The Salvage of Open Grade IIIB Ankle and Talus Fractures

Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma?

“…Based on this, there were two challenges in this study with The Lower Extremity Assessment Project study group found worsening patient-reported outcomes between 2 and 7 years after injury in patients who had sustained highenergy lower extremity trauma and underwent limb salvage, which contradicted prior thought that continued recovery would occur during this late phase [2,12]. Multiple small studies have shown similarly poor outcomes with respect to patient-reported outcomes in patients undergoing limb salvage [7,20]. In contrast, this prospective study showed improvement from Week 0 to Week 8 in patient-reported outcomes both in the full cohort of patients and the cohort that was [ 2 years from the time of injury.…”

Talar neck fractures

“…Infection also was found to be extremely likely in the face of total extrusion of the talar body. Lastly, Sanders et al [23] further examined the economic and social impact of open talus fractures. In their series of 11 patients who had open grade IIIB ankle or talus fractures, all were treated with a common protocol.…”

Medial malleolus and deltoid ligament reconstruction in open ankle fractures with combination of vascularized fibular head osteo‐tendinous flap and free flap transfers

“…7,8 Tho and Chiu 2 reported the less favorable outcomes in patients with severe open wound. Sanders et al 3 described the difficulties, complications, and costs of these devastating open injuries to the ankle and hind foot.…”

“…1 The triple loss of the medial ankle structure may result in the progressive varus deformity, instability of the ankle joint, and early degenerative changes. 2,3 Treatment of this compound defect is a challenge in orthopedic traumatology and reconstructive surgery. In 1994, Boyer et al 4 reported a case of severe grinding injury to the medial ankle, which was treated using a free plantaris tendon graft to reconstruct the deltoid ligament and a vascularized gracilis muscle transfer for wound coverage.…”