11/24/2023 0 Comments Lateral malleolus fracture picture![]() ![]() Among the patients with small fragments, the surgical fixation group also had higher OMAS (93.1 ± 7.5 vs. In the single-fragment group, patients who underwent surgical fixation in the posterior malleolus had significantly better scores ( P = 0.037, 0.033 and 0.027). Of all the patients, the average OMAS, EQ-5D and AOFAS scores were 85.9, 82.8 and 92.5, respectively. Seventy-nine patients were included, and 7 patients were classified into the small-shell group, 52 patients into the single-fragment group and 20 patients into the multifragment group. The Olerud-Molander Ankle Score (OMAS), EuroQol-5 Dimensions (EQ-5D) and American Orthopedic Foot and Ankle Society (AOFAS) score were recorded. All patients were followed up at an average of 5.06 (range, 2.21–8.70) years. Fracture morphology was classified into small-shell fragment, single-fragment (small-fragment and large-fragment) and multifragment (double-fragment and compressive-fragment) by computed tomography according to our previous study. We retrospectively analyzed the data of inpatients with posterior malleolar fractures from 1 January 2012 to 31 December 2019 at one high-volume tertiary trauma center. This study aimed to assess the mid-term prognosis of posterior malleolar fractures based on different morphological types and provides evidence for the treatment of posterior malleolar fractures. Because foot fractures can lead to serious complications and long-term disability if not properly treated, timely treatment is important.The treatment of posterior malleolar fractures is changing rapidly, and the evidence base is still catching up. Foot fractures may be treated with conservative therapies or surgery depending on the severity. Summaryįoot fractures are common injuries, making up about 10% of all orthopedic fractures. Weightbearing is usually a gradual process and is usually aided with the use of crutches and/or a walking boot or sandal. Physical therapy may be recommended to improve range of motion and strengthen the foot muscles. The surgical procedure may involve holding together bone fragments with plates and screws. For more severe fractures, surgery is usually required to align and reconstruct the affected bones or fuse the damaged joints. Your provider may suggest a splint, cast, or boot immobilize the foot. Nonsurgical treatment includes rest, ice, compression, and elevation of the foot. The majority of forefoot fractures are mild and do not require surgery. Treatment depends on the type of fracture sustained. ![]() Navicular fractures can be especially difficult to diagnose without imaging tests. Imaging tests such as an X-ray, MRI, or CT scan may be ordered to confirm the diagnosis. The common symptoms of a foot fracture include:Ī foot fracture is diagnosed by reviewing the patient’s medical history and performing a thorough physical examination of the foot. They can also occur after any increase in activity in patients with abnormally low bone density. Causesįoot fractures commonly occur as a result of a fall, motor vehicle accident, dropping a heavy object on the foot, or overuse. Moon may recommend a fusion of the joint. If, however, one of the toe joints is involved in the fracture, leading to arthritis and symptomatic pain, Dr. These can typically be treated non-operatively. Toe fractures usually occur after trauma such as dropping a heavy object on the foot or kicking a stationary object. Patients with low bone density (osteopenia or osteoporosis) are at higher risk for stress fractures. The most common type of foot fracture is a stress fracture, which occurs when repeated activities produce small cracks in the bone. Extreme force is required to fracture the bones in the hindfoot. Trauma and/or stress can cause fractures in the foot. Muscles, tendons, and ligaments support the bones and joints of the feet enabling them to withstand the entire body's weight while walking, running, and jumping. The Lisfranc joint separates the five metatarsal bones from the three cuneiform bones and the cuboid bone. The midfoot is separated from the forefoot by the Lisfranc joint. This includes the talonavicular joint as well as the calcaneocuboid joints. The hind foot is separated from the midfoot by the transverse tarsal joint, also known as the Chopart joint. The forefoot is comprised of five metatarsal bones and 14 toe bones called phalanges. The midfoot is comprised of the navicular, cuboid, and three cuneiform bones. The hind foot is comprised of two bones, the talus bone which connects to the bones of the lower leg, and the calcaneus bone which forms the heel. The foot usually consists of 26 bones, and includes 3 distinct parts: ![]()
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