Ankle fractures

Last evidence check November 2011.

Akhtar S et al. Pragmatic treatment of ankle fractures of uncertain stability: clinical features and risk of displacement. BOFAS 2009

Bauer M et al. Malleolar fractures: nonoperative versus operative treatment. CORR 1985; 199:17-27

Boden SD et al. Mechanical considerations for the syndesmosis screw. A cadaver study. JBJS 1989;71A:1548-55

Brage ME et al. Observer reliability in ankle radiographic measirements. FAI 1997;18:324-9

Burns WC et al. Tibiotalar joint dynamics: indications for the syndesmotic screw--a cadaver study. Foot Ankle 1993;14:153-8

Candal-Couto JJ et al. Instability of the tibio-fibular syndesmosis: have we been pulling in the wrong direction? Injury 2004;35:814-8

Chou LB, Lee DC. Current Concept Review: Perioperative Soft Tissue Management for Foot and Ankle Fractures. FAI 2009; 30:84-90

Costigan W, Thordarson DB, Debnath UK. Operative management of ankle fractures in patients with diabetes mellitus. Foot Ankle Int. 2007;28:32-7.

Cottom JM et al. Transosseous fixation of the distal tibiofibular syndesmosis: comparison of an interosseous suture and endobutton to traditional screw fixation in 50 cases. JFAS 2009; 48:620-30

Court-Brown CM et al. Adult ankle fractures - an increasing problem? AOS 1997; 69:43-47

Dalal S, Barrie J. Do patients with stable foot and ankle fractures want a cast? BOFAS 2010

De Groot H et al. Outcomes of suture button repair of the distal tibiofibular syndesmosis. Foot Ankle Int 2011; 32: 250-256.

Egol KA et al. Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures. JBJS 2004; 86A:2392-8

Egol KA et al. Functional outcome of surgery for fractures of the ankle. A prospective, randomised comparison of management in a cast or a functional brace. JBJS 2000;82(2):246-9

Egol KA et al. Outcome after unstable ankle fracture: effect of syndesmotic stabilization. J Orthop Trauma. 2010;24(1):7-11

Forsythe K et al. Comparison of a novel FiberWire-button construct versus metallic screw fixation in a syndesmotic injury model. FAI 2008; 29:49-54

Fox A et al. Five years of ankle fractures grouped by stability. Injury 2005;36:836-41

Flynn JM; Rodriguez-del Rio F; Piza PA: Closed ankle fractures in the diabetic patient. Foot Ankle Int. 21:311–319, 2000

Gardner MJ et al. Fixation of posterior malleolar fractures provides greater syndesmotic stability. CORR 2006; 447:165-71

Gardner MJ et al. Malreduction of the tibiofibular syndesmosis in ankle fractures. FAI 2006; 27:788-92

Gardner MJ et al. The ability of the Lauge-Hansen classification to predict ligament injury and mechanism in ankle fractures: an MRI study. J Orthop Trauma 2006;20:267-72

Gougoulias N et al. Supination-external rotation ankle fractures: stability a key issue. CORR 2010;468:243-51

Gul A et al. Immediate unprotected weight-bearing of operatively treated ankle fractures. Acta Orthop Belg 2007; 73:360-5

Hamid N et al. Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmosis screw. JBJS 2009; 91B:1069-73

Haraguchi N. Pathoanatomy of posterior malleolar fractures of the ankle. JBJS 2006; 88A:1085-92

Haraguchi N, Armiger RS. A new interpretation of the mechanism of ankle fracture. JBJS 2009; 91A:821-9

Harper M. The short oblique fracture of the distal fibula without medial injury: an assessment of displacement. FAI 1995; 16:181-186

Harper MC, Hardin G. Posterior malleolar fractures of the ankle associated with external rotation-abduction injuries. Results with and without internal fixation. JBJS 1988; 70A:1348-56

Hermans JJ. Correlation between radiological assessment of acute ankle fractures and syndesmotic injury on MRI. Skeletal Radiology 2011; DOI 10.1007/s00256-011-1284-2

