Current management of trimalleolar ankle fractures.
ankle joint
fibula
fracture fixation
tibia
trimalleolar ankle fractures
Journal
EFORT open reviews
ISSN: 2058-5241
Titre abrégé: EFORT Open Rev
Pays: England
ID NLM: 101695674
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
entrez:
17
9
2021
pubmed:
18
9
2021
medline:
18
9
2021
Statut:
epublish
Résumé
A trimalleolar ankle fracture is considered unstable and treatment is generally performed operatively. Computed tomography is important for the operative planning by providing an elaborated view of the posterior malleolus.Trimalleolar ankle fractures have a rising incidence in the last decade with up to 40 per 100,000 people per year. With a growing number of elderly patients, trimalleolar ankle injuries will become more relevant in the form of fragility fractures, posing a particular challenge for trauma surgeons.In patients with osteoporotic trimalleolar ankle fractures and relevant concomitant conditions, further evidence is awaited to specify indications for open reduction and internal fixation or primary transfixation of the ankle joint.In younger, more demanding patients, arthroscopic-assisted surgery might improve the outcome, but future research is required to identify patients who will benefit from assisted surgical care.This review considers current scientific findings regarding all three malleoli to understand the complexity of trimalleolar ankle injuries and provide the reader with an overview of treatment strategies and research, as well as future perspectives. Cite this article:
Identifiants
pubmed: 34532077
doi: 10.1302/2058-5241.6.200138
pii: 10.1302_2058-5241.6.200138
pmc: PMC8419795
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
692-703Informations de copyright
© 2021 The author(s).
Déclaration de conflit d'intérêts
ICMJE Conflict of interest statement: The authors declare no conflict of interest relevant to this work.
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