Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Arthroscopic Assessment of Potential Intra-articular Ankle Injury in Treatment of Ankle Fracture

족관절 골절의 치료에 있어 잠재적 관절 내 손상의 관절경적 평가

  • Kim, Jung-Han (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Gwak, Heui-Chul (Department of Orthopedic Surgery, Busan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Hyeong-Joo (Departmnt of Medicine, Recruit Training Center of the 8th Army Division, Republic of Korea Army)
  • 김정한 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 곽희철 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 이형주 (육군 제8사단 신병교육대 의무반)
  • Received : 2015.06.26
  • Accepted : 2015.11.04
  • Published : 2015.12.15
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Abstract

Purpose: The purpose of this study was to analyze the frequency and patterns of intra-articular lesions detected during ankle fracture surgery using ankle arthroscopy. Materials and Methods: Thirty patients (31 ankles) who underwent open reduction and internal fixation combined with ankle arthroscopy for acute ankle fracture at Inje University Busan Paik Hospital from June 2011 to September 2013 were evaluated. The ankle fractures were classified according to the AO/OTA (AO Foundation and Orthopaedic Trauma Association) classification and the intraarticular injuries were identified by ankle arthroscopy. Osteochondral lesions of the talus were divided into nine subtypes based on their locations, and the ligament injuries were classified according to avulsion fracture and rupture. Results: Using arthroscopy, abnormality in the distal tibiofibular ligament was found in 21 cases and osteochondral lesions and defects of the talus larger than 5 mm were detected in 26 cases. Among ligament injuries, anterior inferior tibio-fibular ligament injury was found in 14 cases, posterior inferior tibio-fibular ligament injury was found in two cases, deep deltoid ligament injury was found in three cases, and deep transverse tibio-fibular ligament injury was found in five cases. The locations of the osteochondral lesions were on the antero-lateral, antero-medial, centro-medial, centro-central, centro-lateral, and postero-lateral talus in 11, one, two, one, two, and nine cases, respectively. Conclusion: With early diagnosis and treatment arthroscopy performed at the time of intra-articular fracture surgery is expected to result in a good outcome.

Keywords

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