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Ǵм Vol.24_No.2 Suppl. P.S12-23, Dec. 2007

Review

Ankle Fracture

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E-mail: ajc@med.yu.ac.kr

December 30, 2007

Abstract

Ankle fractures are the most common types of fractures treated by orthopaedic surgeons. As a result of a better understanding of the biomechanics of ankle, improvements in fixation techniques, and findings of outcome studies, there has been a gradual evolution in the effective strategics for the treatment of ankle fractures. The goals of treatment continue to be both a healed fracture and an ankle that moves and functions normally without pain. The development of strategies for the treatment of various patterns of ankle injuries revolves around whether these goals can be achieved more predictably with surgical or nonsurgical means. Certain injury patterns have a better outcome after surgical treatment, while other pateerns are better managed without surgery. Surgical treatment is indicated when congruity of the joint cannot be restored with closed method.

Key Words: Ankle fracture

References

1. Sammarco GJ, Burstein AH, Frankel VH. Biomechanics of the Ankle: a kinematic study. Orthop Clin North Am 1973 Jan;4(1):75-96.

2. Rasmussen O, Kromann-Andersen C, Boe S. Deltoid ligament. Functional analysis of medial collateral ligamentous apparatus of the ankle joint. Acta Orthop scand. 1983 Feb;54(1):36-44.

3. Heim U, Pfeiffer KM. Internal Fixation of Small Fractures. Technique Recommended by the AO-ASIF Group 3rd ed. Springer-Verlag: 1988;286-335

4. Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am 1984 Apr;66(4):490-503.

5. Peter RE, Harrington RM, Henly MB. Effect of implants on the motion of the distal tibio-fibular syndesmotic joint. Comparison of screw versus K-wire fixation of Weber type C injuries. Trans Orthop Res Soc 1992;38:264.

6. Lambert KL. The weight-bearing function of the fibula. A strain gauge study. J Bone Joint Surg Am 1971 Apr;53(3):507-13.

7. Cedell CA. Ankle lesions. Acta Orthop Scand 1975 Jun;46(3):425-45

8. Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar Shift. J Bone Joint Surg Am 1976 Apr;58(3):356-7.

9. Curtis MJ, Michelson JD, Urquhart MW, Byank RP, Jinnah RH. Tibiotalar contact and fibular malunion in ankle fractures. A cadaver study. Acta Orthop Scand 1992 Jun;63(3):326-9.

10. Weber BG. Die verletzungen des oberen sprunglen 2nd ed. pp. Bernhans Huber 1992; 223-9.

11. Lauge-Hansen N. Fractures of the ankle. ll. Combined experimental-surgical and experimental- roentgenologic investigations. Arch Surg 1950 May;60(5):957-85.

12. Lindsjo U. Classification of Ankle fractures: the Lauge-Hansen or AO system? Clin Orthop Relat Res 1985 Oct;(199):12-6.

13. Lauge-Hansen N. Fractures of the ankle. lll. Genetic roentgenologic diagnosis of fracures of the ankle. Am J Roentgenol Radium Ther Nucl Med 1954 Mar;71(3):456-71.

14. Pankovich AM. Fractures of the fibula at the distal tibiofibular syndesmosis. Clin Orthop Relat Res 1979 Sep;(143):138-47

15. Bauer M, Bergstrom B, Hemborg A, Sandegard J. Malleolar fractures: nonoperative versus operative treatment. A controlled study. Clin Orthop Relat Res 1985 Oct;(199):17-27.

16. Rasmussen S, Madsen PV, Bennicke K. Observer variation in the Lauge-Hansen classification of ankle fracures. Precision improved by instruction. Acta Orthop Scand 1993 Dec;64 (6):693-4.

17. Pettrone FA, Gail M, Pee D, Fitzpatrick T, Van Herpe LB. Quantitative criteria for prediction of the results after displaced fracture of the ankle. J Bone Joint Surg Am 1983 Jun;65(5): 667-77.

18. Stiehl JB. Ankle fractures with diastasis. Instr Course Lect 1990;39.:95-103.

19. Cox JS, Hewes TF. Normal talar tilt angle. Clin Orthop Relat Res 1979 May;(140):37-41.

20. Kristensen KD, Hansen T. Closed treatment of ankle fractures. Stage ll supination-eversion fractures followed for 20 years. Acta Orthop Scand 1985 Apr;56(2): 107-9.

21. Quigley TB. Analysis and treatment of ankle injuries produced by rotatory, abduction and adduction forces. AAOS ICL 1970;19:172.

22. Mayer PJ, Evarts CM. Fracture-dislocation of the ankle with posterior entrapment of the fibula behind the tibia. J Bone Joint Surg Am 1978 Apr;60(3):320-4.

23. Yablon IG, Heller FG, Shouse L. The Key role of the Lateral malleolus in displaced Fracture of the ankle. J Bone Joint Surg Am 1977 Mar; 59(2):169-73.

24. Cedell CA, Is closed treatment of ankle fractures advisable? Acta Orthop Scand 1985 Apr;56(2): 101-2.

25. Vander Griend R, Michelson JD, Bone LB. Fractures of the ankle and the distal part of the tibia. Instr Course Lect 1997;46:311-21.

26. Harper MC, Hardin G. Posterior malleolar fractures of the ankle associated with external rotation-abduction injuries. Results with and without internal fixation. J Bone Joint Surg Am 1988 Oct;70(9):1348-56

27. Lindsjo U. Operative treatment of the ankle fractures. Acta Orthop Scand Suppl 1981;189: 1-131.

28. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am 1959 Sep;41-A:988-1020.