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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F20%3AN0000084" target="_blank" >RIV/00064190:_____/20:N0000084 - isvavai.cz</a>

Alternative codes found

RIV/00064190:_____/19:N0000123 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>

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 (Bartonicek / Rammelt type 1) PM fractures. Displacement of the fibula between the displaced PM fragment and the tibia was associated with Bartonicek / 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

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

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)

Publication year

2020

Confidentiality

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

Name of the periodical

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

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

000510616700066

EID of the result in the Scopus database

2-s2.0-85075389030