Stability in ankle fractures: Diagnosis and treatment

Medial column (deltoid ligament) integrity is of key importance when considering the stability of isolated lateral malleolus ankle fractures. Weight-bearing radiographs are the best method of evaluating stability of isolated distal fibula fractures. Computed tomography (CT) scanning is mandatory for...

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Autores principales: Lampridis, Vasileios, Gougoulias, Nikolaos, Sakellariou, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Instructional Lecture: Trauma
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994620/
https://www.ncbi.nlm.nih.gov/pubmed/29951269
http://dx.doi.org/10.1302/2058-5241.3.170057
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author Lampridis, Vasileios
Gougoulias, Nikolaos
Sakellariou, Anthony
author_facet Lampridis, Vasileios
Gougoulias, Nikolaos
Sakellariou, Anthony
author_sort Lampridis, Vasileios
collection PubMed
description Medial column (deltoid ligament) integrity is of key importance when considering the stability of isolated lateral malleolus ankle fractures. Weight-bearing radiographs are the best method of evaluating stability of isolated distal fibula fractures. Computed tomography (CT) scanning is mandatory for the assessment of complex ankle fractures, especially those involving the posterior malleolus. Most isolated trans-syndesmotic fibular fractures (Weber-B, SER, AO 44-B) are stable and can safely be treated non-operatively. Posterior malleolus fractures, regardless of size, should be considered for surgical fixation to restore stability, reduce the need for syndesmosis fixation, and improve contact pressure distribution. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170057
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spelling pubmed-59946202018-06-27 Stability in ankle fractures: Diagnosis and treatment Lampridis, Vasileios Gougoulias, Nikolaos Sakellariou, Anthony EFORT Open Rev Instructional Lecture: Trauma Medial column (deltoid ligament) integrity is of key importance when considering the stability of isolated lateral malleolus ankle fractures. Weight-bearing radiographs are the best method of evaluating stability of isolated distal fibula fractures. Computed tomography (CT) scanning is mandatory for the assessment of complex ankle fractures, especially those involving the posterior malleolus. Most isolated trans-syndesmotic fibular fractures (Weber-B, SER, AO 44-B) are stable and can safely be treated non-operatively. Posterior malleolus fractures, regardless of size, should be considered for surgical fixation to restore stability, reduce the need for syndesmosis fixation, and improve contact pressure distribution. Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170057 British Editorial Society of Bone and Joint Surgery 2018-05-21 /pmc/articles/PMC5994620/ /pubmed/29951269 http://dx.doi.org/10.1302/2058-5241.3.170057 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Instructional Lecture: Trauma
Lampridis, Vasileios
Gougoulias, Nikolaos
Sakellariou, Anthony
Stability in ankle fractures: Diagnosis and treatment
title Stability in ankle fractures: Diagnosis and treatment
title_full Stability in ankle fractures: Diagnosis and treatment
title_fullStr Stability in ankle fractures: Diagnosis and treatment
title_full_unstemmed Stability in ankle fractures: Diagnosis and treatment
title_short Stability in ankle fractures: Diagnosis and treatment
title_sort stability in ankle fractures: diagnosis and treatment
topic Instructional Lecture: Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994620/
https://www.ncbi.nlm.nih.gov/pubmed/29951269
http://dx.doi.org/10.1302/2058-5241.3.170057
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AT gougouliasnikolaos stabilityinanklefracturesdiagnosisandtreatment
AT sakellariouanthony stabilityinanklefracturesdiagnosisandtreatment

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