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Classification of posterior malleolar fractures in ankle fractures


Authors: J. Bartoníček 1,2;  S. Rammelt 3;  D. Klika 4;  O. Naňka 2;  M. Tuček 1;  K. Kostlivý 5;  MUDr. Václav Vaněček 1
Authors place of work: Klinika ortopedie 1. LF Univerzity Karlovy a ÚVN − FVN Praha 1;  Anatomický ústav 1. LF Univerzity Karlovy, Praha 2;  University Center of Orthopedics and Traumatology, University Hospital Carl Gustav Carus, Dresden 3;  Radiologické oddělení ÚVN – FVN Praha 4;  Chirurgická klinika 1. LF Univerzity Karlovy a Thomayerova nemocnice, Praha 5
Published in the journal: Rozhl. Chir., 2018, roč. 97, č. 2, s. 52-59.
Category: Review

Summary

The study presents an overview of the most common radiography and CT-based classifications of posterior malleolar fractures in ankle fracture-dislocations. Their analysis has shown that posterior malleolar fractures largely vary in size and shape. Evaluation of fractures by plain radiographs is inadequate. A detailed assessment of the fragment shape and course of fracture lines requires CT examination in all three projections, followed by 3D CT reconstructions.

Key words:
ankle fracture – dislocations − trimalleolar fractures − posterior malleolar fractures − classification


Zdroje

1. 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 1988;70-A:1348−56.

2. Heim U. Trimalleoar fractures: Late results after fixation of the posterior fragment. Orthopedics 1989;12:1053−9.

3. Jaskulka RA, Ittner G, Schedl R. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. J Trauma 1989;29:1565−70.

4. Gardner MJ, Brodsky A, Briggs SM, et al. Fixation of posterior malleolar fractures provides greater syndesmotic stability. Clin Orthop Relat Res 2006;447:165−71.

5. Bois AJ, Dust W. Posterior fracture dislocation of the ankle: technique and clinical experience using a posteromedial surgical approach. J Orthop Trauma 2008; 22:629−36.

6. van den Bekerom MP, Haverkamp D, Kloen P. Biomechanical and clinical evaluation of posterior malleolar fractures. A systematic review of the literature. J Trauma 2009; 66:279−84.

7. Heim D, Niederhauser K, Simbray N. The Volkmann dogma: a retrospective, long-term, single-center study. Eur J Trauma Emerg Surg 2010;36:515−9.

8. Náhlík D, Hart R, Kozák T, et al. Osteosyntéza zadní hrany tibie – ano či ne? Úraz Chir 2011;19:64−70.

9. Rammelt S, Heim D, Hofbauer LC, et al. Probleme und Kontroversen in der Behandlung von Sprunggelenkfrakturen. Unfallchirurg 2011;114:847−60.

10. Streubel PN, McCormick JJ Gardner MJ. The posterior malleolus: should it be fixed and why? Curr Orthop Prax 2011;22:17−24.

11. Bartoníček J, Kostlivý K, Trešl I. Zlomeniny zadní hrany tibie u zlomenin hlezna. Rozhl Chir 2012;91:506−12.

12. Yao L, Zhang W, Yang G, et al. Morphologic characteristics of the posterior malleolar fragment: a 3-D computer tomography based study. Arch Orthop Trauma Surg 2014;134:389−94.

13. Evers J, Barz L, Wähnert D, et al. Size matters: The influence of posterior fragment on patient outcomes in trimalleolar ankle fractures. Injury 2015;46 Suppl4:S109−S113.

14. Magnus L, Meijer DT, Stufkens SA, et al. Posterior malleolar fracture patterns. J Orthop Trauma 2015;29:428−35.

15. Destot E. Traumatisme du pied et rayons X. Paris, Masson 1911.

16. Henderson MS. Trimalleolar fractures of the ankle. Surg Clin N Am 1932;12:867−72.

17. Lauge N. Fractures of the ankle. Arch Surg 1948;56:259−317.

18. Bartoníček J. Avulsed posterior edge of tibia – Earle’s or Volkmann’s triangle? J Bone Joint Surg 2004;86B:746−50.

19. Bartoníček J, Kostlivý K. Historie zlomeniny zadní hrany tibie u luxačních zlomenin hlezna. Ortopedie 2014;8:132−6.

20. Earle H. Simple, succeeded by compound dislocation forwards, of the inferior extremity of the tibia, with fracture of its posterior edge, comminuted fracture of the fibula, amputation of the leg, and death. Lancet 1828-29;II/6:346−8.

