INTRODUCTION: Treatment of supination external rotation type IV (SER-IV) ankle injuries has focused on reduction and fixation of the fibula and syndesmosis (ORIF), not repair of the deltoid ligament. METHODS: Twenty-one ankles were analyzed with a motion capture system. Uninjured ankles were stressed and compared to ankles with SER-IV injuries, then with ORIF, and finally ORIF and deltoid repair. RESULTS: After deltoid ligament repair, talar coronal and axial rotation normalized to the uninjured state and were significantly reduced compared to ORIF alone. DISCUSSION: Deltoid ligament repair after an SER-IV ankle injury can help directly reduce and stabilize the tibiotalar joint.
INTRODUCTION: Treatment of supination external rotation type IV (SER-IV) ankle injuries has focused on reduction and fixation of the fibula and syndesmosis (ORIF), not repair of the deltoid ligament. METHODS: Twenty-one ankles were analyzed with a motion capture system. Uninjured ankles were stressed and compared to ankles with SER-IV injuries, then with ORIF, and finally ORIF and deltoid repair. RESULTS: After deltoid ligament repair, talar coronal and axial rotation normalized to the uninjured state and were significantly reduced compared to ORIF alone. DISCUSSION: Deltoid ligament repair after an SER-IV ankle injury can help directly reduce and stabilize the tibiotalar joint.
Authors: Graham A McCollum; Michel P J van den Bekerom; Gino M M J Kerkhoffs; James D F Calder; C Niek van Dijk Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-10-07 Impact factor: 4.342
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Authors: Sjoerd A S Stufkens; Michel P J van den Bekerom; Markus Knupp; Beat Hintermann; C Niek van Dijk Journal: Strategies Trauma Limb Reconstr Date: 2012-07-06