Holmes, GB; Hill, N: Fractures and dislocations of the foot and ankle in diabetics associated with Charcot joint changes. Foot Ankle Int. 15:182–188, 1994

Hsu, YT et al. Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function. Int Orthop 2011; 35:359-64

Jaskulka RA et al. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. J Trauma 1989;29:1565-70

Kannus P et al. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future. Bone. 2002;31:430-3

Kennedy JG, Soffe KE, Dalla Vedova P, Stephens MM, O’Brien T, Walsh MG, et al. Evaluation of the syndesmotic screw in low Weber C ankle fractures. JOT 2000;14:359-66

Klitzman R et al. Suture-button versus screw fixation of the syndesmosis: a biomechanical analysis. FAI 2010; 31:69-75

Koval KJ et al. Does a positive ankle stress test indicate the need for operative treatment after lateral malleolus fracture? A preliminary report. J Orthop Trauma 2007;21:449-55

Lauge-Hansen N. Fractures of the ankle II. Combined experimental-surgical and experimental-roentgenologic investigations. Arch Surg 1950; 60:957-85

Lehtonen H et al. Use of a cast compared with a functional ankle brace after operative treatment of an ankle fracture. A prospective, randomized study. JBJS 2003;85A:205-11

Limbird RS et al. Laterally comminuted fracture-dislocation of the ankle. JBJS 1987;69A:881-5

Lloyd J et al. Revisiting the concept of talar shift in ankle fractures. FAI 2006;27:793-6

Makwana NK et al. Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age. A prospective, randomised study. JBJS 2001; 83B:525-9

Manjoo A et al. Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal. J Orthop Trauma. 2010;24:2-6.

Martin AG. Weber B ankle fracture: an unnecessary fracture clinic burden. Injury. 2004;35:805-8

McConnell, T, Tornetta P, 3rd Marginal plafond impaction in association with supination-adduction ankle fractures: a report of eight cases. J Orthop Trauma 2001; 15: 447-449.

McConnell T et al. Stress examination of supination external rotation-type fibular fractures. JBJS 2004;86A:2171-8

Michelson JD et al. Clinical utility of a stability-based ankle fracture classification system. JOT 2007; 21:307-15

Michelson JD et al. Economic analysis of roentgenogram use in the closed treatment of stable ankle fractures. J. Trauma, 1995;39:1119-1122

Michelson JD et al. Examination of the pathological anatomy of ankle fractures. J. Trauma, 1992;32:65-70

Michelson JD et al. Motion of the ankle in a simulated supination- external rotation fracture model. JBJS 1996;78A:1024-1031

Michelson JD et al. The effect of loading on tibiotalar alignment in cadaver ankles. Foot Ankle 1990;10:280-4

Michelson J, Solocoff D, Waldman B, Kendell K, Ahn U. Ankle fractures. The Lauge-Hansen classification revisited. Clin Orthop Relat Res. 1997;345:198-205.

Miller AN et al. Direct Visualization for Syndesmotic Stabilization of Ankle Fractures. FAI 2009; 30:419-26

Miller AN et al. Functional outcomes after syndesmotic screw fixation and removal. J Orthop Trauma. 2010; 24:12-6

Miller AN et al. Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation. CORR 2010; 468:1129-35

Nielson JH et al. Correlation of interosseous membrane tears to the level of the fibular fracture. J Orthop Trauma. 2004 Feb;18(2):68-74

Nielson JH et al. Radiographic Measurements Do Not Predict Syndesmotic Injury in Ankle Fractures. An MRI Study. CORR 2005; 436:216-21

Pettrone FA et al. Quantitative criteria for prediction of the results after displaced fracture of the ankle. JBJS 1983;65A:667-77

Phillips WA et al. A prospective, randomised study of the management of severe ankle fractures. JBJS 1985;67A:67-78

Port AM et al. Comparison of two conservative methods of treating an isolated fracture of the lateral malleolus. JBJS 1996;78B:568-572

Rajeev A et al. Functional outcomes after fibula locking nail for fragility fractures of the ankle. J Foot Ankle Surg 2011; 50: 547-550

Ramsey PL, Hamilton W. Changes in tibiotalar contact area caused by lateral talar shift. JBJS 1976;58A:356-357

