Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.05.009
Sebastian F. Baumbach, Fabian T. Spindler, Hans Polzer
Injuries to the syndesmotic complex can occur isolated or in combination with ankle fractures. Traditionally, syndesmotic injuries are classified into stable, latent-instable and unstable injuries. To date, there is a lack of standardized diagnostic algorithms and classification.
In this review, the authors present the current literature on the diagnosis and classification of isolated, acute syndesmosis injuries. Based on this data, a best-evidence diagnostic and classification algorithm is presented.
The diagnostics should be conducted stepwise and include a structured clinical examination, MRI imaging, and, if necessary, dynamic imaging. The classification should be anatomical, according to the ruptured ligaments of the syndesmotic complex. Injuries to the deltoid complex should be classified separately.
{"title":"Die Diagnose der instabilen Syndesmosenverletzung – eine Herausforderung","authors":"Sebastian F. Baumbach, Fabian T. Spindler, Hans Polzer","doi":"10.1016/j.fuspru.2024.05.009","DOIUrl":"10.1016/j.fuspru.2024.05.009","url":null,"abstract":"<div><p>Injuries to the syndesmotic complex can occur isolated or in combination with ankle fractures. Traditionally, syndesmotic injuries are classified into stable, latent-instable and unstable injuries. To date, there is a lack of standardized diagnostic algorithms and classification.</p><p>In this review, the authors present the current literature on the diagnosis and classification of isolated, acute syndesmosis injuries. Based on this data, a best-evidence diagnostic and classification algorithm is presented.</p><p>The diagnostics should be conducted stepwise and include a structured clinical examination, MRI imaging, and, if necessary, dynamic imaging. The classification should be anatomical, according to the ruptured ligaments of the syndesmotic complex. Injuries to the deltoid complex should be classified separately.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 71-82"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000503/pdfft?md5=6a09427ae6a481479d52280fc34337ed&pid=1-s2.0-S1619998724000503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.06.003
Hans Polzer
{"title":"Deutsche Assoziation für Fuß- und Sprunggelenk e.V.: Posterpreise und Best Paper Award","authors":"Hans Polzer","doi":"10.1016/j.fuspru.2024.06.003","DOIUrl":"10.1016/j.fuspru.2024.06.003","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 140-142"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.04.003
{"title":"The role of the transverse arch in progressive collapsing foot deformity","authors":"","doi":"10.1016/j.fuspru.2024.04.003","DOIUrl":"10.1016/j.fuspru.2024.04.003","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Page 127"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.05.005
Philipp Winter , Kajetan Klos , Klaus-Edgar Roth , Stefan Landgraeber , Joe Wagener
Acute injuries to the ankle joint can lead to chronic instability in up to 30% of cases in the long term. An anatomically restored distal tibiofibular joint is a significant factor in the clinical outcome of patients. Abnormalities in the clinical examination when a chronic syndesmosis injury is suspected should lead to further diagnostics. Stable lesions should be treated with conservative measures. A wide variety of treatment methods have been described in the literature for the surgical treatment of unstable chronic syndesmosis injuries. The published surgical methods range from arthroscopic debridement to complex surgical treatment using syndesmosis reconstruction or tibiofibular fusion. The evidence for the various treatment methods is limited and is largely based on expert recommendations. At the present time, no treatment regimen can be recommended without reservation (2023).
