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

The lateral tibia is exposed via the transfibular approach. Note the proximity of the anterior tibial vessels and the deep peroneal nerve.
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fig5: The lateral tibia is exposed via the transfibular approach. Note the proximity of the anterior tibial vessels and the deep peroneal nerve.

Mentions: The fibular distal fragment was distally rotated (Figure 5), the tibial plafond fragment was fixed with two screws, and then the distal fibula was replaced in its notch. The fibular fracture was reduced with careful attention given to rotation and length restoration and was fixed using a locking plate. The medial malleolus and anterior plafond fragments were fixed by two percutaneously inserted screws.


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)

The lateral tibia is exposed via the transfibular approach. Note the proximity of the anterior tibial vessels and the deep peroneal nerve.
© Copyright Policy
Related In: Results  -  Collection

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

fig5: The lateral tibia is exposed via the transfibular approach. Note the proximity of the anterior tibial vessels and the deep peroneal nerve.
Mentions: The fibular distal fragment was distally rotated (Figure 5), the tibial plafond fragment was fixed with two screws, and then the distal fibula was replaced in its notch. The fibular fracture was reduced with careful attention given to rotation and length restoration and was fixed using a locking plate. The medial malleolus and anterior plafond fragments were fixed by two percutaneously inserted screws.

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