Acta Orthop Belg
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Case Reports
Anterior ankle dislocation without associated fracture: a case with an 11 year follow-up.
Ankle dislocations without concomitant malleolar fractures, also called pure ankle dislocations, are rare injuries. We present what appears to be the third documented case of a true anterior pure ankle dislocation described in international literature. The mechanism, the management and the complications of this rare injury, are also discussed.
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Posterior lumbar interbody fusion (PLIF) with cages can be combined with decompression of the spinal canal and with instrumented posterolateral fusion (IPLF) with pedicle screws, through a single posterior incision. The authors wanted to assess retrospectively the clinical and radiological outcome of PLIF + IPLF performed by the senior author. Between July 1997 and December 2003, 75 patients underwent PLIF with cages and IPLF with transpedicular instrumentation, for either degenerative disc disease, stenosis, spondylolisthesis or post-discectomy syndrome. ⋯ Three patients sustained a neurological complication, but only one was left with a partial drop foot. The results were comparable with similar studies. Therefore the authors recommend further use of PLIF + IPLF in painful lumbar degenerative spinal disease where conservative management has failed.