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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00064190:_____/19:N0000123 RIV/00216208:11110/20:10411401 RIV/61383082:_____/20:00000921

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

<a href="/cs/project/NV16-28458A" target="_blank" >NV16-28458A: Trimaleolární zlomeniny hlezna - CT diagnostika zlomenin zadní hrany tibie, jejich CT klasifikace, operační léčba</a><br>

Návaznosti

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

Rok uplatnění

2020

Kód důvěrnosti údajů

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

Název periodika

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

ISSN

0020-1383

e-ISSN

1879-0267

Svazek periodika

51

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

5

Strana od-do

537-541

Kód UT WoS článku

000510616700066

EID výsledku v databázi Scopus

2-s2.0-85075389030