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Médecine et chirurgie du pied

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Rotational malalignment of the fibular malleolus after osteosynthesis of ankle fractures Volume 24, issue 4, Décembre 2008

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Publication présentée à la Société de médecine et chirurgie du pied (F. Bonnel) à Paris, en 2007.

Conventional radiography is generally used to assess the quality of surgical reduction in cases of malleolus fracture. Rotational malalignment of the fibula, connected with fibula malunion, cannot easily be assessed using conventional methods. Because of the urgent nature of the operation, standard coronal (frontal) radiographies are not enough. Our aim was to compare the quality of postoperative reduction assessment by frontal and sagittal plane radiography, with tomodensitometric images of the reduction in the horizontal plane. Rotational malalignment of the fibula caused by syndesmosis injury is insufficiently evaluated and the ability to differentiate between rotational malalignment caused by fibula malunion and that caused by distal tibiofibular ligament injury seems essential.