Posterior Malleolar Fractures Changing Concepts and Recent Developments

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F17%3A00000343" target="_blank" >RIV/61383082:_____/17:00000343 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/17:10365374

Výsledek na webu

<a href="https://www.ncbi.nlm.nih.gov/pubmed/28167058" target="_blank" >https://www.ncbi.nlm.nih.gov/pubmed/28167058</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.fcl.2016.09.009" target="_blank" >10.1016/j.fcl.2016.09.009</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Posterior Malleolar Fractures Changing Concepts and Recent Developments

Popis výsledku v původním jazyce

Injuries to the posterior malleolus (PM) have a prognostic impact for patients with ankle fracture-dislocations. The three-dimensional outline of the fragments as seen on CT, involvement of the fibular notch of the distal tibia (incisura), and the presence of depressed intercalary joint fragments seem to be of greater therapeutic relevance than the size of the fragment and the amount of the fractured articular surface alone. Although extraincisural fractures (type 1 according to Bartoníček and Rammelt) can be treated nonoperatively, operative treatment of type 2 to 4 fractures aims at reconstruction of the posterior tibial plafond, the fibular notch, and the integrity of the posterior tibiofibular syndesmosis. The individual choice of approaches depends on the fracture pattern of the PM and associated injuries to the medial and lateral malleolus.Direct open reduction and fixation of PM fragments via posterolateral and posteromedial approaches is biomechanically more stable than indirect reduction and anteroposterior screw fixation.

Název v anglickém jazyce

Posterior Malleolar Fractures Changing Concepts and Recent Developments

Popis výsledku anglicky

Injuries to the posterior malleolus (PM) have a prognostic impact for patients with ankle fracture-dislocations. The three-dimensional outline of the fragments as seen on CT, involvement of the fibular notch of the distal tibia (incisura), and the presence of depressed intercalary joint fragments seem to be of greater therapeutic relevance than the size of the fragment and the amount of the fractured articular surface alone. Although extraincisural fractures (type 1 according to Bartoníček and Rammelt) can be treated nonoperatively, operative treatment of type 2 to 4 fractures aims at reconstruction of the posterior tibial plafond, the fibular notch, and the integrity of the posterior tibiofibular syndesmosis. The individual choice of approaches depends on the fracture pattern of the PM and associated injuries to the medial and lateral malleolus.Direct open reduction and fixation of PM fragments via posterolateral and posteromedial approaches is biomechanically more stable than indirect reduction and anteroposterior screw fixation.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

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

2017

Kód důvěrnosti údajů

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

Název periodika

FOOT AND ANKLE CLINICS

ISSN

1083-7515

e-ISSN

—

Svazek periodika

22

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

21

Strana od-do

125-145

Kód UT WoS článku

000397350300010

EID výsledku v databázi Scopus

2-s2.0-85008191246