Osteochondral lesions of the talar dome are commonly the result of ankle trauma. While the technique of surgical repair of ankle fractures has been well reported, there are no studies that correlate the presence or absence of talar dome lesions. A possible explanation for this may be lack of intraoperative inspection of the talar articular surface. This retrospective study evaluates the inciden...

The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction and internal fixation are disputed even when hardware-related pain is insignificant. Thus, we determined the clinical effects of routine hardware removal irrespective of the degree of hardware-related pain, especially in the perspective of patients' daily activit...

BACKGROUND Surgical management of ankle fractures will be an increasing part of the orthopaedic practice for aging adults. To date, there are few studies comparing outcomes after ankle fracture surgery between patients over and under 65 years. The purpose of this study was to evaluate short- and long-term outcomes after surgical treatment of isolated malleolar fractures in both the elderly and ...

OBJECTIVE To determine the sources and magnitude of residual morbidity after successful treatment of tibial nonunion using the Ilizarov device and techniques. DESIGN A retrospective cohort study. SETTING A level 1 trauma centre. PATIENTS Sixteen patients with healed tibial nonunion. INTERVENTION Application of the Ilizarov device and techniques to obtain union of a previous ununited tib...

BACKGROUND To identify the fracture configuration and treatment results for patients with triplane and Tillaux fractures in the ankle joint. METHODS A retrospective study was performed on 14 patients with a more than one year follow-up. This study investigated the fracture configuration, concomitant fibula fracture, treatment methods and complications. The treatment outcomes were analyzed usi...

INTRODUCTION Foot and ankle impact injury is common in geriatric trauma and often leads to fracture of rearfoot, including calcaneus and talus. The objective of this study was to assess the influence of foot impact on the risk of calcaneus and talus fracture via finite element analysis. METHODS A three-dimensional finite element model of foot and ankle was constructed based on magnetic resona...

Venous thromboembolism following trauma is an uncommon event in childhood and associated pulmonary embolus after routine lower extremity fracture is exceedingly rare. We present a case report of postoperative pulmonary embolus following an open reduction and internal fixation of a Salter-Harris IV medial malleolus fracture in a 9-year-old boy. Four days after open reduction and percutaneous pin...

Ankle fractures are among the most commonly encountered types of injuries in the lower extremity. Depending on the type of injury and its mechanism, open reduction with internal fi xation may be necessary. Typically, the main concerns with surgically repaired ankle fractures are restoration of fi bular length, restoration of joint congruity, and the stabilization of any concomitant syndesmotic ...

BACKGROUND The aim of this study was to evaluate the test-retest reliability and the validity of the self-reported questionnaire Olerud-Molander Ankle Score (OMAS) in subjects after an ankle fracture. METHODS When evaluating the test-retest reliability of the OMAS, 42 subjects surgically treated due to an ankle fracture participated 12 months after injury. OMAS was completed by the patients o...

We used MRI to study a prospective series of 95 patients with inversion injuries of the ankle and no fracture on plain radiographs. We found an incidence of bone bruises of 27%, but these made no difference to the time of return to work, limitation of walking or physical activity, or the clinical outcome scores at three months. We conclude that bone bruises have very little clinical significanc...