{"title":"Die akute ligamentäre Verletzung der Syndesmose — wie behandeln?","authors":"","doi":"10.1016/j.fuspru.2024.05.004","DOIUrl":"10.1016/j.fuspru.2024.05.004","url":null,"abstract":"<div><p>Recently, a better understanding of the mechanism of injury and treatment of acute syndesmotic injuries has been gained. Surgical treatment is recommended for unstable injuries. In addition to the implantation of fibulotibial positioning screws, dynamic suture button procedures and ligament bracing systems are available.</p><p>In recent years, the bony avulsions of the anterior syndesmosis on the ventral edge of the tibia (Tubercúle de Tillaux-Chaput fragment), of the ventral syndesmosis on the fibula (Wagstaffe fragment) and of the posterior syndesmosis (posterior malleolar fragment (PMF)), have become increasingly important, the refixation should be carried out generously. The treatment of additional delta ligament injuries continues to be controversial. The anatomical reconstruction of the ankle joint remains crucial for long-term results and functionality.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 83-93"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Minimally invasive foot and ankle surgery: A percutaneous approach","authors":"","doi":"10.1016/j.fuspru.2024.02.005","DOIUrl":"10.1016/j.fuspru.2024.02.005","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 129-130"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefan Rammelt , Javier Ignacio Gonzalez Salas , Christine Marx
{"title":"Syndesmotic ankle fractures","authors":"Stefan Rammelt , Javier Ignacio Gonzalez Salas , Christine Marx","doi":"10.1016/j.fuspru.2024.05.008","DOIUrl":"10.1016/j.fuspru.2024.05.008","url":null,"abstract":"<div><p>Injuries to the distal tibiofibular syndesmosis may present as ligament ruptures or bony avulsions. Both are equally important to overall ankle stability and are considered equivalent in the wake of ankle fractures. Syndesmotic ankle fractures and avulsions occur frequently at the anterior tibial tubercle (Tillaux-Chaput fracture – anterior malleolus, AM), anterior fibular tubercle (Wagstaffe-Le Fort fracture) or the posterior tibial tubercle (Earle’s or Volkmann’s triangle – posterior malleolus, PM). Overlooked, avulsed fragments may interfere with anatomic reduction of the distal fibula into the tibial incisura which is of prognostic relevance.</p><p>With suspected injury to the anterior or posterior tibial rim, the indication to perform computed tomography (CT) imaging should be made generously. With increased understanding of the three-dimensional pathoanatomy, fragment size of the avulsed posterior (and anterior) fragments is not the sole criterion for fixation anymore. Individualized treatment recommendations are guided by CT-based classifications of PM and AM fractures. These include criteria like displacement, joint impaction, the presence of intercalary fragments and loose bodies.</p><p>Anatomic reduction and internal fixation of displaced PM and AM fractures aims at recreation of the tibial incisura thus facilitating fibular reduction and restoration of the joint surface. Direct fixation of syndesmotic avulsions allows bone-to-bone stabilization of the syndesmosis rather than indirect stabilization with a syndesmotic screw or flexible implant. Direct fixation of PM fragments reportedly allows for higher quality of reduction and a more stable fixation than indirect reduction and fixation with a-p screws which in turn translates in superior outcome. A similar effect can be assumed for displaced AM fractures and needs to be confirmed in future studies.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 94-111"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000485/pdfft?md5=1a9a44af9622ee5b96711ecd2202f1b2&pid=1-s2.0-S1619998724000485-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of joint line level on clinical outcomes and range of motion in total ankle arthroplasty","authors":"","doi":"10.1016/j.fuspru.2024.04.002","DOIUrl":"10.1016/j.fuspru.2024.04.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Page 126"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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