Sherif Dabash1, Ahmed Elabd2, Eric Potter3, Isaac Fernandez2, Chris Gerzina3, Ahmed M Thabet2, William McGarvey4, Amr Abdelgawad2. 1. Department of Orthopaedic Surgery, The University of Texas Health Science Center at Houston, 6431 Fannin Street, Houston, TX, 77030, United States. Electronic address: sdabash@gmail.com. 2. Department of Orthopaedic Surgery & Rehabilitation, Texas Tech University Health Sciences Center - El Paso, 4801 Alberta Avenue, El Paso, TX, 79905 United States. 3. Department of Medical Education, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center - El Paso, Medical Education Building 2200, 5001 El Paso Drive, El Paso, TX, 79905, United States. 4. Department of Orthopaedic Surgery, The University of Texas Health Science Center at Houston, 6431 Fannin Street, Houston, TX, 77030, United States.
Abstract
BACKGROUND: Deltoid ligament injuries are typically caused by supination-external rotation or pronation injury. Numerous ligament reconstruction techniques have been proposed; however, clear indications for operative repair have not yet been well established in the literature. METHODS: We reviewed primary research articles comparing ORIF treatment for ankle fracture with versus without deltoid ligament repair. RESULTS: Five studies were identified with a total of 281 patients. 137 patients underwent ORIF with deltoid repair, while 144 patients underwent ORIF without deltoid ligament repair. Clinical, radiographic, and functional outcomes, as well as complications were considered. The average follow-up was 31 months (range, 5-120). CONCLUSIONS: Current literature does not provide clear indication for repair of the deltoid ligament at the time of ankle fracture repair. There may be some advantages of adding deltoid ligament repair for patients with high fibular fractures or in patients with concomitant syndesmotic fixation. LEVEL OF CLINICAL EVIDENCE: III.
BACKGROUND: Deltoid ligament injuries are typically caused by supination-external rotation or pronation injury. Numerous ligament reconstruction techniques have been proposed; however, clear indications for operative repair have not yet been well established in the literature. METHODS: We reviewed primary research articles comparing ORIF treatment for ankle fracture with versus without deltoid ligament repair. RESULTS: Five studies were identified with a total of 281 patients. 137 patients underwent ORIF with deltoid repair, while 144 patients underwent ORIF without deltoid ligament repair. Clinical, radiographic, and functional outcomes, as well as complications were considered. The average follow-up was 31 months (range, 5-120). CONCLUSIONS: Current literature does not provide clear indication for repair of the deltoid ligament at the time of ankle fracture repair. There may be some advantages of adding deltoid ligament repair for patients with high fibular fractures or in patients with concomitant syndesmotic fixation. LEVEL OF CLINICAL EVIDENCE: III.
Authors: Kiya Shazadeh Safavi; Aryan Rezvani; Cory F Janney; Jie Chen; Waleed Cassis; Navid Darayan; Vinod K Panchbhavi; Daniel C Jupiter Journal: Cureus Date: 2022-07-19