Journal of Foot and Ankle Surgery (Asia Pacific)

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2017 | July-December | Volume 4 | Issue 2

ORIGINAL ARTICLE

Rajiv Shah

Editorial

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/jfasap-4-2-iv  |  Open Access |  How to cite  | 

SYMPOSIUM ORIGINAL ARTICLE

Nikhil Mehta, Mandeep S Dhillon,, Lokesh Kumar,

The Lauge-Hansen Classification for Ankle Fractures: Is it Relevant in 2017?

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:4] [Pages No:53 - 56]

PDF  |  DOI: 10.5005/jp-journals-10040-1071  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dhillon MS, Kumar L, Sharma S, Mehta N. The Lauge-Hansen Classification for Ankle Fractures: Is it Relevant in 2017? J Foot Ankle Surg (Asia-Pacific) 2017;4(2):53-56.

SYMPOSIUM INVITED ARTICLE

Jin Su Kim

Anterior Inferior Tibiofibular Ligament Reconstruction with Anchor Sutures compared with Trans-syndesmotic Screw Fixation for Ankle Syndesmotic Injuries

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:6] [Pages No:57 - 62]

PDF  |  DOI: 10.5005/jp-journals-10040-1072  |  Open Access |  How to cite  | 

Abstract

Background

Acute syndesmotic injuries were usually treated with trans-syndesmotic screw fixation. However, screw fixation is too strong compared with the physiologic ankle joint movement. In addition, it needs removal and leads to delayed rehabilitation. We propose the reconstruction of the anterior inferior tibiofibular ligament (AITFL) using suture anchors to substitute trans-syndesmotic screw fixation.

Materials and methods

We compared the results after trans-syndesmotic screw fixation and AITFL suture anchor fixation in syndesmotic injuries with or without ankle fracture. Consecutively, the trans-syndesmotic screw (group I) was conducted between June 2011 and June 2013, and since July 2013, suture anchor fixation was performed (group II). Reductions in quality, the American Orthopedic Foot and Ankle Society (AOFAS) score, and the Olerud–Molander ankle score (OMAS) were evaluated.

Results

The final AOFAS score and OMAS in both groups were not significantly different (p = 0.98, 0.67). Tibiofibular overlapping, tibiofibular space, and tibiofibular overlapping ratio to the tibial width in both groups had satisfactory reduction from the standards. Computed tomographic (CT) evaluation also confirmed that both groups had been anatomically reduced in standard. Anteroposterior axis reduction in CT was more accurate in group II. Nonclinically related complications were three broken screws in final follow-up in group I.

Conclusion

Both trans-syndesmotic screws and suture anchor fixation have satisfactory clinical outcomes. The suture anchor fixation for syndesmotic injury does not need removal and is less complicated compared with the trans-syndesmotic screw fixation.

How to cite this article

Kim JS. Anterior Inferior Tibiofibular Ligament Reconstruction with Anchor Sutures compared with Trans-syndesmotic Screw Fixation for Ankle Syndesmotic Injuries. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):57-62.

SYMPOSIUM INVITED ARTICLE

Tungish Bansal, Mandeep S Dhillon,, Kamal Dureja,

How We do It. Trimalleolar Fractures: Fixing the Posterior Malleolus by Posterolateral Approach

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:6] [Pages No:63 - 68]

PDF  |  DOI: 10.5005/jp-journals-10040-1073  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Dhillon MS, Dureja K, Patel S, Bansal T. How We do It. Trimalleolar Fractures: Fixing the Posterior Malleolus by Posterolateral Approach. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):63-68.

SYMPOSIUM REVIEW ARTICLE

Rajesh K Rajnish, Uttam C Saini,, Udai Cheema,

Open Fractures of the Ankle: Management Options and Factors influencing Outcomes

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:8] [Pages No:69 - 76]

PDF  |  DOI: 10.5005/jp-journals-10040-1074  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Saini UC, Dhillon MS, Cheema U, Rajnish RK. Open Fractures of the Ankle: Management Options and Factors influencing Outcomes. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):69-76.

SYMPOSIUM CASE REPORT

Rajiv Shah, Shivam R Shah

Diabetic Ankle Fractures: Does Management Differ? A Case-based Presentation

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:7] [Pages No:77 - 83]

PDF  |  DOI: 10.5005/jp-journals-10040-1075  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Shah R, Shah SR. Diabetic Ankle Fractures: Does Management Differ? A Case-based Presentation. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):77-83.

RESEARCH ARTICLE

Gyaneshwar Tank, Ravikant Rohila, Rohit Gupta,, Amit Gupta,

Comparative Study of Platelet-rich Plasma and Corticosteroid Injection in the Treatment of Plantar Fasciitis

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:6] [Pages No:84 - 89]

PDF  |  DOI: 10.5005/jp-journals-10040-1076  |  Open Access |  How to cite  | 

Abstract

Introduction

Platelet-rich plasma (PRP) is promoted now­adays as an ideal autologous biological blood-derived product. It enhances wound healing, bone healing, tendon healing and is currently being widely used.

