Foot & ankle international
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Medical imaging of the distal tibiofibular joint requires reliable and simple tools to identify disruption of the syndesmosis. We present an anatomical feature, the "tibiofibular line," which appears on axial computed tomography (CT) images of normal ankles. This feature is a straight line that connects the anterolateral surface of the fibula with the anterolateral tubercle of the tibia at the level of the ankle syndesmosis. The purpose of this study was, first, to demonstrate that this line is a reliable anatomical feature in normal ankles and, second, to demonstrate that this line is displaced with diastasis or malrotation of the syndesmosis. ⋯ Level III, comparative series.
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Randomized Controlled Trial
Comparison of lag screw versus buttress plate fixation of posterior malleolar fractures.
The goal of this study was to report the results of selective open reduction and internal fixation of fractures of the posterior malleolus with a posterolateral approach and to compare the results of the 2 techniques. ⋯ Level II, prospective case series.
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Randomized Controlled Trial
Syndesmotic fixation in supination-external rotation ankle fractures: a prospective randomized study.
This study compared mid-term functional and radiologic results of syndesmotic transfixation with no fixation in supination external rotation (SER) ankle fractures with intraoperatively confirmed syndesmosis disruption. Our hypothesis was that early-stage good functional results would remain and unfixed syndesmosis disruption in SER IV ankle fractures would not lead to an increased incidence of osteoarthritis. ⋯ Level II, prospective comparative study.
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Charcot neuroarthropathy in the developed countries is primarily associated with diabetic neuropathy. This study investigated a series of patients with Charcot arthropathy associated with idiopathic peripheral neuropathy to evaluate the natural history in these patients and to evaluate the efficacy of a treatment protocol used for diabetic Charcot joints. ⋯ Level IV, retrospective case series.