Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 25570
THERAPEUTIC OPTIONS IN NEGLECTED ANKLE INJURIES
Gheorghe Ion POPESCU 1 , Olivera LUPESCU 1 , Mihail NAGEA 2 , Cristina PATRU 2
,Stefan Aurel NICULESCU 2
1 University of Medicine and Pharmacy, Emergency Hospital, Bucharest, Bucharest
(ROMANIA), 2 Emergency Hospital, Bucharest (ROMANIA),
Early diagnosis and treatment are essential to reestablishment of the function of the
ankle joint. When the injuries are treated late, the therapeutic option depends on
local and general factors. The authors analyse 20 patients treated between
1.01.2004-01.08.2007 for ankle injuries with surgical indication. For various reasons,
surgical treatment was applied after more than 4 weeks after the injury. The patients
were evaluated according to: age, time from the injury; structures affected by the
injury, imagistical evaluation, injuries discovered during surgery. Surgical reduction
and osteosynthesis were achieved in 75% of cases, and in the remaining 25% ankle
arthrodesis was necessary .The initial technique established before the surgery was
applied in 17 cases. In 3 cases it was originally thought that reduction could be
performed, but arthrodesis was necessary. The congruence between the state of the
ankle structures, especially the cartilage, and the amount of wear on the ankle,
specific to the patient, was essential in establishing the therapeutic indication. In 2 of
the 15 cases, secondary ankle arthrodesis was indicated. In the case of old ankle
injuries, the therapeutic option is difficult because the surgeon must adapt the state
of the structures affected by the old injury to the wear on the ankle joint. The choice
between stabilization and arthrodesis is made according to the state of the bony and
especially the cartilaginous structures, which is evaluated imagistically and during
surgery.
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