Operative treatment of ankle fractures in adults: correlation between types of fracture and final results. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. Evaluation of posterior malleolar fracturesand the posterior pilon variant in operatively treated ankle fractures. Switaj P, Weatherford B, Fuchs D, Rosenthal B, Pang E, and Kadakia AR. Wheeless Textbook of Orthopaedics website. Operative aspects of the syndesmotic screw: Review of current concepts. Van den Bekerom M, Hogervorst M, Bolhuis CN. Accurate reduction of an ankle syndesmosis with the “glide path” technique. A selection of Tension Band Pins and AcuTwist Compression Screws are also included in the tray.ġ. The 2.7 mm and 3.5 mm locking, nonlocking, and variable angle hexalobe screws, 4.0 mm fully threaded and partially threaded cancellous hexalobe screws, and universal instrumentation are all housed in the Small Fragment Base Set. The Small Fragment Base Set includes One-Third Tubular Plates, as well as cut-to-length and bend-to-fit 2.7 mm L-shaped, T-shaped, and straight Fragment Plates that can also be used to address ankle fractures. Methods: Between 20, the cases of 14 NFL players who underwent ankle fracture fixation with open deltoid complex repair were reviewed. The Ankle Plating System 3 is used in combination with the Acumed Small Fragment Base Set. We found that there is often complete avulsion of the superficial deltoid complex off the proximal aspect of the medial malleolus during high-energy ankle fractures in athletes. 4.0 mm cannulated screws in lengths of 36 mm, 42 mm, and 48 mm are also included in the tray for the treatment of medial malleolar fractures. Specialized plate features and unique instrumentation address disruption of the syndesmosis. The indication-specific plates address fracture patterns of the medial, lateral, and posterior malleoli. and Bruce Ziran, M.D., the system is composed of seven plate families designed specifically for the treatment of ankle fractures. Designed in conjunction with Anish Kadakia, M.D. The Acumed Ankle Plating System 3 is designed to provide a variety of fixation options for fractures of the distal tibia and fibula. ⯈ See all Screw, Pin & Staples products.InstaFix Shape Memory Fixation System ⬦.ExtremiFix Cannulated Screw System | Midsize & Large ⬦.ExtremiFix Cannulated Screw System | Mini & Small ⬦.Unfortunately, all the above classifications were mostly used for the descriptions of fracture morphology based on X-ray film while the. Acutrak 2 Headless Compression Screw System The Herscovici system is based on the level of medial malleolar fracture and classified into 4 groups: avulsion fractures, between the tip and plafond, at the level of the plafond, and vertical fractures.Acutrak 3 Headless Compression Screw System.Polarus Proximal Humeral Plating System.
MEDIAL MALLEOLUS AVULSION FRACTURE PLUS
Profile Plus Standard Profile Plating System ⬦.Profile Zero Low Profile Neuro Plating System ⬦.RibLoc U Plus Chest Wall Plating System.CFx Craniomaxillofacial Fixation System ⬦.You may walk on the foot as comfort allows. This normally takes approximately 6 weeks to unite (heal) although pain and swelling can be ongoing for 3 to 6 months. Please see the picture below to understand where this injury is. ExtremiLock Ankle Fusion Plating System ⬦ You have sustained a fracture to your medial malleolus (bone on the inside of ankle).To date, there is limited evidence of superior clinical outcomes with the addition of deltoid repair compared with open reduction and internal fixation of the fibula alone. The most common injury pattern is avulsion from the medial malleolus, and most current repair techniques involve direct repair of the capsular and deltoid injuries involving suture anchors in the medial malleolus and imbrication of the superficial and deep deltoid fibers. In mild cases, deltoid injury may not be obvious, and potential diagnostic techniques include preoperative and intraoperative stress radiography, MRI, and ultrasonography. Retraction of the deltoid with subsequent healing in a nonanatomic position theoretically may cause instability, persistent medial gutter pain, and loss of function with risk of early arthritis. In bimalleolar equivalent ankle fractures, there is often gross medial instability even after fibular reduction. In the native ankle, the deltoid ligament provides restraint to eversion and external rotation of the talus on the tibia. When the deltoid ligament ruptures, a "bimalleolar equivalent" ankle fracture occurs, and the surgeon is presented with several diagnostic and therapeutic challenges. The last stage of a supination-external rotation ankle fracture involves either transverse fracture of the medial malleolus or rupture of the deltoid ligament.
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