonus³

2019

MACT

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“…Excellent reduction was seen in 79% of those with PA screws vs 45% of the those receiving AP screws. 62 Zhou found that use of cannulated screws or a buttress plate to secure the posterior malleolus produced 82.3% excellent and good results. 64 Importantly, the posterolateral approach was used, thereby supporting use of this approach in repair of large posterior fragments.…”

Section: Hardware Selectionmentioning

confidence: 99%

Anatomy, Classification, and Management of Ankle Fractures Involving the Posterior Malleolar Fragment: A Literature Review

Bergman

Morin

Lawson

2019

Foot & Ankle Orthopaedics

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The posterior malleolar fragment is frequently involved in rotational ankle fractures, but diagnosis and definitive management remains controversial. Ankle fractures with a posterior malleolar component that are not identified and treated in a timely manner may contribute significantly to future comorbidities, including continued pain, instability, and the development of arthritis. This article highlights the anatomic features of posterior malleolar ankle fractures, the classification schemes used, and discusses the various nonsurgical and surgical methods currently used. Level of Evidence: Level V, expert opinion.

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Posterior fragment in ankle fractures: anteroposterior vs posteroanterior fixation

Cited by 45 publications

References 22 publications

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Implications of Classification of Os Trigonum: A Study Based on Computed Tomography Three-Dimensional Imaging

Cómo sintetizar el maléolo posterior. ¿La mejor opción es la síntesis directa?

Anatomy, Classification, and Management of Ankle Fractures Involving the Posterior Malleolar Fragment: A Literature Review

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