21. Volkmann R. Beiträge zur Chirurgie anschliessend an einen Bericht über die Thätigkeit der chirurgischen Universitätsklinik zu Halle im Jahre 1873. Cbl Chir 1875;2:353−8.

22. Lounsbury BF, Metz AR. Lipping fracture of lower articular end of tibia. Arch Surg 1922;5:678−90.

23. Leveuf J. Traitment des fractures et luxations des membres. Paris, Masson 1925.

24. Nelson MC, Jensen NK. The treatment of trimalleolar fractures of the ankle. Surg Gynec Obst 1940;71:509−14.

25. Bartoníček J. Anatomy of the tibiofibular syndesmosis and its clinical relevance. Surg Radiol Anat 2003;25:379−86.

26. Chaput V. Les fractures malléolaires du cou-de-pieds et les accidents du travail. Paris, Masson 1907.

27. Grondahl NB. Fractura marginalis posterior tibiae og andre bruddkomplikationer ved ankelbrudd. Norsk Mag F Laegevidensk 1913;11:737 (citováno podle Lauge[17]).

28. Souligoux. Des fractures du cou-de-pied. Tribune Med 1913;47:1 (citováno podle Lauge[17]).

29. Ashhurst APC, Bromer RS. Classification and mechanism of fractures of the leg bones involving the ankle. Arch Surg 1922;4:51−129.

30. Weber BG. Die Verletzungen des oberen Sprunggelenkes. Bern, Huber 1966.

31. Heim U. Indikation und Technik der Stabilisierung des hinteren Kantendreiecks nach Volkmann bei Malleolarfrakturen. Unfalheilkunde 1982;85:388−94.

32. Müller ME, Nazarian S, Koch P, et al. The comprehensive classification of long bones. Berlin, Springer 1987.

33. Haraguchi N, Haruyama H, Toga H, et al. Pathoanatomy of posterior malleolar fractures of the ankle. J Bone Joint Surg 2006;88-A:1085−92.

34. Bartoníček J, Rammelt S, Kostlivý K, et al. Anatomy and classification of the posterior tibial fragment in ankle fractures. Arch Orthop Trauma Surg 2015;135:506−16.

35. Bartoníček J, Rammelt S, Tuček M, et al. Posterior malleolar fractures of the ankle. Eur J Trauma Emerg Surg 2015;41:587−600.

36. Mittlmeier T, Bartoníček J, Rammelt S. Das posteriore Tibiakantenfragment bei der Fraktur des oberen Sprunggelenks. FussSprungg 2016;14:79−93.

37. Bartoníček J, Rammelt S, Tuček M. Posterior malleolar fractures: Changing concepts and recent developments. Foot Ankle Clin N Am 2017;22:125−45.

38. Klammer G, Kadakia AR, Joos DA, et al. Posterior pilon fractures: A retrospective case series and proposed classification system. Foot and Ankle Int 2013;34:189−99.

39. Switaj PJ, Weatherford B, Fuchs D, et al. Evaluation of posterior malleolar fractures and the posterior pilon in operatively treated ankle fractures. Foot Ankle Int 2014;35:886−95.

40. Ferries JS, DeCoster TA, Firoozbakhsh KK, et al. Plain radiographic interpretation in trimalleolar ankle fractures poorly assesses posterior fragment size. J Orthop Trauma 1994;8:328−31.

41. Buchler L, Tannast M, Bonel HM, et al. Reliability of radiologic assessment of the fracture anatomy at the posterior tibial plafond in malleolar fractures. J Orthop Trauma 2009;23:208−12.

42. Meijer DT, de Muinck Keizer RJO, et al. Diagnostic accuracy of 2-dimensional computed tomography for articular involvement and fracture pattern of posterior malleolar fractures. Foot Ankle Int 2016;37:75−82.

Štítky
Surgery Orthopaedics Trauma surgery
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