Ankle fusion for definitive management of non-reconstructable pilon fractures.

Abstract:

BACKGROUND:Highly comminuted pilon fractures, especially with a compromised soft tissue envelope, present a challenging treatment scenario. This study presents our results for patients managed with ankle fusion rather than ORIF. MATERIALS AND METHODS:Fourteen patients with ankle joint incongruence after non-reconstructable tibia pilon fractures were treated with primary tibiotalar arthrodesis using a fixed-angle cannulated blade plate. Delayed metaphyseal unions due to bone defects were treated concurrently. The subtalar joint was preserved in all cases. RESULTS:Metaphyseal healing and stable arthrodesis was obtained in each case. There was one case of blade plate breakage in a patient who still achieved successful arthrodesis without reoperation. Union was achieved at an average of 15 weeks. No secondary procedures were required to obtain union. All 14 patients were ambulatory at last followup. Average followup was 39 weeks. CONCLUSION:Primary ankle arthrodesis can be achieved using a cannulated blade plate to address a non-reconstructable articular surface and metaphyseal bone defects in complex tibia pilon fractures.

journal_name

Foot Ankle Int

authors

Bozic V,Thordarson DB,Hertz J

doi

10.3113/FAI.2008.0914

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

914-8

issue

9

eissn

1071-1007

issn

1944-7876

pii

972652

journal_volume

29

pub_type

杂志文章
  • Ankle block implemented through two skin punctures.

    abstract:BACKGROUND:Recently, peripheral nerve blocks have increasingly been used in orthopedic surgery. The foot block is an alternative for anesthesia in cases of forefoot and midfoot operations. We propose a modification of the block technique due to potential difficulties concerning the tibial nerve. MATERIALS AND METHODS:...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.3113/FAI.2010.0619

    authors: Hromádka R,Barták V,Popelka S,Pokorný D,Jahoda D,Sosna A

    更新日期:2010-07-01 00:00:00

  • Effect on Overall Health Status With Weightbearing at 2 Weeks vs 6 Weeks After Open Reduction and Internal Fixation of Ankle Fractures.

    abstract:BACKGROUND:Ongoing controversy exists on postoperative weightbearing status after open reduction and internal fixation of an ankle fracture. This prospective randomized controlled trial aimed to compare patient-based and physician-based outcomes after early weightbearing at 2 vs 6 weeks postoperatively. METHODS:Fifty ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720908853

    authors: Schubert J,Lambers KTA,Kimber C,Denk K,Cho M,Doornberg JN,Jaarsma RL

    更新日期:2020-06-01 00:00:00

  • Multiplanar Semiautomatic Assessment of Foot and Ankle Offset in Adult Acquired Flatfoot Deformity.

    abstract:BACKGROUND:Semiautomatic 3-dimensional (3D) biometric weightbearing computed tomography (WBCT) tools have been shown to adequately demonstrate the relationship between the center of the ankle joint and the tripod of the foot. The measurement of the foot and ankle offset (FAO) represents an optimized biomechanical asses...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720920274

    authors: de Cesar Netto C,Bang K,Mansur NS,Garfinkel JH,Bernasconi A,Lintz F,Deland JT,Ellis SJ

    更新日期:2020-07-01 00:00:00

  • Outcomes of proximal chevron osteotomy for moderate versus severe hallux valgus deformities.

    abstract:BACKGROUND:Proximal chevron osteotomy with a distal soft tissue procedure has been widely used to treat moderate to severe hallux valgus deformities. However, there have been no studies comparing the results of proximal chevron osteotomy between patients with moderate and severe hallux valgus. We compared the results o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0637

    authors: Moon JY,Lee KB,Seon JK,Moon ES,Jung ST

    更新日期:2012-08-01 00:00:00

  • Clinical tips: retrograde drilling of talar osteochondral defects.

    abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.0616

    authors: Kennedy JG,Suero EM,O'Loughlin PF,Brief A,Bohne WH

    更新日期:2008-06-01 00:00:00

  • Posterior tibial tendon transfer and tendo-Achilles lengthening for equinovarus foot deformity due to severe crush injury.