Aims and objectives

A prospective cohort study was done to assess the efficacy of autologous PRP injection and to compare it with corticosteroid injection in treatment of plantar fasciitis (PF).

Materials and methods

Eighty patients were included in the study and divided into two groups. Group I (30 patients) received PRP injection and group II (50 patients) were given steroid injection. Patients were clinically assessed at different intervals. Functional outcome was evaluated on the basis of visual analog scale (VAS) and foot and ankle ability measure (FAAM) scores. Planter fascia thickness was assessed pre- and postinjection by ultrasound.

Results

Platelet-rich plasma and corticosteroid injection groups at the initial visit had VAS score of 8.44 and 8.38 respectively which was reduced to 1.46 and 3.02 at the end of 6 months. The PRP and corticosteroid injection groups at the initial visit had FAAM score of 29.9 and 31.6 respectively which increased to 83.4 and 69.1 at the end of 6 months. After injection, the PRP group had significant reduction (35.90%) in the thickness of plantar fascia as compared to corticosteroid group (28.67%).

Conclusion

Treatment of PF with PRP extract reduces pain and significantly increases function, exceeding the effect of steroid on long-term follow-up.

How to cite this article

Tank G, Gupta R, Gupta A, Rohila R. Comparative Study of Platelet-rich Plasma and Corticosteroid Injection in the Treatment of Plantar Fasciitis. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):84-89.

RESEARCH ARTICLE

Satish R Gawali, Raman O Toshniwal, Shashikant B Kukale,, Pramod V Nirvane,

Management of Fracture of Posterior Malleolus, Trimalleolar Fracture, Fracture Dislocations, and Syndesmosis Injury of Ankle Joint

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:7] [Pages No:90 - 96]

PDF  |  DOI: 10.5005/jp-journals-10040-1077  |  Open Access |  How to cite  | 

Abstract

Background

Malleolar fractures of ankle are usually complex injuries, as they are associated with significant ligament and soft tissue injury—injury to syndesmosis and injury to medial and lateral collateral ligaments. The open reduction and internal fixation is not feasible until recovery of significant soft tissue injury and subsidence of edema. Malleolar fractures are articular fractures and have associated subluxation and dislocation of talus. The aims of treatment are to restore normal anatomy and provide sufficient stability for early movements.

Malleolar fractures more often require open reduction. Our study aimed to know efficacy and outcome of operative management of them.

Materials and methods

From January 2013 to March 2015, 35 patients with syndesmotic ankle injury and trimalleolar ankle fractures admitted to the Government Medical College, Latur, India, were operated and followed up prospectively.

Results

Mean age of patients is 35 years (25–60 years). Fracture union was seen radiologically in 3 to 4 months depending on fracture geometry. We achieved good to excellent results of 90%.

Conclusion

We conclude that malleolar fractures encountered in clinical practice need thorough assessment and meticulous surgical intervention, as they are associated with injury to ligament complex, i.e., ligament is a key structure in the stability of ankle mortise. Abduction and external rotation types of injuries are the most common types to be seen. We achieved stable fixation and performed early mobilization of the ankle joint, which limits the complications of mainly ankle stiffness. Each malleolus has got its inherent associated complications and calls for special attention for identifying associated conditions, such as syndesmotic injury, talus dislocation in posterior malleolar fractures, irreducible ankle dislocation with trimalleolar fracture, and entrapped fibula behind tibia with irreducible dislocation.

How to cite this article

Gawali SR, Kukale SB, Nirvane PV, Toshniwal RO. Management of Fracture of Posterior Malleolus, Trimalleolar Fracture, Fracture Dislocations, and Syndesmosis Injury of Ankle Joint. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):90-96.

RESEARCH ARTICLE

Avadhoot P Kantak

The Metatarsal Axis Deviation Angle: A Novel Angular Measurement for Planning Surgery of Severe Hallux Valgus

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:3] [Pages No:97 - 99]

PDF  |  DOI: 10.5005/jp-journals-10040-1078  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kantak AP. The Metatarsal Axis Deviation Angle: A Novel Angular Measurement for Planning Surgery of Severe Hallux Valgus. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):97-99.

CASE REPORT

Rajesh Simon, Denis P Jose, Atmaram Gadgil,

Composite Flexor Hallucis Longus and Free Gracillis Flap for Infected Achilles Tendon

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:3] [Pages No:100 - 102]

PDF  |  DOI: 10.5005/jp-journals-10040-1079  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Simon R, Gadgil A, Jose DP. Composite Flexor Hallucis Longus and Free Gracillis Flap for Infected Achilles Tendon. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):100-102.

Book Review

Rakesh John, Hans Zwipp

Book Review

[Year:2017] [Month:July-December] [Volume:4] [Number:2] [Pages:2] [Pages No:103 - 104]

PDF  |  DOI: 10.5005/jfasap-4-(2)-103  |  Open Access |  How to cite  | 

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