Determinants of surgical necessity in Danis-Weber a lateral malleolus fractures: Prognostic insights from a nonoperative cohort.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest The authors declare no conflicts of interest. 5. J Foot Ankle Surg. 2015 May-Jun;54(3):513-6. doi: 10.1053/j.jfas.2014.06.025. Epub 2014 Aug 14. Use of a flexible implant and bioabsorbable anchor for deltoid rupture repair in bimalleolar equivalent Weber B ankle fractures. Luckino FA 3rd(1), Hardy MA(2). Author information: (1)Third Year Resident, HealthSpan Physicians Group, Cleveland, OH. (2)Chief, Department of Foot and Ankle Surgery, HealthSpan Physicians Group, Cleveland, OH. Electronic address: mhardy@healthspan.org. Supination external rotation ankle fractures are the most common ankle fracture subtype. Deltoid ligament injuries have often been associated with this type of injury pattern. A missed injury can lead to post-traumatic arthritis and persistent pain. The current data do not support acute deltoid rupture repair. This has been based primarily on level III and IV studies in which less than satisfactory results were reported. We believe that acute deltoid rupture repair could be indicated in select cases. We have outlined a new deltoid repair technique for use with bimalleolar, equivalent supination external rotation ankle fractures using a flexible implant and bioabsorbable anchor. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved. DOI: 10.1053/j.jfas.2014.06.025