Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures

Bennet A. Butler; Eric C. Hempen; Mauricio Barbosa; Muturi Muriuki; Robert M. Havey; Richard W. Nicolay; Anish R. Kadakia

doi:10.1016/j.jor.2019.06.005

Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures

Bennet A. Butler^*, Eric C. Hempen, Mauricio Barbosa, Muturi Muriuki, Robert M. Havey, Richard W. Nicolay, Anish R. Kadakia

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

33 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	87-90
Number of pages	4
Journal	Journal of Orthopaedics
Volume	17
DOIs	https://doi.org/10.1016/j.jor.2019.06.005
State	Published - Jan 1 2020

Keywords

Ankle fracture
Deltoid ligament
Deltoid ligament repair
Syndesmosis

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.jor.2019.06.005

Cite this

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title = "Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures",

abstract = "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.",

keywords = "Ankle fracture, Deltoid ligament, Deltoid ligament repair, Syndesmosis",

author = "Butler, \{Bennet A.\} and Hempen, \{Eric C.\} and Mauricio Barbosa and Muturi Muriuki and Havey, \{Robert M.\} and Nicolay, \{Richard W.\} and Kadakia, \{Anish R.\}",

note = "Publisher Copyright: {\textcopyright} 2019 Professor P K Surendran Memorial Education Foundation",

year = "2020",

month = jan,

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doi = "10.1016/j.jor.2019.06.005",

language = "English (US)",

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pages = "87--90",

journal = "Journal of Orthopaedics",

issn = "0972-978X",

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T1 - Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures

AU - Butler, Bennet A.

AU - Hempen, Eric C.

AU - Barbosa, Mauricio

AU - Muriuki, Muturi

AU - Havey, Robert M.

AU - Nicolay, Richard W.

AU - Kadakia, Anish R.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - 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.

AB - 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.

KW - Ankle fracture

KW - Deltoid ligament

KW - Deltoid ligament repair

KW - Syndesmosis

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Deltoid ligament repair reduces and stabilizes the talus in unstable ankle fractures

Abstract

Keywords

ASJC Scopus subject areas

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