Arthroscopy of the ankle with micro-fracture technique is one way to initially treat symptomatic talar dome lesions. Human amniotic allograft has been used in similar bone, soft tissue and cartilage defects to aid in healing of tissue using graft cells that have not differentiated into a particular cell line. Patients were taken from the primary surgeon’s practice to include those who had under...

The ankle is the most common site of injury for occupants during frontal vehicular collisions [1]. This injury is also associated with impacts with the ground after falling from a height, as well as improvised explosive device detonations in combat zones. Damage to this region can result in considerable impairment due to poor vascularization and healing, and leads to long-term monetary healthca...

Proc (Bayl Univ Med Cent) 2006;19:402–405 A 42-year-old woman with lateral left ankle pain presented to the orthopaedic clinic. She complained of unrelenting left ankle pain following a fall a week earlier. The plain radiographs of her left ankle revealed no evidence of fracture. Following her visit to the clinic, the orthopaedic surgeon ordered a magnetic resonance imaging (MRI) study of the l...

BACKGROUND An anatomical reconstruction of the ankle congruity is the important prerequisite in the operative treatment of acute ankle fractures. Despite anatomic restoration patients regularly suffer from residual symptoms after these fractures. There is growing evidence, that a poor outcome is related to the concomitant traumatic intra-articular pathology. By supplementary ankle arthroscopy a...

BACKGROUND Ankle fractures in the elderly with osteoporotic bones are often difficult to manage. It is debatable whether we should treat such fractures conservatively, surgically, or even plan primary arthrodesis. Furthermore, there is a risk of difficult or failed fixation. MATERIAL AND METHODS The study was a retrospective evaluation of the management and follow up of 126 patients presentin...

Secondary anatomical reconstruction of malunions or nonunions after talar fractures or fracture-dislocations with preservation of all three joints aims at maximal functional rehabilitation. A corrective osteotmy or revision of a pseudoarthrosis with axial realignment and internal fixation was carried out in 22 patients (aged 15 to 50) at a mean of 9 (range, 1.5 to 45) months after having sustai...

Ankle fracture is one of the most common traumas, the surgical treatment of which is usually performed by residents in traumatological training. The area is prone to postoperative infections due to swelling and circulatory problems. Wound dehiscience and superficial skin infection are the most common complications of operative ankle fracture treatment (4.6%), while the incidence for deeper infe...

BACKGROUND Fractures of the shaft of the tibia often heal with some angulation. Although there is biomechanical evidence that such angulation alters load transmission through the joints of the lower limb, it is not clear whether it can eventually lead to osteoarthritis. METHODS One hundred and sixty-four individuals who had sustained a tibial shaft fracture were assessed in a research clinic ...