Repair of the Acute Deltoid Ligament Complex Rupture Associated With Ankle Fractures: A Multicenter Clinical Study

Yu, Guangrong; Zhang, Mingzhu; Aiyer, Amiethab; Tang, Xin; Xie, Mingxing; Zeng, Linru; Zhao, Youguang; Li, Bing; Yang, Yunfeng

doi:10.1053/j.jfas.2014.12.013

Cited by 61 publications

(44 citation statements)

References 19 publications

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“…Hsu et al [27], in his series of 14 National Football League (NFL) players with ankle fractures, found that open DL repair allowed return to play with no complications at 12-month follow-up. In another study by Yu et al [26], DL repair in 106 patients with acute ankle fractures resulted in satisfactory functional outcomes, with no clinical or radiological evidence of post-traumatic ankle arthritis in fractures managed with DL repair, as observed at an average of 27-month follow-up. Whether repair of the DL affects functional outcome is still controversial; Gu et al [15] in the only prospective comparative study with functional outcomes, reported 90% excellent and good AOFAS scores in the DL repair group compared with 60% in the non-repair group (p = 0.001).…”

Section: Discussionmentioning

confidence: 91%

Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies

Salameh

Alhammoud

Alkhatib

et al. 2019

International Orthopaedics (SICOT)

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Purpose The indications of deltoid ligament repair in ankle injuries with widened medial clear space in the absence of medial malleolus fracture remain controversial. Many authors reported no difference in long-term functional outcomes, while others stated that persistent medial clear space widening and malreduction are higher when deltoid ligaments went without repair. This meta-analysis aims to report the current published evidence about the outcomes of deltoid ligament repair in ankle fractures. Methods Several databases were searched through May 2018 for comparative studies. The primary outcome was the medial clear space correction, while secondary outcomes included maintenance of medial clear space reduction, pain scores, functional outcome, and total complications if any. Three comparative studies met the inclusion criteria for the meta-analysis. The analysis included a total of 192 patients, 81 in the deltoid ligament repair group and 111 in the non-repair group. Results The medial clear space correction and maintenance of the said correction on final follow-up radiographs were superior in the deltoid ligament repair group. Although the pain scores were better in the repair group at the final follow-up, this did not result in a better functional outcome, with similar total complication rates. Conclusion In conclusion, those who had their deltoid ligament repaired had superior early and late radiological correction of the medial clear space, an indicator of the quality of ankle reduction with better pain scores. However, no differences in the functional outcome and complications rate were reported.

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Section: Discussionmentioning

confidence: 91%

Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies

Salameh

Alhammoud

Alkhatib

et al. 2019

International Orthopaedics (SICOT)

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“…Numerous ligament reconstruction techniques have been proposed; however, clear indications for operative repair have not yet been well established. Some studies have shown that repair of the ruptured ligament is beneficial and can produce satisfactory results [11,12,14,20]. By contrast, other studies showed repair of the deltoid ligament to be unnecessary [1,4,10,17,21].…”

Section: Discussionmentioning

confidence: 99%

“…There are few reports in terms of detailed biomechanics of the deltoid ligament [11,16,18,19,20], and no reports have measured the biomechanics of each ligamentous band, due to the difficulty in inserting sensors into the narrow ligaments. The paucity of biomechanics data regarding each ligamentous band may have contributed to less reliable results of secondary repairs or reconstructions of the deltoid ligament.…”

Section: Introductionmentioning

confidence: 99%

Strain pattern of each ligamentous band of the superficial deltoid ligament

Takao¹,

Ozeki

Oliva

et al. 2020

Preprint

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“…Recientemente, se han publicado varios estudios que reabren el debate sobre la indicación de reparar o no el ligamento (1,2,8) .…”

Section: A Favor De La Reparaciónunclassified

¿Qué hacer con el ligamento deltoideo?

Busquets-Net¹,

Duarri-Lladó²

2019

MACT

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Este es un artículo Open Access bajo la licencia CC BY-NC-ND (www.creativecommons.org/licenses/by-nc-nd/4.0/). FS Introducción El ligamento deltoideo (LD) es un estabilizador medial del tobillo esencial. Las lesiones del LD pueden presentarse como lesiones degenerativas, como esguinces (bien aisladas o asociadas a lesiones de otros ligamentos como la sindesmosis) o en el contexto de una fractura bimaleolar. En este apartado nos referiremos a los 2 últimos tipos. Como en otras patologías, el tratamiento de las lesiones del LD ha suscitado controversia entre el tratamiento quirúrgico o conservador (1,2) .

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Repair of the Acute Deltoid Ligament Complex Rupture Associated With Ankle Fractures: A Multicenter Clinical Study

Cited by 61 publications

References 19 publications

Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies

Outcome of primary deltoid ligament repair in acute ankle fractures: a meta-analysis of comparative studies

Strain pattern of each ligamentous band of the superficial deltoid ligament

¿Qué hacer con el ligamento deltoideo?

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