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At least 55 records · Page 3Linked to original sources
PubMed2007

[MDCT classification of osseous ankle and foot injuries].

Conventional radiography plays an essential role in the primary evaluation of acute ankle and foot trauma. In the case of complex injuries, however, subsequent computed tomography (CT) is nowadays recommended. In this connection, multidetector computed tomography (MDCT) allows better temporal, spatial, and contrast resolution compared with the conventional single-slice spiral CT. Multiplanar reformation and three-dimensional reconstruction of the acquired data sets are also helpful tools for critical assessment of therapeutic intervention. This report reviews the potential of the MDCT technique for accurate fracture classification, precise illustration of displaced components, and postoperative control of arrangement of typical lesions.

Ankle Injuries↗
PubMed1995

Foot injuries caused by anti-personnel mines.

During 18 months of the 1991-1992 war against Croatia, 14 persons wounded by antipersonnel mines were admitted to the Department of Surgery at Osijek University Hospital. Twelve had injury of the calcaneal region. Kirschner wires were used for minimal osteosynthesis. Delayed wound closure was performed 14 to 21 days after injury. The methods used were delayed direct closure, split skin-thickness graft, or microvascular free flaps. Osteitis did not develop, and all patients walked with full weight after 1 year.

Blast Injuries↗
PubMed1998

[Dislocation fractures in the area of the middle foot--injuries of the Chopart and Lisfranc joint].

Dislocation fractures of the Chopart and Lisfranc joint line result from rough force and lead to articular incongruities, complex derangement of the plantar arc geometry and shortening of the medial or lateral column of the foot. These injuries are often complicated by severe soft tissue damage causing a high incidence of compartment syndrome. Beside careful clinical examination radiographs in 3 standard projections are essential for the exact diagnosis, if necessary completed by conventional tomographies or CT. To avoid residual joint incongruities and derangements of the anatomic architecture resulting in disabling arthrosis the indications for open reduction and functionally stable osteosynthesis should be broad. Concerning injuries of the Chopart joint any shortening of the medial or lateral column--especially if there is a substantial impression of the articular surface--should be reduced. Osseous defects have to be filled with autogenous cancellous bone and are stabilized with transarticular K-wires, 2.7 mm or 3.5 mm screws or small plates. Dislocation-fractures of the Lisfranc joint can be fixed by percutaneous K-wires if a closed reduction is possible. Open reduction and internal fixation are indicated in cases of instable and irresponsible fractures, and in open fractures as well as in lesions presenting with a compartment syndrome. A precise anatomic reduction of the tarsometatarsal joints is critical after this kind of injuries to avoid long-term disability.

Adolescent↗
PubMed1999

[Dilemmas in the classification of foot injuries caused by land mines].

In international classification of injuries, very often there are some specific conditions that are not clearly defined. War initiated that about specific conditions before all injuries a discussion in term of more correct presentation through the code is being made. Very often, some conditions in international classification are being led as INSUFFICIENTLY DEFINED or UNMARKED PART. When we have present large destruction due to wounding with projectiles of high kinetic energy (initial velocity), and especially stepping on land-mines, we have the situations that can not be correctly defined. The amount of these injuries which are about to follow in the future period authors will declare in few examples which have been surgically treated in Traumatological Clinic in Sarajevo. All injuries were result of stepping on land-mines and in all cases it was about foot. The stated injuries we were not able to code as amputations because the distal part of the injury was vascularized, later on we found out that there are possibilities of surgical reconstruction in meaning of functional foot, since we do not have open (explosive) fracture here. May-be, as a clinical formulation or for initial observation a more appropriate name is (term analogue in surgery of other regions beside limbs) INTERCALARY amputation of limbs. The same one could be moved from deficiency to a complete lack which surely must be linked to its causality.

Blast Injuries↗
PubMedDate not supplied

[Spiral computed tomography in the diagnosis of ankle and foot injuries].

The data on 187 patients with traumatic lesions of the ankle joint and foot were used to analyze the capacities of computed tomography (CT) in the diagnosis of this pathology. The efficiency of CT versus X-ray study was evaluated. Specific guidelines are given to make spital CT. CT is shown to be of the most informative value in the diagnosis of lesions of the tibial plateau, undisplaced fractures of the internal malleolus, small marginal comminuted fractures, and lesions of the distal tibiofibular syndesmosis. There is evidence for that CT plays a dominant role in the diagnosis of lesions of the talus and calcaneus. Emphasis is laid on the great value of secondary multi- and three-dimensional image reconstructions.

Ankle Injuries↗