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Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation
PURPOSE: To assess the prevalence of intra-articular findings with ankle arthroscopy in patients undergoing operative fixation for ankle fractures. METHODS: This is a retrospective review of ankle fractures that were treated with arthroscopy and open reduction and internal fixation by a single surge...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879169/ https://www.ncbi.nlm.nih.gov/pubmed/33615262 http://dx.doi.org/10.1016/j.asmr.2020.08.020 |
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author | Howard, Shain Hoang, Victor Sagers, Kevin Brady, Candice Eudy, Adam Watson, Troy S. |
author_facet | Howard, Shain Hoang, Victor Sagers, Kevin Brady, Candice Eudy, Adam Watson, Troy S. |
author_sort | Howard, Shain |
collection | PubMed |
description | PURPOSE: To assess the prevalence of intra-articular findings with ankle arthroscopy in patients undergoing operative fixation for ankle fractures. METHODS: This is a retrospective review of ankle fractures that were treated with arthroscopy and open reduction and internal fixation by a single surgeon. Between August 2016 and July 2018, operative reports, office notes, and images were reviewed to identify intra-articular pathology and fracture type. An analysis was performed with regard to fracture type, presence and location of osteochondral lesions, loose-bodies, syndesmotic injury, and deltoid injury. RESULTS: Fifty-seven ankle fractures were identified that met inclusion criteria. In total, 84.2% of the fractures had intra-articular pathology, most commonly a syndesmotic injury followed by presence of intra-articular loose bodies and osteochondral defects. CONCLUSIONS: In our study, use of arthroscopy before open ankle fracture fixation identified intra-articular pathology in 84.2% of subjects. The most common pathology was syndesmotic injury. The addition of an arthroscopic assessment in patients with operatively treated ankle fractures may help improve treatment provided to patients during ankle fracture surgery. LEVEL OF EVIDENCE: Level 4 Therapeutic Case Series. |
format | Online Article Text |
id | pubmed-7879169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78791692021-02-18 Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation Howard, Shain Hoang, Victor Sagers, Kevin Brady, Candice Eudy, Adam Watson, Troy S. Arthrosc Sports Med Rehabil Original Article PURPOSE: To assess the prevalence of intra-articular findings with ankle arthroscopy in patients undergoing operative fixation for ankle fractures. METHODS: This is a retrospective review of ankle fractures that were treated with arthroscopy and open reduction and internal fixation by a single surgeon. Between August 2016 and July 2018, operative reports, office notes, and images were reviewed to identify intra-articular pathology and fracture type. An analysis was performed with regard to fracture type, presence and location of osteochondral lesions, loose-bodies, syndesmotic injury, and deltoid injury. RESULTS: Fifty-seven ankle fractures were identified that met inclusion criteria. In total, 84.2% of the fractures had intra-articular pathology, most commonly a syndesmotic injury followed by presence of intra-articular loose bodies and osteochondral defects. CONCLUSIONS: In our study, use of arthroscopy before open ankle fracture fixation identified intra-articular pathology in 84.2% of subjects. The most common pathology was syndesmotic injury. The addition of an arthroscopic assessment in patients with operatively treated ankle fractures may help improve treatment provided to patients during ankle fracture surgery. LEVEL OF EVIDENCE: Level 4 Therapeutic Case Series. Elsevier 2021-02-04 /pmc/articles/PMC7879169/ /pubmed/33615262 http://dx.doi.org/10.1016/j.asmr.2020.08.020 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Howard, Shain Hoang, Victor Sagers, Kevin Brady, Candice Eudy, Adam Watson, Troy S. Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title | Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title_full | Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title_fullStr | Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title_full_unstemmed | Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title_short | Identifying Intra-Articular Pathology With Arthroscopy Prior to Open Ankle Fracture Fixation |
title_sort | identifying intra-articular pathology with arthroscopy prior to open ankle fracture fixation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879169/ https://www.ncbi.nlm.nih.gov/pubmed/33615262 http://dx.doi.org/10.1016/j.asmr.2020.08.020 |
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