Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 8 , ISSUE 4 ( October-December, 2021 ) > List of Articles

Radiology Corner

Intraoperative C-arm CT for Assessment of Syndesmotic Reduction

Sandeep Patel, Manjunath Nishani, Sreedhara B Chaluvashetty

Keywords : Ankle fracture, Intraoperative CT, Syndesmosis injury

Citation Information : Rajesh P. F - 13: Comparative Evaluation Of Premedication with Ketorolac and Prednisolone on Postendodontic Pain: A Double-Blind Randomized Controlled Trial. 2018; 7 (1):98-98.

DOI: 10.5005/jp-journals-10040-1183

License: CC BY-NC 4.0

Published Online: 20-10-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Anatomic syndesmotic reduction is an important predictor of successful outcomes after ankle fracture fixation with associated syndesmotic injury. Various methods to check syndesmotic reduction range from mini-open technique and visualization to various radiographic parameters on standard C-arm to postoperative CT scans. Intraoperative CT scan will definitely be the best imaging modality and can avoid re-surgeries. With the advent of C-arm CT scans, the whole process of intraoperative CT scans can be cost-effective, compact, and easy portability between operation theaters.


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  1. Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am 1984;66(4):490–503. DOI: 10.2106/00004623-198466040-00002.
  2. Chissell HR, Jones J. The influence of a diastasis screw on the outcome of Weber type-C ankle fractures. J Bone Joint Surg Br 1995;77(3):435–438. DOI: 10.1302/0301-620X.77B3.7744931.
  3. Weening B, Bhandari M. Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures. J Orthop Trauma 2005;19(2):102–108. DOI: 10.1097/00005131-200502000-00006.
  4. Gardner MJ, Demetrakopoulos D, Briggs SM, et al. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 2006;27(10):788–792. DOI: 10.1177/107110070602701005.
  5. Sagi HC, Shah AR, Sanders RW. The functional consequence of syndesmotic joint malreduction at a minimum 2-year follow-up. J Orthop Trauma 2012;26(7):439–443. DOI: 10.1097/BOT.0b013e31822a526a.
  6. Hsu AR, Gross CE, Lee S. Intraoperative O-arm computed tomography evaluation of syndesmotic reduction: case report. Foot Ankle Int 2013;34(5):753–759. DOI: 10.1177/1071100712468872.
  7. Summers HD, Sinclair MK, Stover MD. A reliable method for intraoperative evaluation of syndesmotic reduction. J Orthop Trauma 2013;27(4):196–200. DOI: 10.1097/BOT.0b013e3182694766.
  8. Verma SK, Singh PK, Agrawal D, et al. O-arm with navigation versus C-arm: a review of screw placement over 3 years at a major trauma center. Br J Neurosurg 2016;30(6):658–661. DOI: 10.1080/02688697.2016.1206179.
  9. Kinon MD, Desai R, Loriaux D, et al. Image-guided percutaneous internal fixation of sacral fracture. J Clin Neurosci 2016;23:146–148. DOI: 10.1016/j.jocn.2015.08.011.
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