Early Corrections after Failed Ankle Fracture Fixation. / Frühkorrekturen nach fehlgeschlagener Osteosynthese bei Sprunggelenkfrakturen.
Z Orthop Unfall
; 159(3): 323-331, 2021 06.
Article
en En, De
| MEDLINE
| ID: mdl-32040967
Even minor residual fragment malpositioning after internal fixation of ankle fractures is associated with a worse prognosis. Frequent causes for non-anatomical reduction are fibular shortening due to comminuted fractures or poor bone quality, translational or rotational malpositioning of the distal fibula within the tibial incisura with unstable syndesmosis injuries, and inadequately addressed bony avulsions of the tibiofibular syndesmosis. After operative treatment of fracture dislocations with syndesmotic fixation, in case of complex fracture pathoanatomy, and with suspected non-anatomic reduction in postoperative radiographs, computed tomography imaging of both ankles should be performed. Correction of relevant malreductions should be performed as early as possible in order to speed up rehabilitation and to avoid late sequelae due to a load shift or instability in a weight-bearing joint.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Traumatismos del Tobillo
/
Fracturas de Tobillo
Límite:
Humans
Idioma:
De
/
En
Revista:
Z Orthop Unfall
Asunto de la revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Año:
2021
Tipo del documento:
Article
Pais de publicación:
Alemania