    abstract::Surgical correction was performed on nine patients who had equinovarus deformity caused by severe crush injury of the leg sustained in an earthquake. The operative procedure used involved the transfer of the posterior tibial tendon to the dorsum of the foot by passing it through the interosseous membrane using a modif...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202301204

    authors: Atesalp AS,Yildiz C,Kömürcü M,Basbozkurt M,Gür E

    更新日期:2002-12-01 00:00:00

  • Proximal Interphalangeal Arthrodesis of Lesser Toes Utilizing K-Wires Versus Expanding Implants: Comparative Biomechanical Cadaveric Study.

    abstract:BACKGROUND::Lesser toe proximal interphalangeal (PIP) joint arthrodesis is one of the most common foot and ankle elective procedures often using K-wires for fixation. K-wire associated complications led to development of intramedullary fixation devices. We hypothesized that X Fuse (Stryker) and Smart Toe (Stryker) woul...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718805066

    authors: Rothermel SD,Aydogan U,Roush EP,Lewis GS

    更新日期:2019-02-01 00:00:00

  • Correlation of 3D Joint Space Width From Weightbearing CT With Outcomes After Intra-articular Calcaneal Fracture.

    abstract:BACKGROUND:Posttraumatic osteoarthritis (PTOA) of the subtalar joint is a serious, disabling, and frequent complication following intra-articular calcaneal fractures (IACFs). Using plain radiographs to assess the subtalar joint for PTOA is imprecise and insensitive, hindering progress toward improving treatment and ass...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720933891

    authors: Day MA,Ho M,Dibbern K,Rao K,An Q,Anderson DD,Marsh JL

    更新日期:2020-09-01 00:00:00

  • Epidemiology, management, and outcome of sport-related ankle fractures in a standard UK population.

    abstract:BACKGROUND:The literature on the outcome of sport-related ankle fractures has focused on operatively managed fractures, despite a large proportion being treated nonoperatively. We describe the epidemiology, management, and outcome of acute sport-related ankle fractures in a UK population. METHODS:All sport-related ank...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714546548

    authors: Robertson GA,Wood AM,Aitken SA,Court Brown C

    更新日期:2014-11-01 00:00:00

  • Proximal spherical metatarsal osteotomy for the foot with severe hallux valgus.

    abstract:BACKGROUND:A proximal spherical metatarsal osteotomy was devised to correct not only varus deviation of the first metatarsal, but also dorsiflexion. We expected to increase the medial longitudinal arch by adding plantar flexion at the osteotomy site. To investigate the limitations of this procedure for feet with severe...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.1025

    authors: Tanaka Y,Takakura Y,Kumai T,Sugimoto K,Taniguchi A,Hattori K

    更新日期:2008-10-01 00:00:00

  • Ankle replacement versus arthrodesis: a comparative gait analysis study.

    abstract:BACKGROUND:The improving survivorship of ankle replacements is making this an increasingly popular option in the treatment of ankle arthritis, rather than the established option of ankle fusion. The potential benefits of restoring movement, improving gait and protecting adjacent joints are persuasive arguments in favor...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.0003

    authors: Piriou P,Culpan P,Mullins M,Cardon JN,Pozzi D,Judet T

    更新日期:2008-01-01 00:00:00

  • Outcomes of NCAA Defensive Football Players Following Achilles Tendon Repair.

    abstract:BACKGROUND:The incidence of Achilles ruptures has been on the rise in National Collegiate Athletic Association (NCAA) football players, but the career impact of this injury is not fully understood. In this study, we analyzed a large series of Achilles tendon injuries in NCAA Football Bowl Subdivision (FBS) defensive fo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719899072

    authors: Wise PM,King JL,Stauch CM,Walley KC,Aynardi MC,Gallo RA

    更新日期:2020-04-01 00:00:00

  • Ankle arthropathy of hemochromatosis: a case series and review of the literature.

