Published in:
Open Access
01-12-2021 | Ankle Fracture | Research article
Intraoperative three-dimensional imaging in ankle syndesmotic reduction
Authors:
Markus Beck, Manuela Brunk, Alice Wichelhaus, Thomas Mittlmeier, Robert Rotter
Published in:
BMC Musculoskeletal Disorders
|
Issue 1/2021
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Excerpt
Osteoligamentous injuries to the ankle joint are the most common injuries to the lower limb. The total percentage of fractures of the foot and ankle joint is 56% [
1]. Criteria for the choice of therapy are the degree of dislocation and instability of the fracture [
2]. Fractures with accompanying unstable syndesmosis injuries are considered a reliable indication for surgery. The incidence of this additional injury in upper ankle fractures is 16% [
3]. The accompanying tibiofibular ligament injury significantly worsens the clinical and radiological outcome of the patients [
4]. Intra- and postoperative fluoroscopic and radiographic examinations show a very low sensitivity and specificity in the detection of postoperative malpositions of the fibula in the tibial incisura [
5‐
7]. If postoperative malpositions are not detected and the injury heals into a malposition, this will be associated with poor function and premature arthrosis [
8]. …