Syndesmotic Malreduction after Ankle ORIF; Is Radiography Sufficient?
Publish place: The Archives of Bone and Joint Surgery، Vol: 1، Issue: 2
Publish Year: 1392
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_TABO-1-2_012
تاریخ نمایه سازی: 11 بهمن 1400
Abstract:
Background: Ankle fractures, especially those resulting from external rotation mechanisms are associated with injury to the distal tibiofibular syndesmosis. Some authors have recommended performing CT scanning after open ankle surgery to evaluate the reduction of syndesmosis. In this current study, we aimed to investigate the sensitivity of plain radiography in diagnosing syndesmosis malreduction after open reduction and internal fixation (ORIF) in patients with ankle fractures. Methods: Thirty patients with ankle fractures participated in this prospective study. ORIFs were performed with respect to all of the technical guidelines shown in orthopedic literature for exact syndesmosis reduction, such as fibular length and proper settings. In the operating room, plain radiography was performed in anteroposterior, mortise and lateral views to assess whether syndesmosis was malreduced. If malreduction was detected, the patient was revised. As the gold standard, patients underwent postoperative bilateral CT scanning to investigate the syndesmosis reduction which was then compared to the healthy side. Finally, the sensitivity of plain radiography in the diagnosis of syndesmosis malreduction was determined by comparing this method to CT scanning. Results: In both of the methods we did not find any patient with syndesmosis malreduction. Hence, the sensitivity of plain radiography was determined ۱۰۰%. Conclusion: Based on our findings, there is no need to perform CT scanning to evaluate syndesmosis reduction after ankle ORIF in patients with ankle fractures. Plain radiography is sufficient and has satisfactory sensitivity in these patients.
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Authors
Alireza Manafi Rasi
Department of Orthopedic Surgery Imam Hossein Hospital Shahid Beheshti University of Medical Sciences Tehran, Iran.
Gholamhossein Kazemian
Department of Orthopedic Surgery Imam Hossein Hospital Shahid Beheshti University of Medical Sciences Tehran, Iran.
Mohamad M Omidian
Department of Orthopedic Surgery Imam Hossein Hospital Shahid Beheshti University of Medical Sciences Tehran, Iran
Ali Nemati
Department of Orthopedic Surgery Imam Hossein Hospital Shahid Beheshti University of Medical Sciences Tehran, Iran.
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