    abstract:BACKGROUND:Genetic hemochromatosis is a relatively common disease that may present as an arthropathy. In particular, arthropathy of the ankle is invariably bilateral and occurs in young men. However, the orthopaedic management of this condition has been poorly documented. METHODS:Four patients with hemochromatic ankle...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602701106

    authors: Davies MB,Saxby T

    更新日期:2006-11-01 00:00:00

  • Effectiveness of ultrasound-guided corticosteroid injection in the treatment of Morton's neuroma.

    abstract:BACKGROUND:The purpose of this study was to evaluate the efficacy of corticosteroid injection and determine the duration of symptom-free period after treatment with a single ultrasound-guided injection for a painful Morton's neuroma. MATERIALS AND METHODS:From May 2002 to November 2003, 35 consecutive patients (7 male...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.3113/FAI-2008-0483

    authors: Markovic M,Crichton K,Read JW,Lam P,Slater HK

    更新日期:2008-05-01 00:00:00

  • Comparison of MRI and local anesthetic tendon sheath injection in the diagnosis of posterior tibial tendon tenosynovitis.

    abstract:BACKGROUND:The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.1124

    authors: Cooper AJ,Mizel MS,Patel PD,Steinmetz ND,Clifford PD

    更新日期:2007-11-01 00:00:00

  • Prognostic value of four classifications of calcaneal fractures.

    abstract:BACKGROUND:The purpose of this study was to assist surgeons treating calcaneal fractures in choosing the most predictive fracture classification and clinical outcome tool. MATERIALS AND METHODS:For 152 patients (189 calcaneal fractures; average followup, 9.9 years), all fractures were classified in accordance with the...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.0229

    authors: Rubino R,Valderrabano V,Sutter PM,Regazzoni P

    更新日期:2009-03-01 00:00:00

  • Influence of Surgeon Volume on Inpatient Complications, Cost, and Length of Stay Following Total Ankle Arthroplasty.

    abstract:BACKGROUND:Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS:A retrospective cohort study of TAA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100716664871

    authors: Basques BA,Bitterman A,Campbell KJ,Haughom BD,Lin J,Lee S

    更新日期:2016-10-01 00:00:00

  • The Role of 3D Reconstruction True-Volume Analysis in Osteochondral Lesions of the Talus: A Case Series.

    abstract:BACKGROUND:Evaluation and management of osteochondral lesions of the talus (OLTs) often warrant advanced imaging studies, especially in revision or cases with cystic defects. It is possible that orthopedic surgeons may overestimate the size and misinterpret the morphology of OLT from conventional computed tomography (C...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718771834

    authors: Walley KC,Gonzalez TA,Callahan R,Fairfull A,Roush E,Saloky KL,Juliano PJ,Lewis GS,Aynardi MC

    更新日期:2018-09-01 00:00:00

  • Hallux valgus correction with metatarsal osteotomy: effect of a lateral distal soft tissue procedure.

    abstract::The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metata...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079501600305

    authors: Granberry WM,Hickey CH

    更新日期:1995-03-01 00:00:00

  • Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

    abstract:BACKGROUND::The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to TAA. We aimed to identify whether tibial and talar HU measured f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718799102

    authors: Cody EA,Lachman JR,Gausden EB,Nunley JA 2nd,Easley ME

    更新日期:2019-01-01 00:00:00

  • A radiographic technique for the assessment of ankle and midfoot equinus.

    abstract:BACKGROUND:Both clinical and radiographic techniques have been used to evaluate foot and ankle position and orientation. Clinical measurements have been shown to be less reliable than radiographic measurements. Because midfoot equinus deformity may coexist with ankle joint equinus deformity, a radiographic method of se...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600312

    authors: Elomrani N,Kasis A,Saleh M

    更新日期:2005-03-01 00:00:00

  • Clinical outcome of tibiotalar arthrodesis utilizing the chevron technique.

    abstract::Tibiotalar arthrodesis remains the gold standard reconstructive procedure for the treatment of disabling ankle arthritis. The purpose of this study was to review the clinical results of tibiotalar arthrodesis utilizing the chevron fusion technique. The results of 46 consecutive patients who underwent ankle arthrodesis...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500406

    authors: Kopp FJ,Banks MA,Marcus RE

    更新日期:2004-04-01 00:00:00

  • The validity and reliability of the Klaue device.

