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Surgical Fixation of Quadrimalleolar Fractures of the Ankle

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F21%3A10441329" target="_blank" >RIV/00216208:11110/21:10441329 - isvavai.cz</a>

  • Alternative codes found

    RIV/61383082:_____/21:00001092

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P3QHhv.Jfz" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P3QHhv.Jfz</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1097/BOT.0000000000001915" target="_blank" >10.1097/BOT.0000000000001915</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Surgical Fixation of Quadrimalleolar Fractures of the Ankle

  • Original language description

    We present a technique of fixation of trimalleolar fractures with additional fracture of the anterior tibial tubercle (&quot;quadrimalleolar&quot;) or anterior fibular rim (&quot;quadrimalleolar equivalent&quot;). Twenty-four patients with a mean age of 60 years were treated with open reduction and internal fixation of all 4 malleoli. There were 17 quadrimalleolar and 6 quadrimalleolar equivalent fractures. One patient had both anterior tibial and fibular avulsion fracture in addition to a trimalleolar ankle fracture. Surgical approaches and internal fixation were tailored individually. Twenty patients were operated in the prone position with direct fixation of the posterior malleolus and 4 patients in the supine position with anterior to posterior screw fixation of the posterior malleolus. After fixation of al 4 malleoli, only 1 patient (4%) required a syndesmotic screw for residual syndesmotic instability on intraoperative testing. There were no infections and no wound healing problems. All patients went on to solid union. Nineteen patients (79%) were followed for a mean of 77 months (range, 15-156 months). The Foot Function Index averaged 15 (range, 50 to 0), the Olerud and Molander Score averaged 79 (range, 45-100), and the American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Scale averaged 87 (range, 39-100). Fixation of the anterior and posterior tibial fragments increases syndesmotic stability by providing a bone-to-bone fixation. Anatomic reduction of the anterior and posterior tibial rim restores the physiological shape of the tibial incisura and therefore facilitates fibular reduction.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30211 - Orthopaedics

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2021

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Journal of Orthopaedic Trauma

  • ISSN

    0890-5339

  • e-ISSN

  • Volume of the periodical

    35

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    7

  • Pages from-to

    "e216"-"e222"

  • UT code for WoS article

    000756415000006

  • EID of the result in the Scopus database

    2-s2.0-85101053169