• Title, Summary, Keyword: Ankle fracture

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Surgical Treatment of Using Acutrak Screw for Ankle Medial Malleolar Fracture (Acutrak 나사를 이용한 족관절 내과 골절의 치료)

  • Kim, Kwang-Yeol;Kim, Hyoung-Cheon;Ahn, Su-Han;Yun, Hyoung-Jo;Cho, Sung-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.84-89
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    • 2010
  • Purpose: The purpose of this study is to evaluate the clinical and radiologic results of using Acutrak screws for treating ankle medial malleolar fracture. Materials and Methods: We reviewed 38 cases of ankle medial malleolar fracture treated with Acutrak screws from February 2005 to May 2008. Results: In clinical result, there were 30 exellent cases, 7 good cases, 1 fair case. In radiologic result, there is no case with reduction loss. Average union time is 10.5 weeks. Conclusion: We conclude that Acutrak screw fixation is a useful method for ankle medial malleolar fracture, there are many advantages in accurate anatomical reduction, small incision, short operative time.

The Function and Symptoms of Ankle Joint in the Distal Tibial Fractures Treated by Nailing (족관절 기능과 증상을 중심으로 평가한 경골 원위부 골절에서의 금속정 치료 결과)

  • Kim, Byoung-Min;Bae, Su-Young;Roh, Jae-Young
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.86-92
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    • 2008
  • Purpose: To evaluate the safety and prognostic factors of intramedullary nailing of distal tibia fractures in terms of function and symptoms of the ankle joint. Materials and Methods: We retrospectively analyzed 22 distal tibial fractures with intramedullary nailing. The mean duration of follow-up was 43 months. We reviewed medical records to describe each case. We measured radiographic parameters such as fracture configuration, arthritic change of the ankle joint and status of reduction. We also assessed clinical results by AOFAS ankle hind foot scoring system, degree of pain by VAS and range of motion to find out prognostic factors for functional result of the ankle joint. Results: Bone healing was obtained in all cases without any wound complications. Mean AOFAS ankle score was 94. There were 4 cases with mild (VAS<3/10) ankle pain and 2 cases with mild limitation of ankle motion. The comminution of fracture had a significant relationship with delayed angular deformity of ankle joint (p=0.032). There was no other significant parameter affecting ankle joint function except the location of nail-end. Conclusion: Intramedullary nailing in distal tibia fracture is a safe and effective procedure. But further study may need to evaluate the relationship between the position of nail-end and the function of ankle joint.

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Stress Fracture in Medial Malleolus in Ankle (A Case Report) (족근관절 내과에 발생한 피로골절(1예보고))

  • Lee, Kyung-Tai;Young, Ki-Won;Park, Shin-Yi;Lee, Young-Koo;Na, Sang-Eun
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.224-226
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    • 2008
  • Although stress fracture of lower extremity is a relatively common, stress fracture of medial malleolus is rare. So we report one case. He is a 17 year old soccer player and successfully treated with surgical treatment (open reduction and internal fixation with one screw.

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Ruptured Posterior Tibial Tendon in Closed Ankle Fracture - A Case Report - (폐쇄성 족관절 골절에 동반된 후경골건 파열 - 1예 보고 -)

  • Choi, Joong-Geun;Woo, Seung-Han
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.92-95
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    • 2002
  • Traumatic ruptures of tibialis posterior tendon are much less common and consequently have received little attention. A tibialis posterior tendon rupture associated with a closed medial malleolar fracture occured in a 32 years old man due to slip down. The tendon rupture was not diagnosed before surgery but was recognized at the time of open operation. The treatment was open reduction and internal fixation at the bony fragments with primary repair of the tendon. This tendon injury, although rare, should be considered in the management of ankle fracture because the tendon rupture could easily have been overlooked and failure to recognize this at the time of injury may result in poor long - term ankle function despite a well- healed fracture.

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Clinical Outcome after Early Rehabilitation according to Injury Type in Ankle Fracture (족관절 골절 형태에 따른 조기 재활의 임상결과)

  • Song, Joong Won;Lee, Ho Seong;Seo, Sang Gyo;Ryu, Chang Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.1
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    • pp.21-26
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    • 2017
  • Purpose: To evaluate the clinical outcome of an operation with early rehabilitation from ankle fracture in accordance with the injury type. Materials and Methods: A total of 136 patients (70 males and 66 females) who underwent surgery and early rehabilitation for ankle fractures between December 2008 and December 2013 were retrospectively reviewed. The average age was 47.9 years, with a range of 18~79 years. The mean follow-up period was 28.7 months, with a range of 24~102 months. All patients were classified in accordance with the Lauge Hansen classification and anatomic fracture site. Moreover, the presence of ligament injuries were documented. A short-leg cast was applied postoperatively for two weeks; thereafter, patients began the range-of-motion exercises after cast removal. Full weightbearing was allowed at 2 weeks postoperatively. Each patient was assessed radiologically and clinically based on the OlerudMolander score, visual analogue scale (VAS) for pain, joint stiffness, and capability of single heel raising. Results: Seventeen patients (12.5%) complained of postoperative pain (VAS score 1~3), and the incidence was higher in patients with trimalleolar fractures or associated ligament injuries. Twenty-three patients (16.9%) complained of postoperative ankle stiffness. The mean Olerud-Molander score was 75.4/80 (range, 55~80). Olerud-Molander scores were lower in patients with ligament injuries than in those with fracture alone. There was no nonunion or fracture displacement even after early weightbearing walking. Conclusion: In this retrospective series, early rehabilitation after surgical restoration of ankle mortise by anatomical reduction and stabilization was shown to be successful. Earlier motion exercise and weightbearing walking can minimize fracture complications like joint stiffness or weakness in ankle fracture.

