Elsevier

The Journal of Foot and Ankle Surgery

Volume 38, Issue 6, November–December 1999, Pages 394-402
The Journal of Foot and Ankle Surgery

A different approach to the treatment of the lateral malleolar fractures with syndesmosis injury: The ANK nail

https://doi.org/10.1016/S1067-2516(99)80039-8Get rights and content

This retrospective study was conducted on a total of 139 cases of fractured ankles involving the fibula above the syndesmosis which were treated with open reduction and internal fixation with the intramedullary ANK nail at the Department of Orthopaedic Surgery at Vakif Gureba Teaching Hospital from 1990 to 1997. We were able to review 128 of these patients after a mean follow-up of 3.1 years (range, 1–7 years) including 60 with Weber type B and 68 with Weber type C fractures. The results were evaluated using objective, subjective, and roentgenographic criteria described by Cedell. Ninety-three patients (73%) have obtained good objective results, 28 (22%) fair, and seven (5%) have obtained poor objective results. Subjective rating were 94 patients (74%), good; 26 patients (20%), fair, and eight patients (6%), poor. Good radiological results were found in 99 patients (77%), fair radiological results in 21 patients (17%), and poor radiological results were found in eight patients (6%). It is concluded that the ANK nail could be used for the fixation of the lateral malleolar fracture with tear of the syndesmosis ligament.

References (26)

  • I.A. Harris et al.

    The fate of the syndesmosis in type C ankle fractures: a cadaveric study

    Injury

    (1997)
  • T. Ahl et al.

    Ankle fracturesA clinical and roentgenographic stereophotogrammetric study

    Clin. Orthop.

    (1989)
  • H.R. Chissel et al.

    The influence of a diastasis screw on the outcome of Weber type C ankle fractures

    J. Bone Joint Surg.

    (1995)
  • N.A. Ebraheim et al.

    Ankle fractures involving the fibula proximal to the distal tibiofibular syndesmosis

    Foot Ankle Int.

    (1997)
  • A. Amendola

    Controversies in diagnosis and management of syndesmosis injuries of the ankleFoot fellow's review

    Foot Ankle

    (1992)
  • H.C. Leeds et al.

    Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures

    J. Bone Joint Surg.

    (1984)
  • A. McBryde et al.

    Syndesmotic screw placement: a biomechanical analysis

    Foot Ankle Int.

    (1997)
  • J.G. McLennan et al.

    A new approach to the treatment of ankle fracturesThe Inyo nail

    Clin. Orthop.

    (1986)
  • J.D. Michelson

    Current concept review fractures about the ankle

    J. Bone Joint Surg.

    (1995)
  • R.S. Roberts

    Surgical treatment of displaced ankle fractures

    Clin. Orthop.

    (1983)
  • J.B. Stiehl et al.

    Long term results of pronation-external rotation ankle fracture-dislocations treated with anatomical open reduction, internal fixation

    J. Orthop. Trauma

    (1990)
  • D.B. Thordarson et al.

    The effect of fibular malreduction on contact pressures in an ankle fracture malunion model

    J. Bone Joint Surg.

    (1997)
  • W.A. Philips et al.

    A prospective, randomized study of the management of severe ankle fractures

    J. Bone Joint Surg.

    (1985)
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