Research was conducted to evaluate the effectiveness of syndesmosis-only fixation for Weber type-C fractures. Twelve patients with Weber type-C fracture were treated with anatomical reduction and syndesmosis-only fixation. Patients were kept non-weight-bearing for six weeks, followed by screw extraction at an average of eight weeks. The postoperative functional outcome score was 75 at a mean follow-up of 13 months, and excellent to good results were observed in 83 percent of the patients, using an objective ankle scoring system (Olerud and Molander scale) and by radiographic assessment of the ankle mortise. Ankle mortise was reduced in all patients, and all but one fibular fracture united without fixation loss. One patient had late diastasis following removal of the syndesmotic screw.
From the article of the same title
Indian Journal of Orthopaedics (10/01/11) Vol. 45, No. 5, P. 454 Mohammed, R.; Syed, S.; Metikala, S.; et http://advancedfootandanklesd.com/default.aspx
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About drphilipw
Dr. Philip Wrotslavsky specializes in the diagnosis and treatment of infant, children and adult patients with medical conditions of the foot, ankle and lower leg structures.
Dr Wrotslavsky completed his orthopedic fellowship (Chief Fellow) at The Limb Reconstruction Fellowship Program at the International Center for Limb Lengthening in Baltimore, Maryland under the guidance of Dr. Dror Paley and Dr. John Herzenberg. His fellowship experience included the in-depth study, prevention, and treatment of limb threatening foot conditions, infections, diabetic charcot neuroarthropathy, nonunions, malunions, and congenital and posttraumatic limb deformities. He has adopted techniques derived from the science of distraction osteogenesis.He is adept at utilizing the full gamut of orthopedic fixation materials, including screws, wires, plates, intramedullary rods, and monolateral and circular fixators (Ilizarov and Taylor Spatial Frame) in the treatment and correction of deformities.
His 4 years of podiatry foot and ankle surgical residency training took place in an inner city hospital in New York City, where he worked with a multidisciplinary team of general, podiatric, orthopedic and vascular physicians and surgeons and provided a wide variety of foot and ankle care including wound care, ankle arthroscopy, diabetic limb salvage and reconstruction, flatfoot reconstruction, neurological cavo-varus foot reconstruction and management of trauma to the foot and ankle.
Dr Wrotslavsky's fellowship and residency training has taught him to perform a full biomechanical exam identifying lower extremity pathology from spine to foot.He enjoys working with a team of physicians identifying the patients’ pathology and providing the appropriate treatment.
