PMID- 29232164
OWN - NLM
STAT- MEDLINE
DCOM- 20181101
LR  - 20181101
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 39
IP  - 1
DP  - 2018 Jan
TI  - Effect of CT on Management Plan in Malleolar Ankle Fractures.
PG  - 59-66
LID - 10.1177/1071100717732746 [doi]
AB  - BACKGROUND: Conventionally ankle fractures have been classified using plain 
      radiographs. Because of complex 3-dimensional anatomy and complexity of injuries, 
      plain radiographs may not always be able to clearly depict the complete fracture 
      pattern. There is a paucity of studies regarding the utility of computed 
      tomography (CT) scanning in malleolar ankle fractures (MAFs). Hence, we conducted 
      this study to further understand the role of the CT scan in MAFs. METHODS: A 
      prospective study of 56 consecutive malleolar ankle fractures was conducted. In 
      the first evaluation by a team of 3 observers, a management plan was made based 
      on plain radiographs. All patients received a CT scan evaluation with a standard 
      protocol. The second evaluation by the same team included formulating an 
      operative plan based on the CT. RESULTS: In 13 (23.2%) cases, the management plan 
      changed after CT evaluation. In most of the cases, the change in the management 
      plan included an alteration in fixation of the posterior malleolus followed by 
      lateral malleolus in 4 cases. Most of the changes took place in AO 44 type C 
      followed by types B and A. Maximum change was noted in trimalleolar fractures 
      followed by bimalleolar and unimalleolar. The most common morphological 
      characteristic fracture identified on CT scan that was not evident on plain 
      radiography was Chaput fracture in 17 cases. CONCLUSION: CT scan evaluation of 
      MAFs changed the management plan in a significant number of cases, especially if 
      the fractured fragment included a posterior malleolus, AO type C, and/or if 2 or 
      more malleoli were fractured as noted on plain x rays. LEVEL OF EVIDENCE: Level 
      IV, case series.
FAU - Kumar, Ashwani
AU  - Kumar A
AD  - 1 Department of Orthopedics, University College of Medical Sciences and Guru Teg 
      Bahadur Hospital, Delhi, India.
FAU - Mishra, Puneet
AU  - Mishra P
AD  - 1 Department of Orthopedics, University College of Medical Sciences and Guru Teg 
      Bahadur Hospital, Delhi, India.
FAU - Tandon, Anupama
AU  - Tandon A
AD  - 2 Department of Radiology, University College of Medical Sciences and Guru Teg 
      Bahadur Hospital, Delhi, India.
FAU - Arora, Rajesh
AU  - Arora R
AD  - 3 Sports Injury Centre, Safdarjung Hospital, Delhi, India.
FAU - Chadha, Manish
AU  - Chadha M
AD  - 1 Department of Orthopedics, University College of Medical Sciences and Guru Teg 
      Bahadur Hospital, Delhi, India.
LA  - eng
PT  - Journal Article
DEP - 20171212
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Ankle Fractures/*surgery
MH  - Ankle Injuries/surgery
MH  - Ankle Joint/*surgery
MH  - Humans
MH  - Prospective Studies
MH  - Radiography
MH  - Tarsal Bones
MH  - Tibia
MH  - Tomography, X-Ray Computed
OTO - NOTNLM
OT  - computed tomography
OT  - isolated fibular fractures
OT  - malleolar ankle fractures (MAFs)
OT  - management planning
OT  - morphological characteristics
OT  - posterior malleolus
EDAT- 2017/12/13 06:00
MHDA- 2018/11/02 06:00
CRDT- 2017/12/13 06:00
PHST- 2017/12/13 06:00 [pubmed]
PHST- 2018/11/02 06:00 [medline]
PHST- 2017/12/13 06:00 [entrez]
AID - 10.1177/1071100717732746 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2018 Jan;39(1):59-66. doi: 10.1177/1071100717732746. Epub 2017 
      Dec 12.