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Perioperative Care Protocols in Ankle Fracture Treatment: A Review of the Literature
Although ankle fractures are common injuries and often treated with surgery, there are still many unanswered questions with regard to the optimal perioperative protocols for pain control, venous thromboembolism prophylaxis, and rehabilitation. The purpose of this article is to review the best available literature in these areas and provide evidence-based recommendations. Level of Evidence: Diagnostic Level III (therapeutic). See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research

Basic Science Behind the Development of Posttraumatic Osteoarthritis of the Ankle
This article outlines the basic science behind the mechanical and inflammatory model of development of PTOA of the ankle. The purpose of this article is to review the state of literature and understanding of ankle PTOA and serve as a foundation for future research aimed at reducing severity and progression of PTOA. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research

Surgical Management of Geriatric Ankle Fractures
There is a perpetual increase in the number of elderly people in the United States, both as a function of raw population size, and improvements in health care and its delivery. As such, it is our duty as foot and ankle surgeons to be participants in the improvement of geriatric health care. One area that has garnered burgeoning interest is geriatric ankle fractures. Typically managed nonoperatively, new evidence has supported surgical management of these fractures to spare morbidity and mortality. Classically, a lag screw and one-third tubular plate construct for the fibula and long lag screws in the medial malleolus was t...
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research

Advances in Ankle Fracture Management
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research

Behind the Scenes
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - November 20, 2018 Category: Orthopaedics Tags: Editorial Source Type: research

Bipartite Talus: Arthroscopic Resection – Case Report
Conclusions: We present in detail the arthroscopic resection of a bipartite talus. This is an unusual pathology and a differential diagnosis for posterior impingement. We believe that arthroscopic resection of the bone fragment of the bipartite talus is a safe procedure, with less morbidity for the patient, compared with open resections. Level of Evidence: Level V—technique description. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Online Articles: Case Report Source Type: research

Medial Approach to Lateral Sesamoid Removal and Presentation of Case Series
Sesamoidectomy is a common procedure for the foot and ankle surgeon. Traditionally, the lateral sesamoid has been accessed through the dorsolateral or plantar approach. Although these approaches reliably access the fibular sesamoid they have associated complications. Here, we provide our technique for medial approach to the lateral sesamoid as well as an overview of our results. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Online Articles: Technique Source Type: research

Treatment of Ankle Fracture Complications and Subacute or Malreduced Ankle Fractures
Rotational ankle fractures are among the most prevalent intra-articular fractures of the body. When managed appropriately, they have favorable outcomes with relatively low complication rates. The proper management of these injuries requires an understanding of the radiographic imaging, surgical anatomy, and biomechanics of both the tibiotalar and distal tibiofibular joint. Some of the most common and impactful complications of operatively treated ankle fractures include wound necrosis, surgical site infection, malunion, nonunion, and posttraumatic ankle arthritis. The management of these complications must be assessed on a...
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Surgical Treatment of Posterior Malleolus Fractures and Posterior Fixation
Posterior malleolar fractures (PMFs) have been demonstrated to result in poorer outcomes than other types of ankle fractures with a higher incidence of posttraumatic arthritis. Accordingly, there has been a recent surge in interest in reduction and fixation of PMFs. Operative criteria for PMFs have been based on size, step-off, ankle joint instability, and syndesmotic injury, though universally accepted criteria have yet to be defined. Anatomically, the posterior malleolus is important as an insertion point of the posterior inferior tibiofibular ligament and thereby may play a role in syndesmotic stability. However, the im...
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Ankle Fractures in Diabetic Patients
Unstable ankle fractures in patients with complicated diabetes are an orthopedic challenge. Internal fixation, with augmentation, and prolonged immobilization and non–weight-bearing are important for improved patient outcomes. Despite the risks associated with surgical intervention, nonoperative treatment has been associated with significantly increased complications compared with operative treatment in diabetic patients with unstable ankle fractures. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Current Strategies in the Management of Syndesmotic Injuries
This article reviews the background of syndesmotic injuries, as well as recent aspects of management that have generated controversy. Particular emphasis is placed on assessment of reduction, syndesmotic stability, and of various methods of fixation. Level of Evidence: Level V—review article, expert opinion. See instructions for authors for a complete description of levels of evidence. (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

The Role of Ankle Arthroscopy in Ankle Fractures
The purpose of this chapter is to review the available literature and describe the technique when utilizing arthroscopy in the treatment of ankle fractures. The high incidence of acute cartilage injuries and the difficulty diagnosing syndesmotic instability in ankle fractures have led to the adjunctive use of arthroscopy in their treatment since the 1990s. Although this remains a controversial topic, multiple studies have demonstrated the potential of ankle arthroscopy to help confirm anatomic reduction, limit the surgical exposure and soft tissue trauma, and to diagnose and treat associated intra-articular pathology in di...
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Treatment of Deltoid Injuries Associated With Ankle Fractures
Complete avulsion of the superficial deltoid complex off the medial malleolus can occur during high-energy ankle fractures in young patients. Partial deltoid ligament injuries can also occur with avulsion fractures off the tip of the medial malleolus in low-energy ankle fractures in the elderly. Infolding and retraction of the avulsed deltoid complex can cause persistent widening of the medial clear space and lead to ankle fracture malreduction, postoperative medial gutter pain, and medial ankle instability. It is important for physicians to recognize and repair superficial deltoid ligament injuries in the setting of ankle...
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Indications, Postoperative Management, and Advances in Ankle Fracture Fixation
Ankle fracture management continues to be an evolving process, particularly with regards to identifying unstable fracture patterns, improving fixation techniques, and optimizing postoperative management. The most accurate method to identify unstable ankle fractures based on preoperative imaging remains controversial and further prospective studies with functional outcomes and well-defined instability parameters are still needed. Several studies have investigated advanced fixation techniques, however, standard nonlocking, one-third tubular plates can still be used for the majority of fractures. Locking plates may provide a ...
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research

Guest Editorial: Advances in Ankle Fractures “It’s Just an Ankle Fracture”
No abstract available (Source: Techniques in Foot and Ankle Surgery)
Source: Techniques in Foot and Ankle Surgery - August 21, 2018 Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fractures: “It’s Just an Ankle Fracture” Source Type: research