Rowley DI et al. A prospective trial comparing operative and manipulative treatment of ankle fractures. JBJS 1986; 68B:610-3

Schepers T. To retain or remove the syndesmotic screw: a review of literature. Arch Orthop Trauma Surg 2011; 131:879-83

Schock HJ et al. The use of gravity or manual-stress radiographs in the assessment of supination-external rotation fractures of the ankle. JBJS 2006; 89B:1055-9

Schuberth JM et al. Deltoid ligament integrity in lateral malleolar fractures: a comparative analysis of arthroscopic and radiographic assessments. JFAS 2004;43:20-9

Shivarathre DG. Operative fixation of unstable ankle fractures in patients aged over 80 years. Foot Ankle Int 2011; 32: 599-602.

Siegel J, Tornetta P 3rd. Extraperiosteal plating of pronation-abduction ankle fractures. JBJS 2007; 89A:276-81

Soin SP Suture-button versus screw fixation in a syndesmosis rupture model: a biomechanical comparison. Fai 2009; 30:346-52

Solari J et al. Ankle mortise stability in Weber C fractures: indications for syndesmotic fixation. JOT 1991;5:190-5

Stark E et al. Syndesmotic instability in Weber B ankle fractures: a clinical evaluation. JOT 2007; 21:643-6

Stiell I et al. Multicentre trial to introduce the Ottawa ankle rules for use of radiography in acute ankle injuries. Multicentre Ankle Rule Study Group. BMJ. 1995 Sep 2;311(7005):594-7

Stuart PR et al. Comparative study of functional bracing and plaster cast treatment of stable lateral malleolar fractures. Injury 1989;20:323-326

Tejwani NC et al. Effect of posterior malleolus fracture on outcome after unstable ankle fracture. J Trauma. 2010;69:666-9

Thomas G et al. Early mobilization of operatively fixed ankle fractures: A systematic review. Foot Ankle Int (2009).30(7):666-74.

Thompson MC, Gesink DS. Biomechanical comparison of syndesmosis fixation with 3.5- and 4.5-millimeter stainless steel screws. FAI 2000;21:736-41

Tornetta P 3rd. Competence of the deltoid ligament in bimalleolar ankle fractures after medial malleolar fixation. JBJS 2000; 82:843-8

van den Bekerom MPJ et al. Syndesmotic Stabilization in Pronation External Rotation Ankle Fractures. CORR 2010; 468:991-5

Vangsness CT et al. Radiographic diagnosis of ankle fractures:are three views necessary? FAI 1994;15:172-4

Vasarhelyi A et al. Detection of fibular torsional deformities after surgery for ankle fractures with a novel CT method. FAI 2006; 27: 1115-21

Vioreanu M et al. Early Mobilization in a Removable Cast Compared with Immobilization in a Cast After Operative Treatment of Ankle Fractures: A Prospective Randomized Study. FAI 2007; 28:13-9

Weber M et al. The use of weightbearing radiographs to assess the stability of supination-external rotation fractures of the ankle. Arch Orthop Trauma Surg (2010).130(5):693-8.

Wikeroy AK et al. No difference in functional and radiographic results 8.4 years after quadricortical compared with tricortical syndesmosis fixation in ankle fractures. J Orthop Trauma (2010).24(1):17-23.

Wukich DK, Kline AJ. The management of ankle fractures in patients with diabetes. JBJS 2008; 90A:1570-8

Xenos JS et al. The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. JBJS 1995; 77A:847-56

Yablon IG, Heller FG & LeRoy S. The key role of the lateral malleolus in displaced fractures of the ankle. JBJS, 1977. 59A(2): p169-173

Yde J & Kristensen KD. Supination-eversion fractures of stage 2. Acta Orthopaedica Scandinavia, 1980. 51: p 103-106.

Yde J, Kristensen K. Ankle fractures: supination-eversion fractures of stage IV. AOS 1980; 51:981-90

Zahn RK et al. A contoured locking plate for distal fibular fractures in osteoporotic bone: A biomechanical cadaver study. Injury 2011 (online)