Operation should be reserved for bi- or trimalleolar fractures, open fractures, injuries which compromise the skin or those involving the plafond or for patients who develop painful nonunion. Isolated fractures of the medial malleolus can obtain high rates of union and good functional results with conservative treatment. At review there was no evidence of medial instability, dermatological complications, malalignment of the mortise or of post-traumatic arthritis. The mean combined dorsi- and plantar flexion was 52.3 degrees (25 degrees to 82 degrees ) and the mean short form-36 and American Orthopaedic Foot and Ankle Society scores 48.1 (28 to 60) and 89.8 (69 to 100), respectively. Of the 57 fractures 55 healed without further treatment. The results were assessed by examination, radiography and completion of the short form-36 questionnaire and American Orthopaedic Foot and Ankle Society ankle-hindfoot score. 2006 88:1085-92.Between 19, 57 patients with 57 isolated fractures of the medial malleolus were treated conservatively by immobilisation in a cast. Pathoanatomy of Posterior Malleolar Fractures of the Ankle. Now we notice the subtle avulsion of the medial malleolus (red arrow). medial rupture or avulsion, high fibular fracture and finally a posterior malleolar fracture. There is still the possibility of a Weber C fracture, i.e. Operative treatment of ankle fractures in adults: correlation between types of fracture and final results. No sign of an oblique fracture of the lateral malleolus, so we can exclude a Weber B fracture. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. Evaluation of posterior malleolar fracturesand the posterior pilon variant in operatively treated ankle fractures. The consensus is the unstable type and best treated by open reduction and internal fixation. The unstable type has a medial malleolus fracture or deltoid ligament lesion in addition to a fibular fracture. Switaj P, Weatherford B, Fuchs D, Rosenthal B, Pang E, and Kadakia AR. The supinationexternal rotation or Weber B type fracture exists as a stable and an unstable type. Wheeless Textbook of Orthopaedics website. When they do occur, they are usually part of a more complex pattern of ankle fractures. Fractures of the medial malleolus are relatively uncommon. Operative aspects of the syndesmotic screw: Review of current concepts. A medial malleolus fracture can happen during activity when your foot collapses inward or rotates too far outward. Van den Bekerom M, Hogervorst M, Bolhuis CN. Accurate reduction of an ankle syndesmosis with the “glide path” technique. A selection of Tension Band Pins and AcuTwist Compression Screws are also included in the tray.ġ. The 2.7 mm and 3.5 mm locking, nonlocking, and variable angle hexalobe screws, 4.0 mm fully threaded and partially threaded cancellous hexalobe screws, and universal instrumentation are all housed in the Small Fragment Base Set. The Small Fragment Base Set includes One-Third Tubular Plates, as well as cut-to-length and bend-to-fit 2.7 mm L-shaped, T-shaped, and straight Fragment Plates that can also be used to address ankle fractures. The Ankle Plating System 3 is used in combination with the Acumed Small Fragment Base Set. 4.0 mm cannulated screws in lengths of 36 mm, 42 mm, and 48 mm are also included in the tray for the treatment of medial malleolar fractures. and some small avulsion fractures and fibular fractures at a relatively high location may be missed. Specialized plate features and unique instrumentation address disruption of the syndesmosis. Medial malleolus fracture and fibular fracture above the lower tibiofibular syndesmosis. Point your toes down as far as they go, then use the other foot on top to apply some pressure to create a stretch on the top of your foot. Put a towel/bandage around your foot and pull it towards you. The indication-specific plates address fracture patterns of the medial, lateral, and posterior malleoli. Sit with your leg straight out in front of you. and Bruce Ziran, M.D., the system is composed of seven plate families designed specifically for the treatment of ankle fractures. Designed in conjunction with Anish Kadakia, M.D. The Acumed Ankle Plating System 3 is designed to provide a variety of fixation options for fractures of the distal tibia and fibula. ⯈ See all Screw, Pin & Staples products.InstaFix Shape Memory Fixation System ⬦.ExtremiFix Cannulated Screw System | Midsize & Large ⬦.ExtremiFix Cannulated Screw System | Mini & Small ⬦.Acutrak 2 Headless Compression Screw System.Acutrak 3 Headless Compression Screw System.Polarus Proximal Humeral Plating System.Profile Plus Standard Profile Plating System ⬦.Profile Zero Low Profile Neuro Plating System ⬦.RibLoc U Plus Chest Wall Plating System.CFx Craniomaxillofacial Fixation System ⬦.ExtremiLock Ankle Fusion Plating System ⬦.
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