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Titre : | Foot and Ankle Clinics, Vol. 25, n°4 - Décembre 2020 - Controversies in Acute Trauma and Reconstruction |
Type de document : | Bulletin : Périodique |
Paru le : | 01/12/2020 |
Année de publication : | 2020 |
Langues: | Français |
Disponible en ligne : | Non |
Dépouillements
Article
The concepts of Rüedi and Allgöwer are still valid, but with modifications concerning a better understanding of the anatomy and mechanics of this fracture.
Fibular fixation is not always the first stage, depending on the pattern and complex[...]
Article
Most of the tibial pilon fractures benefit from a staged protocol with initial external fixation and delayed internal fixation with direct reduction of the articular surface.
Reduction techniques performed to achieve restoration of mechanic[...]
Article
Preparation is the key. By ensuring a thorough work-up of the patient and targeted therapy using the diamond concept, this approach increases the chances of success.
Respect for soft tissues is paramount. Unless soft tissues are respected t[...]
Article
Complex ankle fractures are challenging, especially the surgical planning.
Preoperative planning with a computed tomography axial view is mandatory to decide the surgical approach and patient positioning.
Of the posterior tibial plafond,[...]
Article
The deltoid ligament complex stabilizes the ankle joint against eversion, external rotation, and plantar flexion forces.
There is no consensus on whether deltoid ligament must be repaired in bimalleolar equivalent ankle fractures.
Patien[...]
Article
Up to 45% of surgically treated ankle fractures have associated syndesmotic disruption. Quality of syndesmotic reduction appears to affect functional outcomes.
Syndesmotic malreduction ranges from 15% to 50% in the literature, and achieving[...]
Article
Chronic syndesmotic injury covers a broad range of symptoms and pathologies. Anterolateral ankle impingement from scarring after syndesmotic injury without instability is treated by arthroscopic debridement and arthrolysis.
Subacute syndesm[...]
Article
Correct approach selection in talar neck injuries is crucial to obtain adequate access to the entire fracture site avoiding malreduction and angular deformity.
The major concern about a single incision technique is lack of visualization.
[...]
Article
The sinus tarsi approach allows direct assessment of subtalar joint restoration, with low risk of soft tissue, sural nerve, and lateral calcaneal artery damage.
Tuberosity fracture fixation using cannulated screws only or sinus tarsi plate [...]
Article
The management of displaced intraarticular calcaneal fractures should be centralized in experienced and high-volume centers.
Surgeons treating calcaneal fractures should be able to implement more than 1 technique.
Anatomic reduction is a[...]
Article
Misdiagnosed Lisfranc injuries can be as high as 50%, leading to chronic pain, functional impairment, and posttraumatic arthritis. Subtle or incomplete lesions are the most problematic group for an adequate diagnosis.
When clinical suspicio[...]
Article
Subtle Lisfranc injuries are difficult to diagnose and frequently missed; therefore, high clinical suspicion and close follow-up are required to ensure the expected evolution.
Conservative treatment is recommended for injuries with demonstr[...]
Article
The treatment of patients presenting with complex foot injuries and associated high-energy Lisfranc injuries could be categorized in 2 phases: early damage control and definitive treatment.
The goals of treatment are to obtain a painless, p[...]
Article
Zone 1 fractures have excellent healing potential and may be treated nonoperatively with a weightbearing as tolerated protocol.
Jones fractures may refer to proximal fifth metatarsal fractures in zones 2 and 3.
Zone 2 fractures are tru[...]