    abstract:BACKGROUND:Excessive first ray mobility has been implicated as the cause of many forefoot abnormalities. The association between hypermobility and forefoot pathology is controversial, and this is largely related to the difficulty in quantifying first ray motion. Manual examinations have been shown to be unreliable. Kla...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502601110

    authors: Jones CP,Coughlin MJ,Pierce-Villadot R,Golano P,Kennedy MP,Shurnas PS,Grebing BR,Teachout L

    更新日期:2005-11-01 00:00:00

  • What Is the Optimal Antibiotic (Type, Dose and Route of Administration) Treatment for Infections After Foot/Ankle Fracture or Fusion Procedures?

    abstract:RECOMMENDATION:The optimal antibiotic treatment after foot/ankle fractures or fusion should be determined based on the result of culture. In the absence of culture results, administered antibiotics should include coverage against common pathogens such as Staphylococcus aureus. LEVEL OF EVIDENCE:Strong. DELEGATE VOTE:...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719861644

    authors: Pedowitz D,Stull J

    更新日期:2019-07-01 00:00:00

  • Comparison of radiographic and anatomic distal metatarsal articular angle in cadaver feet.

    abstract:BACKGROUND:A few studies report correlations between radiographic and anatomic measurements of the distal metatarsal articular angle (DMAA). However, little is known about how the DMAA correlates with the hallux valgus angle (HVA) and with anatomic and clinical radiographic measurements. METHODS:We dissected, measured...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714522027

    authors: Jastifer JR,Coughlin MJ,Schutt S,Hirose C,Kennedy M,Grebing B,Smith B,Cooper T,Golano P,Viladot R,Doty JF

    更新日期:2014-04-01 00:00:00

  • Treatment of mucous cysts of the toes.

    abstract::The outcome of surgically treated mucous cysts of the foot is poorly documented in the orthopaedic literature. This study reports on the treatment of mucous cysts of the toes by simple excision and joint debridement. This is in contrast to treatment of similar lesions in the fingers which is often treated by excision ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302400607

    authors: Calder JD,Buch B,Hennessy MS,Saxby TS

    更新日期:2003-06-01 00:00:00

  • Staged treatment of high energy midfoot fracture dislocations.

    abstract:BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714552077

    authors: Kadow TR,Siska PA,Evans AR,Sands SS,Tarkin IS

    更新日期:2014-12-01 00:00:00

  • 3D Talar Kinematics During External Rotation Stress Testing in Hindfoot Varus and Valgus Using a Model of Syndesmotic and Deep Deltoid Instability.

    abstract:BACKGROUND:External rotation stress (ERS) identifies ankle instability after fibular reduction of rotational ankle injuries. Combined hindfoot and ankle motions and an inconsistent starting position could mask differing degrees of instability resulting from syndesmotic and/or deltoid ligament disruption. The goal of th...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719840993

    authors: Goetz JE,Vasseenon T,Tochigi Y,Amendola A,Femino JE

    更新日期:2019-07-01 00:00:00

  • The "Giftbox" repair of the Achilles tendon: a modification of the Krackow technique.

    abstract:BACKGROUND:The Krackow locking loop technique has been used for Achilles tendon repair with documented success in allowing early range of motion with stable fixation. Previous studies documented failure at the rupture site by knot failure. We propose a modification of the traditional Krackow technique where the knots o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI-2009-0410

    authors: Labib SA,Rolf R,Dacus R,Hutton WC

    更新日期:2009-05-01 00:00:00

  • The effect of shoe gear on human tibial strains recorded during dynamic loading: a pilot study.

    abstract::The study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain meas...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079601701104

    authors: Milgrom C,Burr D,Fyhrie D,Forwood M,Finestone A,Nyska M,Giladi M,Liebergall M,Simkin A

    更新日期:1996-11-01 00:00:00