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The role of arthroscopy in the management of fractures about the ankle.

Publication ,  Journal Article
Bonasia, DE; Rossi, R; Saltzman, CL; Amendola, A
Published in: J Am Acad Orthop Surg
April 2011

Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management has been proposed. The use of arthroscopic reduction and internal fixation (ARIF) is surgeon-dependent. Reported indications for ARIF include transchondral talar dome fracture, talar fracture, low-grade fracture of the distal tibia, syndesmotic disruption, malleolar fracture, and chronic pain following definitive management of fracture about the ankle. Among the potential benefits are less extensive exposure, preservation of blood supply, and improved visualization of the pathology. Although arthroscopy is increasingly used in the setting of trauma, the effectiveness of ARIF compared with ORIF for management of fractures of the distal tibia, malleolus, displaced talar neck, and talar body has yet to be determined. Most of these fractures are effectively managed with open procedures.

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Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

April 2011

Volume

19

Issue

4

Start / End Page

226 / 235

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Radiography
  • Orthopedics
  • Orthopedic Procedures
  • Humans
  • Fractures, Bone
  • Fracture Fixation, Internal
  • Arthroscopy
  • Ankle Injuries
  • 3202 Clinical sciences
 

Citation

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Bonasia, D. E., Rossi, R., Saltzman, C. L., & Amendola, A. (2011). The role of arthroscopy in the management of fractures about the ankle. J Am Acad Orthop Surg, 19(4), 226–235. https://doi.org/10.5435/00124635-201104000-00007
Bonasia, Davide E., Roberto Rossi, Charles L. Saltzman, and Annunziato Amendola. “The role of arthroscopy in the management of fractures about the ankle.J Am Acad Orthop Surg 19, no. 4 (April 2011): 226–35. https://doi.org/10.5435/00124635-201104000-00007.
Bonasia DE, Rossi R, Saltzman CL, Amendola A. The role of arthroscopy in the management of fractures about the ankle. J Am Acad Orthop Surg. 2011 Apr;19(4):226–35.
Bonasia, Davide E., et al. “The role of arthroscopy in the management of fractures about the ankle.J Am Acad Orthop Surg, vol. 19, no. 4, Apr. 2011, pp. 226–35. Pubmed, doi:10.5435/00124635-201104000-00007.
Bonasia DE, Rossi R, Saltzman CL, Amendola A. The role of arthroscopy in the management of fractures about the ankle. J Am Acad Orthop Surg. 2011 Apr;19(4):226–235.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

April 2011

Volume

19

Issue

4

Start / End Page

226 / 235

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Radiography
  • Orthopedics
  • Orthopedic Procedures
  • Humans
  • Fractures, Bone
  • Fracture Fixation, Internal
  • Arthroscopy
  • Ankle Injuries
  • 3202 Clinical sciences