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Related Concept Videos

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Related Experiment Video

Updated: Sep 20, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Transitional ankle fracture management using a new joystick technique.

Yuancheng Pan1, Xinzhao Zhang2, Zhibin Ouyang2

  • 1Department of Orthopedics, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, The Third Clinical Medical College, Fujian Medical University, Fuzhou Second Hospital, Fuzhou 350007, China; Department of Orthopedics, Fuzhou Second Hospital of Xiamen University, School of Medicine, Xiamen University, Fuzhou 350007, China; Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopaedic Trauma, Fuzhou 350007, China; Fuzhou Trauma Medical Center, Fuzhou 350007, China.; Fuzhou Key Clinical Specialty, Fuzhou 350007, China.

Injury
|June 9, 2022
PubMed
Summary

The arthrography-assisted joystick technique is a feasible and effective method for treating adolescent transitional ankle fractures, showing good bone healing and excellent ankle function with minimal invasiveness.

Keywords:
AdolescentAnkle fractureArthrographyJoystick techniqueTransition period

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Traumatology

Background:

  • Adolescent transitional ankle fractures require effective treatment to ensure proper bone healing and ankle function.
  • Manual reduction may fail in cases with significant fracture gaps, necessitating alternative techniques.

Purpose of the Study:

  • To evaluate the feasibility and short-term clinical efficacy of the arthrography-assisted joystick technique.
  • To assess the outcomes of this technique in treating adolescent transitional ankle fractures.

Main Methods:

  • Retrospective analysis of 10 adolescent patients with transitional ankle fractures treated with the arthrography-assisted joystick technique.
  • Fracture reduction assessed by X-ray or CT; ankle function evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) score.

Main Results:

  • All 10 patients achieved bone healing within 8-16 weeks.
  • Excellent AOFAS ankle scores were recorded, indicating satisfactory functional recovery.
  • The procedure involved a mean operation time of 40.5 minutes and minimal blood loss.

Conclusions:

  • The arthrography-assisted joystick technique is a minimally invasive and effective treatment for adolescent transitional ankle fractures.
  • This technique offers advantages including simple operation and ideal reduction effects.
  • Short-term clinical outcomes are satisfactory, supporting its use in pediatric cases.