Controversies in Acute Trauma and Reconstruction, An issue of Foot and Ankle Clinics of North America

This issue of Foot and Ankle Clinics, guest-edited by Drs. Jorge Filippi and German Joannas, will discuss Controversies in Acute Trauma and Reconstruction, including topics such as the Induced Membrane technique (Masquelet) for Bone Defects in the Distal Tibia, New principles in pilon fracture management, High energy pilon fractures, Strategies to avoid syndesmosis malreduction in ankle fractures, Complex Ankle Fractures, Acute deltoid ligament repair in ankle fractures, Chronic syndesmotic injuries: arthrodesis vs reconstruction, Talar neck fractures, Sinus tarsi approach for calcaneal fractures, Fixation by ORIF or primary arthrodesis of calcaneus fractures, How to identify unstable Lisfranc injuries, Subtle Lisfranc injuries, Primary arthrodesis for high energy Lisfranc injuries, and Jones fracture in the non-athletic population.

Format: Hardback
Length: 240 pages
Publication date: 11 November 2020
Publisher: Elsevier - Health Sciences Division

This issue of Foot and Ankle Clinics, guest-edited by Drs. Jorge Filippi and German Joannas, will discuss Controversies in Acute Trauma and Reconstruction. This issue is one of four selected each year by long-time series Consulting Editor, Dr. Mark Myerson. Topics in this issue will include:

Induced Membrane technique (Masquelet) for Bone Defects in the Distal Tibia:

The Induced Membrane technique (Masquelet) is a novel approach for treating bone defects in the distal tibia. It involves the use of a silicone membrane that is applied to the defect site to promote healing and prevent complications. The technique has shown promising results in clinical studies and is being increasingly used in the treatment of distal tibia fractures.

New principles in pilon fracture management:

Pilon fractures are complex fractures that involve the ankle joint. New principles in pilon fracture management include the use of minimally invasive techniques, such as percutaneous fixation, to reduce the risk of complications and improve patient outcomes. Additionally, the use of specialized implants and bone grafting materials is becoming more common to reconstruct the ankle joint and promote healing.

High energy pilon fractures:

High energy pilon fractures are severe fractures that often require complex treatment. These fractures typically involve the ankle joint and can be difficult to manage due to the high amount of force and energy involved. Treatment options for high energy pilon fractures include open reduction and internal fixation (ORIF), arthroscopic fixation, and external fixation.

Strategies to avoid syndesmosis malreduction in ankle fractures:

Syndesmosis malreduction is a common complication in ankle fractures, which can lead to long-term pain and disability. Strategies to avoid syndesmosis malreduction include proper patient selection, accurate fracture reduction, and early mobilization. Additionally, the use of specialized implants and surgical techniques can help to stabilize the ankle joint and prevent syndesmosis malreduction.

Complex Ankle Fractures:

Complex ankle fractures are fractures that involve multiple bones in the ankle joint. These fractures can be difficult to manage due to the complexity of the anatomy and the potential for complications. Treatment options for complex ankle fractures include open reduction and internal fixation (ORIF), arthroscopic fixation, and external fixation. Additionally, the use of specialized implants and bone grafting materials can help to reconstruct the ankle joint and promote healing.

Acute deltoid ligament repair in ankle fractures:

Acute deltoid ligament injuries are common in ankle fractures and can cause significant pain and instability. Acute deltoid ligament repair is a surgical procedure that involves repairing the damaged deltoid ligament using specialized implants and surgical techniques. The procedure has shown promising results in restoring ankle stability and reducing pain.

Chronic syndesmotic injuries: arthrodesis vs reconstruction:

Chronic syndesmotic injuries are injuries that occur after a syndesmosis, which is a ligamentous injury that occurs between two bones in the ankle joint. Chronic syndesmotic injuries can be difficult to manage and may require surgical intervention. The choice between arthrodesis (fusion of the bones) and reconstruction depends on the severity of the injury and the patient's overall health.

Talar neck fractures:

Talar neck fractures are fractures that occur in the ankle joint, specifically in the talus bone. These fractures can be difficult to manage due to the complex anatomy of the ankle joint and the potential for complications. Treatment options for talar neck fractures include open reduction and internal fixation (ORIF), arthroscopic fixation, and external fixation. Additionally, the use of specialized implants and bone grafting materials can help to reconstruct the ankle joint and promote healing.

Sinus tarsi approach for calcaneal fractures:

The sinus tarsi approach is a surgical procedure used to treat calcaneal fractures. The procedure involves making an incision in the ankle joint and inserting a specialized implant to stabilize the fracture. The sinus tarsi approach has shown promising results in restoring ankle stability and reducing pain.

Fixation by ORIF or primary arthrodesis of calcaneus fractures:

Calcaneus fractures are fractures that occur in the heel bone. These fractures can be difficult to manage due to the complex anatomy of the ankle joint and the potential for complications. The choice between fixation by ORIF (open reduction and internal fixation) and primary arthrodesis (fusion of the bones) depends on the severity of the injury and the patient's overall health.

How to identify unstable Lisfranc injuries:

Unstable Lisfranc injuries are injuries that occur in the ankle joint, specifically in the Lisfranc ligament. These injuries can be difficult to identify and may require imaging studies and surgical intervention. Early diagnosis and treatment are essential to prevent complications and improve patient outcomes.

Subtle Lisfranc injuries:

Subtle Lisfranc injuries are injuries that occur in the ankle joint, specifically in the Lisfranc ligament. These injuries can be difficult to identify and may not be immediately apparent. Subtle Lisfranc injuries can be managed with rest, physical therapy, and immobilization.

Primary arthrodesis for high energy Lisfranc injuries:

Primary arthrodesis is a surgical procedure used to treat high energy Lisfranc injuries. The procedure involves fusing the bones in the ankle joint to stabilize the fracture and prevent further injury. Primary arthrodesis has shown promising results in restoring ankle stability and reducing pain.

Jones fracture in the non-athletic population:

Jones fractures are fractures that occur in the ankle joint, specifically in the fibula bone. These fractures can be difficult to manage due to the complex anatomy of the ankle joint and the potential for complications. Treatment options for Jones fractures include open reduction and internal fixation (ORIF), arthroscopic fixation, and external fixation. Additionally, the use of specialized implants and bone grafting materials can help to reconstruct the ankle joint and promote healing.

In conclusion, this issue of Foot and Ankle Clinics will provide a comprehensive overview of the latest controversies in acute trauma and reconstruction. The issue will feature expert commentary and clinical insights on a range of topics, including the use of innovative techniques, new principles in fracture management, and strategies to improve patient outcomes. By staying up-to-date with the latest developments in this field, healthcare professionals can provide the best possible care for their patients with acute trauma and reconstruction.

Weight: 542g
Dimension: 159 x 239 x 22 (mm)
ISBN-13: 9780323775427