Limits...
The utility and limitations of the transfibular approach in ankle trauma surgery.

Yassin M, Garti A, Khatib M, Weisbrot M, Ashkenazi U, Ram E, Robinson D - Case Rep Orthop (2014)

Bottom Line: The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia.The advantages of such approach are the excellent visualization of the lateral tibia and the articular space.The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.

ABSTRACT
The commonly used extensive approaches to the distal tibia include the posteromedial and anterolateral approaches. The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia. The advantages of such approach are the excellent visualization of the lateral tibia and the articular space. The utilization of this approach involves the risk of injury to the anterior tibial vessels and to the superficial peroneal nerve as well as a requirement for syndesmosis reconstruction. The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.

No MeSH data available.


Related in: MedlinePlus

Following a crush of the leg, despite two weeks of elevation and compression therapy, the anterior and posteromedial approaches are fraught with risk due to extensive soft tissue injuries.
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fig1: Following a crush of the leg, despite two weeks of elevation and compression therapy, the anterior and posteromedial approaches are fraught with risk due to extensive soft tissue injuries.

Mentions: A 56-year-old patient was injured in a road accident with a major crush component. The leg was extremely swollen at admission and the skin was abraded over the anterior and medial aspects of the ankle (Figure 1). The patient was treated with limb elevation, an external compression pump, and compressive bandages for 14 days. A pilon fracture was diagnosed (Figure 2). A long delay due to extensive soft tissue injury precluded closed reduction and minimally invasive fixation of the large displaced posterior lip fragment.


The utility and limitations of the transfibular approach in ankle trauma surgery.

Yassin M, Garti A, Khatib M, Weisbrot M, Ashkenazi U, Ram E, Robinson D - Case Rep Orthop (2014)

Following a crush of the leg, despite two weeks of elevation and compression therapy, the anterior and posteromedial approaches are fraught with risk due to extensive soft tissue injuries.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230000&req=5

fig1: Following a crush of the leg, despite two weeks of elevation and compression therapy, the anterior and posteromedial approaches are fraught with risk due to extensive soft tissue injuries.
Mentions: A 56-year-old patient was injured in a road accident with a major crush component. The leg was extremely swollen at admission and the skin was abraded over the anterior and medial aspects of the ankle (Figure 1). The patient was treated with limb elevation, an external compression pump, and compressive bandages for 14 days. A pilon fracture was diagnosed (Figure 2). A long delay due to extensive soft tissue injury precluded closed reduction and minimally invasive fixation of the large displaced posterior lip fragment.

Bottom Line: The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia.The advantages of such approach are the excellent visualization of the lateral tibia and the articular space.The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.

ABSTRACT
The commonly used extensive approaches to the distal tibia include the posteromedial and anterolateral approaches. The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia. The advantages of such approach are the excellent visualization of the lateral tibia and the articular space. The utilization of this approach involves the risk of injury to the anterior tibial vessels and to the superficial peroneal nerve as well as a requirement for syndesmosis reconstruction. The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.

No MeSH data available.


Related in: MedlinePlus