2015, Number 5
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Medisur 2015; 13 (5)
Treatment of unstable ankle fractures
Truffín RY, Águila TG
Language: Spanish
References: 27
Page: 647-653
PDF size: 208.44 Kb.
ABSTRACT
Patients with unstable ankle fractures frequently
attend the emergency rooms. It is estimated that
there are 122 ankle fractures per 100 000 people a
year. Surgical treatment of those that are unstable is
inevitable since they can not be corrected in a
conservative way. Several surgical procedures for
repair of such lesions have been described and all of
them constitute important tools for the orthopedic
surgeon. Therefore, we conducted a literature
review to discuss the current management of
unstable ankle fractures based on the analysis of the
published literature and the experiences in the Dr.
"Gustavo Aldereguía Lima" University General Hospital
of Cienfuegos.
REFERENCES
Donken CC, Al-Khateeb H, Verhofstad MH, van Laarhoven CJ. Surgical versus conservative interventions for treating ankle fractures in adults [CD008470]. Cochrane Database Syst Rev; 2012. ; 8:
Yablon IG, Heller FG, Shouse L. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg. 1977 ; 59A: 169.
Yablon IG. Ankle fractures: internal fixation, I: reduction of displaced bimalleolar ankle fractures. Instr Course Lect. 1979 ; 28: 72.
Tornetta P, Nguyen S, Scott C. Lag screw fixation of the lateral malleolus. Paper presented at the annual meeting of the Orthopaedic Trauma Association. Vancouver: British Columbia; 1998.
Geissler WB, Tsao AK, Hughes JL. Fractures and injuries of the ankle. In: Rockwood CA, Green DP. Rockwood and Green´s fractures in adults. 4th. ed. Philadelphia: Lippincott-Raven; 1996. p. 23-67.
Weber BG. Die Verletzungen des oberen Sprunggelenkes. In: Aktuelle Probleme in der Chirurgie. Bern: Verlag Hans Huber; 1966.
Sakaki MH, Matsumura BA, Dotta T de A, Pontin PA, Dos Santos AL, Fernandes TD. Epidemiologic study of ankle fractures in a tertiary hospital. Acta Ortop Bras. 2014 ; 22 (2): 90-3.
Richards PJ, Charran AK, Singhal R, McBride DJ. Ankle fractures and dislocations: A pictorial review. Trauma. 2013 ; 15 (3): 196-221.
Truffín Rodríguez Y, Cabrera-Suárez J, Gómez-Gil I, Requeiro-Morejón J. Fijación interna en la fractura expuesta del tobillo. Presentación de dos casos. Medisur [revista en Internet]. 2014 [ cited 17 Dic 2014 ] ; 12 (5): [aprox. 5p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/2618/1570.
Truffín Rodríguez Y, Gómez-Gil I, Gámez-Arregoitía R, Pérez-Martínez O. Tratamiento de la fractura-luxación expuesta del tobillo. Presentación de un caso. Medisur [revista en Internet]. 2014 [ cited 17 Dic 2014 ] ; 12 (6): [aprox. 3p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/2656.
Greisberg J. Recent innovations and future directions in external fixation of the foot and ankle. Foot Ankle Clin. 2004 ; 9 (3): 637-47.
Miller T, Skalak T. Evaluation and Treatment Recommendations for Acute Injuries to the Ankle Syndesmosis Without Associated Fracture. Sports Med. 2014 ; 44 (2): 179-88.
Noh JH, Roh YH, Yang BG, Kim SW, Lee JS, Oh MK. Outcomes of operative treatment of unstable ankle fractures: a comparison of metallic and biodegradable implants. J Bone Joint Surg Am. 2012 ; 94 (22): e166.
Mingo-Robinet J, Abril Larrainzar JM, Valle Cruz JA. El abordaje posterolateral en las fracturas trimaleolares de tobillo. Técnica quirúrgica. Rev Esp Cir Ortop Traumatol. 2012 ; 56 (4): 313-8.
Torres B, Holguín Maldonado E. Técnica de placa antideslizante para el tratamiento quirúrgico de fracturas de tobillo tipo Weber B: descripción de la técnica quirúrgica. Metro cienc. 2008 ; 17 (2): 444-6.
Holguín Maldonado E, Herrera Arbeláez JM, Reyes Pardo O, Mesa J. Resultados funcionales de la técnica de placa antideslizante versus técnica de placa lateral para el tratamiento quirúrgico de fracturas del maléolo externo tipo Weber B. Rev Colomb Ortop Traumatol. 2008 ; 22 (2): 117-22.
Erdem M, Erken H, Burc H, Saka G, Korkmaz M, Aydogan M. Comparison of lag screw versus buttress plate fixation of posterior malleolar fractures. Foot Ankle Int. 2014 ; 35 (10): 1022-3.
Buscharino B, Moretti R, Gioso H, Soares JO, Christian R, Mercadante M, Raia F, Pekelman H. Comparação da resistência mecânica pela osteossíntese com placas fixadas nas posições lateral e posterior em fraturas Danis-Weber B: estudo experimental. Rev Bras Ortop. 2013 ; 48 (3): 227-37.
Xu HL, Li X, Zhang DY, Fu ZG, Wang TB, Zhang PX, et al. A retrospective study of posterior malleolus fractures. Int Orthop. 2012 ; 36 (9): 1929-36.
Erdem M, Erken H, Burc H, Saka G, Korkmaz M, Aydogan M. Comparison of lag screw versus buttress plate fixation of posterior malleolar fractures. Foot Ankle Int. 2014 ; 35 (10): 1022-3.
Mingo-Robinet J, Abril Larrainzar JM, Valle Cruz JA. El abordaje posterolateral en las fracturas trimaleolares de tobillo. Técnica quirúrgica. Rev Esp Cir Ortop Traumatol. 2012 ; 56 (4): 313-8.
Pedraza Galvis C, Pedraza Concha C, Espitia R, Rugeles Otero B. Estabilización dinámica de la sindesmosis: una mejor opción. Rev Col Or Tra. 2007 ; 21 (3): 154-9.
Yang Y, Zhou J, Li B, Zhao H, Yu T, Yu G. Exploração operatória e redução de sindesmose em lesão de tornozelo de Weber tipo C. Acta Ortop Bras. 2013 ; 21 (2): 103-8.
Petrisor BA, Poolman R, Koval K, Tornetta P, Bhandari M. Management of displaced ankle fractures. J Orthop Trauma. 2006 ; 20 (7): 515-8.
Barnes H, Cannada L, Watson J. A clinical evaluation of alternative fixation techniques for medial malleolus fractures. Injury. 2014 ; 45 (9): 1365-7.
Miller T, Skalak T. Evaluation and Treatment Recommendations for Acute Injuries to the Ankle Syndesmosis Without Associated Fracture. Sports Med. 2014 ; 44 (2): 179-88.
Pakarinen H. Stability-based classification for ankle fracture management and the syndesmosis injury in ankle fractures due to a supination external rotation mechanism of injury. Acta Orthop Suppl. 2012 ; 83 (347): 1-26.