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Posterior malleolus fractures in Bosworth fracture-dislocations. A combination not to be missed

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F19%3AN0000123" target="_blank" >RIV/00064190:_____/19:N0000123 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064190:_____/20:N0000084 RIV/00216208:11110/20:10411401 RIV/61383082:_____/20:00000921

  • Result on the web

    <a href="http://dx.doi.org/10.1016/j.injury.2019.10.088" target="_blank" >http://dx.doi.org/10.1016/j.injury.2019.10.088</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.injury.2019.10.088" target="_blank" >10.1016/j.injury.2019.10.088</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Posterior malleolus fractures in Bosworth fracture-dislocations. A combination not to be missed

  • Original language description

    OBJECTIVES: Posterior malleolar fractures (PM) have been linked to inferior outcome in malleolar fractures. This study aims to analyze the prevalence and pathoanatomy of PM fractures in Bosworth fracture-dislocations (BF). MATERIALS & METHODS: Radiographs and computed tomography (CT) scans of 13 patients treated at our institution and 97 cases published between 1947 and 2018, identified in a systematic literature search, were evaluated with respect to the pathoanatomy of BF. In all 13 cases from the present study and in 10 cases from the literature, axial CT scans were performed. RESULTS: All 13 patients (100%) with BF from the present series and 61 of 97 documented cases (63%) of BF from the literature were associated with a PM fracture. In patients with a complete CT analysis, dislocation of the fibula behind the posterior tibial rim was associated with extraincisural (Bartoníček / Rammelt type 1) PM fractures. Displacement of the fibula between the displaced PM fragment and the tibia was associated with Bartoníček / Rammelt types 2 and 3 PM fractures. CONCLUSIONS: Seventy prevent of all reported BF are associated with a PM fracture. The true prevalence may be even higher because of the historically infrequent use of CT imaging. The pathoanatomy of the PM fragment is highly variable as is the kind of fibular displacement in BF. Therefore, CT scanning should be performed routinely in BF. Displaced PM fractures in BF involving the incisura should be treated operatively via a direct posterolateral approach.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>ost</sub> - Miscellaneous article in a specialist periodical

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

    <a href="/en/project/NV16-28458A" target="_blank" >NV16-28458A: Trimalleolar fractures of the ankle - CT diagnostics and CT classification of fractures of the posterior rim of distal tibia, operative treatment</a><br>

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Injury

  • ISSN

    0020-1383

  • e-ISSN

    1879-0267

  • Volume of the periodical

    51

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    5

  • Pages from-to

    537-541

  • UT code for WoS article

  • EID of the result in the Scopus database