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;Gwak, Heui-Chul;Lee, Hyeong-Joo
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.151-155
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    • 2015
  • 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.

Failure of Reduction for Ankle Fracture-Dislocation Caused by Tibialis Posterior Tendon Interposition: A Case Report (후경골건 감입에 의한 족관절 골절-탈구의 정복 실패: 증례 보고)

  • Ha, Dong-Jun;Gwak, Heui-Chul;Jeong, Dong-Woo;Roh, Sang-Myung
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.217-221
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    • 2014
  • Fracture and fracture-dislocation of the ankle may be caused by a variety of mechanisms. In addition to the fracture, injury of soft tissue such as ligaments, tendons, nerves, and muscles may occur. Among these, tibialis posterior tendon injury is difficult to identify due to swelling and pain at the fracture site. There is no clear finding in radiological examination, therefore, it is found during surgery. In this case, irreducible fracture-dislocation of the ankle due to tibialis posterior tendon interposition was observed after the primary operation. The authors obtained satisfactory results in performance of a secondary operation assisted with arthroscopy.

Osteochondral Fracture on the Articular Surface of the Medial Malleolus of the Tibia - A Case Report - (경골 원위부 내과 관절면에 발생한 골연골 골절 - 1례 보고 -)

  • Kang, Jae-Do;Kim, Hyung-Chun;Kyoung, Chi-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.35-38
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    • 2000
  • Osteochondral fracture is common in adolescent and usually occurs in the knee and ankle. Many authors have written concerning osteochondral fracture of the ankle joint, however, many of these pertain only to the talus. The author has found an osteochondral fracture of the articular surface of the medial malleolus within the ankle joint not previously described. We report a case of this lesion that was treated by arthroscopic osteochondral fragment removal.

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Fixation with Bioabsorbable Polylactide Plate and Screws for the Treatment of the Ankle Fractures (생체 흡수성 판과 나사못을 이용한 족근 관절 골절의 치료)

  • Kwon, Duck-Joo;Lee, Yong-Beom;Shin, Jun
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.1
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    • pp.80-84
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    • 2009
  • Purpose: The purpose of this article is to assess the efficacy of a bioabsorbable polylactide (PLA) plate and screw for treating injuries of ankle fractures. Materials and Methods: 24 patients who underwent an open reduction and internal fixation operation for ankle fractures from July 2005 to March 2007 were enrolled into the study. There were 15 men and 9 women. The average age of the patients was 44 years and the average follow-up period was 16 years and two months (16.2 months). All cases were divided into low grade fracture patient (11) who belongs in type A and B of Danis-Weber classification and high grade fracture patient (13) who belongs in type C1, C2 of Danis-Weber classification, and each groups were analyzed by clinical (Meyer score) and radiological finding at the time of their last follow-up evaluation. Results: The clinical results according to Meyer scoring system, showed that all patient with low grade fracture had good to excellent result, but only 54% of patient with high grade fracture had good to excellent result. According to Cedell's radiologic finding, there were 91% cases above fair in low grade fracture. But there were 62% of patient above fair result in high grade fracture, the reduction losses were seen in 38% of patient with high grade fracture. Conclusion: Bioabsorbable PLA plate and screw is good internal fixation device which doesn't have additional operation for removal of implant because of slow absorption within the human body. It showed sufficient strength for acquisition and maintenance of reduction in low grade fracture, but need attention to use because of many cases of reduction loss in high grade fracture. So, it seems to be safe and effective when used in heeling of low grade fracture under considering about type of fracture sufficiently.

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Acute Anterior Talofibular Ligament Open Type Avulsion Fracture: A Case Report (전거비 인대의 개방성 견인 골절: 증례 보고)

  • Kang, Chan;Lee, Gi-Soo;Lee, Jung-Kil
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.170-172
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    • 2018
  • An ankle sprain is a relatively common sports-related injury but a severe open ankle sprain (SOAS) is very rare. A 27-year-old female athlete was injured during running and was hospitalized because of an inversed ankle injury with an open wound. She was diagnosed initially with an open-avulsion fracture at the tip of the fibula with an anterior talofibular ligament tear. The patient was finally diagnosed with SOAS from the surgical findings and literature review. SOAS should also be considered if there is a transverse open wound at the time of an ankle injury.