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Department of Surgery, EOC, Service of Orthopaedics and Traumatology, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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in randomized controlled trials (RCTs) in comparison to the inactive treatments implying that their effect, or at least a part of it, may be due to placebo ( 6 ). The impact of the placebo effect has been already investigated in several
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The relevance of geriatric ankle fractures is continuously increasing.
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Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients.
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In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies.
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Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts.
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This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.
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the subtalar joint without blocking it. 47 The concept of ‘manipulation’ of the subtalar joint in approaching flatfoot was firstly reported in 1946 by Chambers, 48 who described the impaction of a wedge-shaped bone block into the anterior
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complex fracture patterns, a generous use of CT scanning is indicated for planning the operative approach ( Fig. 4 ). This is especially true in the presence of a posterior tibial fragment or with suspected impaction of the tibial plafond, which cannot be
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first post-operative week. Eccentric exercises are introduced at around the third post-operative week. Return to non-impact sports is encouraged at three weeks and return-to-play for impact sports is resumed at six to eight weeks after surgery. For
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downfalls beginning with high radiation dose, and practical issues such as those summarized by Barg et al 9 in a recent review article, namely: partial weight-bearing potentially underestimating its impact and passive external loads underestimating the
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(50% plane) 10.7° Inftal-hor angle (50% plane) 5.7° Sim, simulated; WB, weight-bearing Impact of the subtalar joint on ankle joint osteoarthritis In the development of ankle joint osteoarthritis, instability
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
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Hospital Base de Valdivia, Valdivia, Chile
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Clínica Puerto Montt, Puerto Montt, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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in the gait cycle. Despite the functional impairments associated with this pathology, consultation is mainly sought for aesthetic reasons (owing to the considerable psychological impact in some cases). Embryology Bone tissue begins to form in
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Introduction Isolated injuries to the syndesmotic complex occur in approximately 1–17% of all ankle sprains ( 1 , 2 ) and in up to 30% in high-impact sports ( 3 ). Furthermore, the syndesmosis is injured in up to 13% of all ankle fractures
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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AO Research Institute Davos, Davos Switzerland
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, osteoporosis, past events of falls and fractures, neurological deficits, medication, degree of mobility before the accident and social environment. These comorbidities have high impact on the treatment decision and treatment complications ( 8 ). Especially in
