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Arthroscopic-Assisted Open Reduction Internal Fixation.

Graham A Hamilton1, Matthew D Doyle2, Francesca M Castellucci-Garza2

  • 1Foot and Ankle Surgery, Department of Podiatric Surgery, Palo Alto Foundation Medical Group, 4000 Dublin Boulevard, Dublin, CA 94568, USA.

Clinics in Podiatric Medicine and Surgery
|February 28, 2018
PubMed
Summary
This summary is machine-generated.

Arthroscopy aids surgeons in visualizing ankle fractures during open reduction internal fixation, improving precision and reducing tissue damage. This technique also allows for inspection and treatment of cartilage injuries.

Keywords:
AnkleArthroscopyFractureFracture fixationFracture reductionTrauma

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Trauma Surgery

Background:

  • Indications for arthroscopy have broadened significantly in recent years.
  • Arthroscopic-assisted open reduction internal fixation is increasingly adopted for acute foot and ankle trauma.
  • Ankle fractures frequently involve chondral injuries, necessitating thorough joint evaluation.

Purpose of the Study:

  • To evaluate the utility of arthroscopy in conjunction with open reduction internal fixation for acute ankle trauma.
  • To highlight the benefits of arthroscopic visualization for precise fracture reduction and assessment of articular surfaces.
  • To determine the role of arthroscopy in managing post-traumatic chondral defects during fracture fixation.

Main Methods:

  • Review of current literature and surgical techniques.
  • Description of arthroscopic-assisted open reduction internal fixation procedure.
  • Emphasis on direct visualization of fracture fragments and articular surfaces.

Main Results:

  • Arthroscopy facilitates direct visualization of fracture fragments, enabling precise articular reduction.
  • The technique minimizes soft tissue insult compared to traditional open methods.
  • Arthroscopy allows for intraoperative joint inspection and management of chondral injuries.

Conclusions:

  • Arthroscopic-assisted open reduction internal fixation is a valuable technique for acute ankle trauma.
  • It offers improved visualization and precision, leading to better fracture reduction.
  • This approach enables timely identification and treatment of associated chondral injuries.