The Radiographic Investigation of the Pronation-external Rotation Ankle Fracture Treated with or without Trans-syndesmotic Screw

Autor:	Kuniaki Moridera, Kazuhiko Imai, Masaru Takeda, Issei Yamanaka, Yuuichi Ikeda, Eiji Hatakeyama, Jun-ichi Hamawaki, Youichi Shigeno
Rok vydání:	2003
Předmět:	Orthodontics Syndesmosis medicine.medical_specialty business.industry medicine.medical_treatment Radiography Mortise and tenon Surgery Fixation (surgical) medicine.anatomical_structure Syndesmotic screw External rotation medicine Internal fixation Ankle business
Zdroj:	Orthopedics & Traumatology. 52:654-658
ISSN:	1349-4333 0037-1033
Popis:	We performed radiographic investigation on 18 fractures of pronation-external rotation injury of the ankle. The 18 fractures were separated into two groups, : nine fractures were treated with trans-syndesmotic screw after open reduction and internal fixation ; nine fractures were treated without trans-syndesmotic screw. The width of the syndesmosis, the width of the medial mortise, and the height of the fibullar fracture were measured on the mortise roentgenograms in all 18 fractures at the time of injury, post-operation, and follow-up. As the widths of the syndesmosis and the medial mortise, and the height of the fibular fracture were more extensive than cases in general, supplemental trans-syndesmotic fixation was performed. There were no significant difference between the two groups on the width of the syndesmosis and the medial mortise at the time of follow-up. The trans-syndesmotic screw was useful for severe pronation-external rotation fracture of the ankle, however we must avoid unnecessary trans-syndesmotic fixation after inadequate reduction of the fibular fracture.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6911b2b72e0e4c14642182992a1f7887 https://doi.org/10.5035/nishiseisai.52.654 Zobrazit plný text záznamu