Arthroscopically assisted treatment of ankle fractures

Der Unfallchirurg
M BraunsteinH Polzer

Abstract

Acute ankle fractures are one of the most common fractures in adults with an incidence of 0.1-0.2 % per year. Operative treatment by open reduction and internal fixation (ORIF) is the standard method of treatment for unstable or dislocated fractures. The main goal of the operation is the anatomical realignment of the joint and restoration of ankle stability; nevertheless, anatomical reduction does not automatically lead to favorable clinical results. According to several studies the mid-term and in particular the long-term outcome following operative treatment is often poor with residual symptoms including chronic pain, stiffness, recurrent swelling and ankle instability. There is growing evidence that this poor outcome might be related to occult intra-articular injuries involving cartilage and soft tissues. In recent studies the frequency of fracture-related osteochondral lesions was reported to be approximately 64 %. By physical examination, standard radiography or even computed tomography (CT), these intra-articular pathologies cannot be reliably diagnosed; therefore, many authors emphasize the value of ankle arthroscopy in acute fracture treatment as it has become a safe and effective diagnostic and therapeutic procedure. A...Continue Reading

References

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Citations

May 23, 2018·Skeletal Radiology·Malwina KaniewskaSuzanne E Anderson
Aug 8, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hugo A MartijnGino M M J Kerkhoffs
Dec 29, 2019·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mareen BraunsteinHans Polzer
Mar 2, 2021·Der Unfallchirurg·H Polzer, S Rammelt
Mar 26, 2021·Operative Orthopädie und Traumatologie·S F BaumbachH Polzer

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