TY - JOUR
T1 - Post-traumatic tibio-fibular synostosis in adults
AU - Dudkiewicz, I.
AU - Ganel, A.
AU - Blankstein, Alexander
PY - 2005/8
Y1 - 2005/8
N2 - Background: Post-traumatic tibio-fibular synostosis is a rare complication of tibial and ankle fractures. Distal tibio-fibular synostosis is the most common, but midshaft, or proximal tibio-fibular synostosis are also found. Proximal tibio-fibular synostosis is difficult to detect on routine X-rays, but is clearly discernible on computed tomography scans. Methods: Fifteen patients (5 females and 10 males) suffering from post-traumatic tibio-fibular synostosis were followed up. Age at time of initial trauma ranged from 18 to 57 years (mean, 35.9 years). Follow-up time from initial trauma ranged from 2 to 22 years (mean, 5.2 years). Results: Most of the patients suffered from pain and/or limitation of ankle movement. The mild symptoms and mild-to-moderate decrease in ankle motion did not justify surgical excision of the bony bridge. No signs of osteoarthrosis were detected in any of the recent radiographs. Conclusion: Even symptomatic patients should be treated by conservative methods.
AB - Background: Post-traumatic tibio-fibular synostosis is a rare complication of tibial and ankle fractures. Distal tibio-fibular synostosis is the most common, but midshaft, or proximal tibio-fibular synostosis are also found. Proximal tibio-fibular synostosis is difficult to detect on routine X-rays, but is clearly discernible on computed tomography scans. Methods: Fifteen patients (5 females and 10 males) suffering from post-traumatic tibio-fibular synostosis were followed up. Age at time of initial trauma ranged from 18 to 57 years (mean, 35.9 years). Follow-up time from initial trauma ranged from 2 to 22 years (mean, 5.2 years). Results: Most of the patients suffered from pain and/or limitation of ankle movement. The mild symptoms and mild-to-moderate decrease in ankle motion did not justify surgical excision of the bony bridge. No signs of osteoarthrosis were detected in any of the recent radiographs. Conclusion: Even symptomatic patients should be treated by conservative methods.
UR - http://www.scopus.com/inward/record.url?scp=27944479590&partnerID=8YFLogxK
U2 - 10.1055/s-2004-821291
DO - 10.1055/s-2004-821291
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AN - SCOPUS:27944479590
SN - 0044-6173
VL - 35
SP - 230
EP - 233
JO - Aktuelle Traumatologie
JF - Aktuelle Traumatologie
IS - 4
ER -