CT controlled results of direct reduction and fixation of posterior malleolus in ankle

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F20%3A00000715" target="_blank" >RIV/61383082:_____/20:00000715 - isvavai.cz</a>

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/32008051/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/32008051/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00068-020-01309-0" target="_blank" >10.1007/s00068-020-01309-0</a>

Result language

angličtina

Original language name

CT controlled results of direct reduction and fixation of posterior malleolus in ankle

Original language description

Purpose The aim of this study was to present outcomes of operative treatment of the posterior malleolus fractures of type four of the Bartonicek/Rammelt classification. Methods In 19 patients, direct reduction and fixation of the posterior malleolus was performed from the posterolateral or posteromedial approaches. The accuracy of reduction was assessed with the use of postoperative CT scans. Results The mean size of the avulsed articular surface carried by posterior malleolus amounted to 36%. Reduction of the posterior malleolus fracture was assessed as anatomical in 14 cases and as satisfactory in five cases. Position of the distal fibula was assessed as anatomical in 15 cases. The mean AOFAS score was 89.4 points. All nine patients with anatomical reduction of all lesions achieved the mean AOFAS score of 93.1 points, five patients with malposition of posterior malleolus 89.1 points and five patients with malposition of the fibula in the fibular notch 87.8 points. A total of six patients developed osteoarthritic changes of grades one and two according to the Kellgren and Lawrence classification. Conclusions Outcomes of the study demonstrated good mid-term results in type four fractures of the posterior malleolus treated by direct reduction from posterior approaches. Postoperative CT examination allowed evaluation of the accuracy of reduction of all fractures and reduction of the distal fibula into the fibular notch. Based on postoperative CT examination, it will be possible to assess the effect of reduction of individual lesions on the functional results.

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

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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

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY

ISSN

1863-9933

e-ISSN

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Volume of the periodical

2020

Issue of the periodical within the volume

Feb

Country of publishing house

DE - GERMANY

Number of pages

8

Pages from-to

1-8

UT code for WoS article

000510357300001

EID of the result in the Scopus database

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