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Related Experiment Video

Updated: Jun 5, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

[Unexpected revision procedures treating ankle fractures].

J Richter¹, A Pommer, R Breuer

¹Abteilung für Orthopädie und Unfallchirurgie, Marienhospital, 45886, Gelsenkirchen, Deutschland. jens.richter@rub.de

Der Unfallchirurg

|December 18, 2010

Summary

Revision surgery for ankle fractures (AO type 44) is needed in 11.9% of cases. Key risk factors include age, comorbidities, and fracture complexity, necessitating careful pre-operative assessment for optimal outcomes.

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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Area of Science:

Orthopedic Surgery
Traumatology

Background:

Ankle fractures are common injuries requiring surgical intervention.
Unexpected secondary procedures, or revision surgeries, can increase patient morbidity and healthcare costs.

Purpose of the Study:

To analyze risk factors for unexpected second procedures in closed ankle fractures (AO type 44).
To identify strategies for revision surgery in this patient cohort.

Main Methods:

Retrospective analysis of 647 patients with closed ankle fractures (AO type 44) over a 5-year period.
Classification of complications into deep infections, wound closure issues, insufficient reduction, and other causes.
Statistical analysis to identify predictive factors for revision surgery.

Main Results:

Related Experiment Videos

Last Updated: Jun 5, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

11.9% (77 patients) required revision surgery.
Deep infections (4.5%), wound closure problems (3.4%), and insufficient reduction (3.4%) were the main reasons for revision.
Higher age, peripheral arteriosclerosis, high American Society of Anesthesiologists (ASA) score, and diabetes mellitus predicted soft tissue complications.
Complex fracture types (AO 44 B2/B3, C1-C3, A2-A3) were associated with increased revision rates.

Conclusions:

Immediate reduction of displaced fractures and detailed classification are recommended.
Individual risk factors should be weighed against the benefits of open reduction and internal fixation to minimize unexpected ankle procedures.