{"title":"Behandlung der chronischen Syndesmosenruptur— Was sagt die Evidenz?","authors":"Philipp Winter , Kajetan Klos , Klaus-Edgar Roth , Stefan Landgraeber , Joe Wagener","doi":"10.1016/j.fuspru.2024.05.005","DOIUrl":"10.1016/j.fuspru.2024.05.005","url":null,"abstract":"<div><p>Acute injuries to the ankle joint can lead to chronic instability in up to 30% of cases in the long term. An anatomically restored distal tibiofibular joint is a significant factor in the clinical outcome of patients. Abnormalities in the clinical examination when a chronic syndesmosis injury is suspected should lead to further diagnostics. Stable lesions should be treated with conservative measures. A wide variety of treatment methods have been described in the literature for the surgical treatment of unstable chronic syndesmosis injuries. The published surgical methods range from arthroscopic debridement to complex surgical treatment using syndesmosis reconstruction or tibiofibular fusion. The evidence for the various treatment methods is limited and is largely based on expert recommendations. At the present time, no treatment regimen can be recommended without reservation (2023).</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 112-126"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S161999872400045X/pdfft?md5=26b78bc53a4fd2788701f25e6ca02c45&pid=1-s2.0-S161999872400045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.06.002
Hans-Jörg Trnka, Christian Plaaß
{"title":"Bericht über den gemeinsamen Jahreskongress der D.A.F. und ÖGF in Wien","authors":"Hans-Jörg Trnka, Christian Plaaß","doi":"10.1016/j.fuspru.2024.06.002","DOIUrl":"10.1016/j.fuspru.2024.06.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Pages 133-139"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1016/j.fuspru.2024.05.002
{"title":"Neuaufnahmen (Stand 01.04.2024)","authors":"","doi":"10.1016/j.fuspru.2024.05.002","DOIUrl":"10.1016/j.fuspru.2024.05.002","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 2","pages":"Page 143"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1016/j.fuspru.2024.02.008
{"title":"Einladung zur Mitgliederversammlung der Deutschen Assoziation für Fuß und Sprunggelenk e.V.","authors":"","doi":"10.1016/j.fuspru.2024.02.008","DOIUrl":"https://doi.org/10.1016/j.fuspru.2024.02.008","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Page 64"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000096/pdfft?md5=a4db0ed7944a5b54d4e259e6497e46e7&pid=1-s2.0-S1619998724000096-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The operative treatment of tibial pilon fracture is a surgical challenge, especially the treatment of its complications. Among them, a non-union with bone loss at the ankle joint is a major complication and high surgical expertise is needed due to its complexity. Besides the option of a fusion, nowadays the option of a total ankle replacement (TAR) is also available. The meticulous analysis of the reasons that lead to the non-union and bone defect, the identification of the individual demands of each patient, as well as the biological and biomechanical characteristics of the micro-environment of the bone are prerequisites for the planning of a personalized treatment of the severe complication. The present paper focuses on the reasons that can lead to a non-union with defect after surgical treatment of tibial pilon fractures, as well as on the available treatment options in the form of either an ankle fusion or TAR.
胫骨皮隆骨折的手术治疗是一项外科挑战，尤其是并发症的治疗。其中，踝关节处骨缺损导致的不愈合是主要并发症，由于其复杂性，需要高超的手术技巧。除了融合术，如今还可以选择全踝关节置换术（TAR）。对导致骨不愈合和骨缺损的原因进行细致分析，确定每位患者的个体需求，以及骨微环境的生物和生物力学特征，是针对这一严重并发症制定个性化治疗方案的先决条件。本文重点介绍了胫骨皮隆骨折手术治疗后可能导致不愈合和骨缺损的原因，以及踝关节融合术或 TAR 的可用治疗方案。
{"title":"Die Defektpseudarthrose des Pilon tibiale: Möglichkeiten der Defektrekonstruktion und Endoprothetik","authors":"Serafeim Tsitsilonis , Dominik Adl Amini , Tobias Gehlen","doi":"10.1016/j.fuspru.2024.03.001","DOIUrl":"10.1016/j.fuspru.2024.03.001","url":null,"abstract":"<div><p>The operative treatment of tibial pilon fracture is a surgical challenge, especially the treatment of its complications. Among them, a non-union with bone loss at the ankle joint is a major complication and high surgical expertise is needed due to its complexity. Besides the option of a fusion, nowadays the option of a total ankle replacement (TAR) is also available. The meticulous analysis of the reasons that lead to the non-union and bone defect, the identification of the individual demands of each patient, as well as the biological and biomechanical characteristics of the micro-environment of the bone are prerequisites for the planning of a personalized treatment of the severe complication. The present paper focuses on the reasons that can lead to a non-union with defect after surgical treatment of tibial pilon fractures, as well as on the available treatment options in the form of either an ankle fusion or TAR.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 50-59"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000102/pdfft?md5=3c3aa66626885ccb2e44d484bc44730c&pid=1-s2.0-S1619998724000102-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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