Traditional Approach vs Posterior Approach for Ankle Fractures Involving the Posterior Malleolus.

Foot & Ankle International
Kristian PilskogJonas Meling Fevang

Abstract

In the past, posterior malleolus fragments (PMFs) commonly have been indirectly reduced and fixed when fragments involve 25% or more of the tibial articular surface, while smaller fragments were left unfixed. The posterior approach has become increasingly popular and allows fixation of even smaller fragments. This study compares clinical outcome for the 2 treatment strategies. Patients with ankle fractures involving a PMF treated from 2014 to 2016 were eligible for inclusion. Patients were allocated to group A (treated with a posterior approach) or group B (treated with the traditional approach) according to the treatment given. A one-to-one matching of patients from each group based on the size of the PMF was performed. Patient charts were reviewed, and outcome evaluation was performed clinically, radiographically, and by patient-reported outcome measures (PROMs; Self-Reported Foot and Ankle Score, RAND-36, visual analog scale [VAS] of pain, and VAS of satisfaction). Forty-three patients from each group were matched. Median follow-up was 26 (interquartile range [IQR], 19-35) months postoperatively. The median PMF size was 17% (IQR, 12-24) in both groups, and they reported similar results in terms of PROMs. Fixation of the PMF ...Continue Reading

References

Oct 1, 1987·Acta Orthopaedica Scandinavica·P J DalyD M Ilstrup
Aug 9, 2001·Annals of Medicine·R D Hays, L S Morales
Jul 20, 2002·The Journal of Trauma·Johan F LangenhuijsenRudi M J M Butzelaar
Apr 18, 2003·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·George PapachristouEfstathios Chronopoulos
Jun 9, 2005·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·J S De VriesG R Schaap
Feb 10, 2006·Clinical Orthopaedics and Related Research·Michael J GardnerDean G Lorich
Jul 20, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Mark J HancockMark Stewart
Apr 10, 2009·Foot & Ankle International·Jens ForbergerAndreas Platz
Oct 3, 2009·Clinical Orthopaedics and Related Research·Anna N MillerDean G Lorich
Jan 20, 2011·Journal of Orthopaedic Trauma·Paul TornettaBrandon Steen
Mar 1, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Juan Mingo-RobinetCarmen Martinez-Cervell
Apr 5, 2012·World Journal of Orthopedics·Michel Pj van den Bekerom
Jul 11, 2012·International Orthopaedics·Hai-lin XuXin-bao Wu
Aug 27, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Huang RuokunLi Jing
Feb 13, 2015·Foot & Ankle International·Cornelis Christiaan Drijfhout van HooffJochem Maarten Hoogendoorn
Jun 24, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Saurabh OdakSimon Platt
Aug 9, 2015·Injury·D T MeijerUNKNOWN Ankle Platform Study Collaborative - Science of Variation Group
Aug 9, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J BartoníčekO Naňka
Aug 27, 2015·Journal of Foot and Ankle Research·S M VerhageJ M Hoogendoorn
Oct 1, 2015·Foot & Ankle International·Diederik T MeijerUNKNOWN Ankle Platform Study Collaborative—Science of Variation Group
Jan 3, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eirik SolheimEivind Inderhaug
Feb 14, 2016·Clinical Orthopaedics and Related Research·Mark D KohnNavin D Fernando
Jun 22, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mengnai LiThuan V Ly
May 13, 2018·Archives of Orthopaedic and Trauma Surgery·Samuel Marinus VerhageInger Birgitta Schipper
Jun 12, 2018·Indian Journal of Orthopaedics·Bilgehan TosunHalil Ceylan
Jul 24, 2018·Foot & Ankle International·Maria C CösterÅke Carlsson
Aug 25, 2018·Zeitschrift für Orthopädie und Unfallchirurgie·Rene BurchardBertil Bouillon
Oct 17, 2018·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Veronica RobertsJitendra Mangwani
Nov 15, 2018·Foot & Ankle Specialist·Direk TantigateJ Turner Vosseller
Nov 16, 2018·Archives of Orthopaedic and Trauma Surgery·Samuel Marinus VerhageJochem Maarten Hoogendoorn
Feb 3, 2019·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Stephen McHaleThomas Ball
Feb 19, 2019·Foot & Ankle International·Amir Reza VosoughiLyndon W Mason
Jul 25, 2019·JB & JS Open Access·Lyndon William MasonAndrew Molloy
Aug 8, 2019·Foot & Ankle International·Chan KangGi-Soo Lee
Aug 9, 2019·Foot & Ankle International·Malwattage Lara Tania JayatilakaLyndon Mason

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Aug 7, 2021·Foot & Ankle Specialist·Gavin J HeyesLyndon Mason

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