Posterior malleolar fractures of the ankle
Language English Country Germany Media print-electronic
Document type Journal Article, Review
PubMed
26253884
DOI
10.1007/s00068-015-0560-6
PII: 10.1007/s00068-015-0560-6
Knihovny.cz E-resources
- Keywords
- Ankle fractures, Classification of posterior malleolar fractures, Posterior malleolus, Trimalleolar fractures,
- MeSH
- Biomechanical Phenomena physiology MeSH
- Joint Dislocations surgery MeSH
- Ankle Fractures diagnostic imaging physiopathology surgery MeSH
- Ligaments, Articular injuries surgery MeSH
- Bone Wires MeSH
- Bone Screws MeSH
- Humans MeSH
- Joint Instability etiology prevention & control MeSH
- Tomography, X-Ray Computed MeSH
- Postoperative Complications etiology MeSH
- Fracture Fixation, Internal instrumentation methods MeSH
- Treatment Outcome MeSH
- Imaging, Three-Dimensional MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Despite an increasing awareness of injuries to PM in ankle fracture-dislocations, there are still many open questions. The mere presence of a posterior fragment leads to significantly poorer outcomes. Adequate diagnosis, classification and treatment require preoperative CT examination, preferably with 3D reconstructions. The indication for surgical treatment is made individually on the basis of comprehensive assessment of the three-dimensional outline of the PM fracture and all associated injuries to the ankle including syndesmotic instability. Anatomic fixation of the avulsed posterior tibiofibular ligament will contribute to syndesmotic stability and restore the integrity of the incisura tibiae thus facilitating anatomic reduction of the distal fibula. A necessary prerequisite is mastering of posterolateral and posteromedial approaches and the technique of direct reduction and internal fixation. Further clinical studies with higher numbers of patients treated by similar methods and evaluation of pre- and postoperative CT scans will be necessary to determine reliable prognostic factors associated with certain types of PM fractures and associated injuries to the ankle.
See more in PubMed
Arch Orthop Trauma Surg. 2014 Mar;134(3):389-94 PubMed
J Trauma. 2009 Jan;66(1):279-84 PubMed
Unfallchirurg. 2013 Sep;116(9):781-4, 786-8 PubMed
Unfallchirurg. 2011 Oct;114(10 ):847-60 PubMed
Arch Surg. 1950 May;60(5):957-85 PubMed
Int Orthop. 2012 Sep;36(9):1929-36 PubMed
Clin Orthop Relat Res. 1990 Aug;(257):177-83 PubMed
J Trauma. 1989 Nov;29(11):1565-70 PubMed
Clin Orthop Relat Res. 2006 Jun;447:165-71 PubMed
J Bone Joint Surg Br. 2004 Jul;86(5):746-50 PubMed
Arch Surg. 1948 Mar;56(3):259-317 PubMed
Unfallheilkunde. 1982 Sep;85(9):388-94 PubMed
J Orthop Trauma. 2010 Mar;24(3):188-93 PubMed
J Foot Ankle Surg. 2005 May-Jun;44(3):211-7 PubMed
Z Orthop Ihre Grenzgeb. 1954;84(4):636-44 PubMed
J Orthop Trauma. 2015 Feb;29(2):105-9 PubMed
J Bone Joint Surg Am. 2006 May;88(5):1085-92 PubMed
J Am Acad Orthop Surg. 2013 Jan;21(1):32-40 PubMed
Foot Ankle Int. 2001 Feb;22(2):144-9 PubMed
Eur J Trauma Emerg Surg. 2010 Dec;36(6):515-9 PubMed
J Bone Joint Surg Am. 1984 Apr;66(4):490-503 PubMed
Clin Orthop Relat Res. 2004 Jun;(423):44-51 PubMed
Foot Ankle Int. 2013 Feb;34(2):189-99 PubMed
J Bone Joint Surg Am. 1992 Sep;74(8):1201-6 PubMed
Foot Ankle Int. 2014 Sep;35(9):886-95 PubMed
Clin Orthop Relat Res. 1985 Oct;(199):28-38 PubMed
Arch Orthop Trauma Surg. 2015 Apr;135(4):505-16 PubMed
Surg Radiol Anat. 2003 Nov-Dec;25(5-6):379-86 PubMed
Orthopedics. 1989 Aug;12 (8):1053-9 PubMed
J Trauma. 2010 Sep;69(3):666-9 PubMed
Oper Orthop Traumatol. 2013 Jun;25(3):273-91; quiz 291-3 PubMed
J Orthop Trauma. 2009 Mar;23 (3):208-12 PubMed
Arch Orthop Trauma Surg. 1982;100(4):237-41 PubMed
Radiologe. 1983 Sep;23 (9):421-5 PubMed
J Bone Joint Surg Am. 1988 Oct;70(9):1348-56 PubMed
J Orthop Trauma. 1994;8(2):159-66 PubMed
Acta Orthop Scand. 1979 Apr;50(2):217-23 PubMed
Unfallchirurg. 2008 Jun;111(6):439-47 PubMed
Acta Chir Orthop Traumatol Cech. 1982 Oct;49(5):374-81 PubMed
J Foot Ankle Surg. 2003 Mar-Apr;42(2):99-104 PubMed
J Orthop Trauma. 2008 Oct;22(9):629-36 PubMed
Acta Orthop Scand. 1979 Apr;50(2):225-36 PubMed
J Orthop Trauma. 1994 Aug;8(4):328-31 PubMed
J Orthop Trauma. 2004 May-Jun;18(5):271-8 PubMed
Foot Ankle Int. 2013 May;34(5):766-7 PubMed
Unfallchirurg. 2013 Sep;116(9):789-96 PubMed
Clin Orthop Relat Res. 2010 Apr;468(4):1129-35 PubMed
J Trauma. 2002 Jul;53(1):55-60 PubMed
AJR Am J Roentgenol. 1990 May;154(5):1017-23 PubMed
Foot Ankle Int. 2003 Apr;24(4):338-44 PubMed
Foot Ankle Int. 2015 Feb;36(2):159-64 PubMed
Foot Ankle Int. 2011 Apr;32(4):385-93 PubMed
Foot Ankle Int. 2004 Oct;25(10 ):716-27 PubMed
J Orthop Trauma. 2015 Apr;29(4):e151-6 PubMed
J Bone Joint Surg Am. 1991 Mar;73(3):347-51 PubMed
Acta Chir Orthop Traumatol Cech. 2002;69(4):243-7 PubMed
Clin Orthop Relat Res. 1995 Nov;(320):182-7 PubMed
Injury to the posterior malleolus in Maisonneuve fractures
"Double Maisonneuve fracture": an unknown fracture pattern
