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Journal articles on the topic 'Tri-Malleolar Ankle Fracture'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Malik, Azeem Tariq, Safdar N. Khan, Laura Phieffer, Thuan V. Ly, and Carmen E. Quatman. "Are Orthopaedic Surgeons Being Adequately Compensated for Ankle Fractures? An Analysis of Relative Value Units (RVUs)." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0005. http://dx.doi.org/10.1177/2473011419s00052.

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Category: Ankle, Trauma Introduction/Purpose: Tri-malleolar fractures, as compared to simple uni-malleolar fractures, are technically more challenging cases, have longer operative times and require a higher effort. The current RVU-based system is built to reflect the varying presentation of ankle fractures (uni-malleolar vs. bi-malleolar vs. tri-malleolar) by assigning individual RVUs to different fracture complexities. However, no study has evaluated whether the current RVUs reflect an appropriate compensation per unit time following open reduction internal fixation (ORIF) for uni-malleolar v

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2

Ullah, Najeeb, Baryalai Khan, Asad Moiz Hussain, Muhammad Shoib, Khushal Khan Kakar, and Sana Ullah Kakar. "Comparison of Adequacy of Reduction of Third Malleolar Fracture in Prone vs. Spine Position in Tri-Malleolar Ankle Fracture a Tertiary Care Experience." Pakistan Journal of Medical and Health Sciences 18, no. 6 (2024): 37–39. http://dx.doi.org/10.53350/pjmhs020241869.

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Background: Ankle fractures, especially tri-malleolar fractures, are among the most frequent injuries to the lower extremities, affecting about 179 out of 100,000 individuals each year. Because of their complexity, these fractures provide serious complications for orthopedic surgeons. This work therefore analyzes tri-malleolar fractures to know the effect of prone position in relation to supine position while at the same time bearing in mind the characteristics of individual fracture, the surgeon and the patient. Methods: This comparative study was conducted at a tertiary care hospital, involv

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3

Yu, Tianming, Jichong Ying, Jianlei Liu, et al. "Percutaneous posteroanterior screw fixation for Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture: Operative technique and randomized clinical results." Journal of Orthopaedic Surgery 29, no. 1 (2021): 230949902199799. http://dx.doi.org/10.1177/2309499021997996.

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Purpose: The study described a novel surgical treatment of Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture and patient outcomes at intermediate period follow-up. Methods: All patients from January 2015 to December 2017 with tri-malleolar fracture of which posterior malleolar fractures were Haraguchi type 1, were surgically treated in this prospective study. Lateral and medial malleolar fractures were managed by open reduction and internal fixation through dual incision approaches. 36 cases of Haraguchi type 1 posterior malleolar fractures were randomly performed by perc

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4

Ali, Khandoker Muhammud Mazher, Muhammad Mozaherul Islam, K. M. Badar Uddin, M. Rukanuddawla Khan, and M. Atikur Rahman Shojib. "Comparison of American orthopedic foot and ankle society score between anterior to posterior lag screws versus posterior buttress plating for posterior malleolus fixation in tri-malleolar ankle fracture." International Journal of Research in Orthopaedics 10, no. 1 (2023): 24–28. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20234036.

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Background: Posterior malleolar fractures are frequent, occurring in up to 44% of all ankle fractures. Surgical management typically involves anterior to posterior (AP) lag screws or posterior buttress plates. This study aimed to compare the AOFAS (American orthopedic foot and ankle society) score between AP lag screw and posterior buttress plating for posterior malleolus fixation in tri-malleolar ankle fracture. Methods: This quasi-experimental study was conducted at the department of orthopedics and traumatology, Chittagong medical college hospital, Chattogram, Bangladesh, from November 2020

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Malik, Azeem Tariq, Carmen E. Quatman, Thuan V. Ly, Laura Phieffer, and Safdar N. Khan. "Refining Risk-Adjustment of 90-day Costs Following Surgical Fixation of Ankle Fractures: Implications for a Bundled Payment Model." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0028. http://dx.doi.org/10.1177/2473011419s00289.

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Category: Trauma Introduction/Purpose: Current literature revolving around understanding cost-determinants of 90-day payments following ankle fractures is limited to single-institution studies. As the current healthcare model transitions from fee-for-service to value- based payments, risk-adjustment of 90-day payments will be a key factor driving success of these bundled payment models. The current study, utilizes a national Medicare database, to understand patient-level, procedure-level and state-level variation in 90-day payments following open reduction internal fixation (ORIF) of isolated

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6

Mathew, Arun Mammen, Ashwin Roby, and Nasneem M. "A prospective study of the surgical management of malleolar fractures around the ankle." International Journal of Research in Orthopaedics 11, no. 2 (2025): 293–99. https://doi.org/10.18203/issn.2455-4510.intjresorthop20250449.

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Background: Ankle fractures are commonly occurring fractures, especially in the aging population, where they often present as fragility fractures. Methods: Malleolar (mono, bi and tri malleolar) fracture patients treated at a tertiary healthcare centre located in South Kerala, India were included in this prospective study. The present study comprised of 27 patients over 20 years of age with closed, unstable or displaced ankle malleolar fractures treated surgically attending the study centre over a period of 6 months. After a clinical evaluation, a full survey was done to rule out major damage.

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7

Malik, Azeem Tariq, Safdar N. Khan, Carmen E. Quatman, Thuan V. Ly, and Laura Phieffer. "Safety and Cost-Efficacy of Surgical Fixation of Isolated Ankle Fractures in a Free-Standing Ambulatory Surgical Center (ASC) vs. Hospital-Owned Outpatient Facility (HOPD)." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0029. http://dx.doi.org/10.1177/2473011419s00290.

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Category: Ankle, Trauma Introduction/Purpose: Free-standing Ambulatory Surgical Centers (ASCs) typically provide uncomplicated surgical procedures in a non-hospital setting, and function as ‘focused factories’ that replicate the delivery of quality care while achieving lower costs as compared to hospital-owned outpatient facilities (HOPD). Despite an increasing interest towards outpatient foot and ankle surgery, few studies have compared the safety and cost-savings associated with surgical fixation of isolated ankle fractures in a free-standing ASC vs. a HOPD. Methods: The 2007-2014 Humana Adm

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8

Raheman, Firas, Raju Ahluwalia, and Venu Kavarthapu. "Enhanced Treatment." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0003. http://dx.doi.org/10.1177/2473011417s000332.

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Category: Ankle, Trauma Introduction/Purpose: Ankle fracture fixation has commonly been undertaken with an inpatient process due to swelling and surgery may not always be conducted on the next available operating list. In the UK there has been a move over the last 5 years to manage many trauma cases semi-electively and within the day case departments, to give patients more choice in their treatment. We conducted a study looking at the impact of a home therapy ankle pathway combined with day case- surgery on the length of stay and safety of patients with ankle fractures requiring surgical fixat

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9

Allen, John R., Caroline P. Hoch, Christopher E. Gross, and Daniel J. Scott. "Cost Efficiency of Ankle Fracture ORIF at an Ambulatory Surgical Center vs Hospital." Foot & Ankle Orthopaedics 7, no. 4 (2022): 2473011421S0055. http://dx.doi.org/10.1177/2473011421s00552.

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Category: Ankle; Trauma Introduction/Purpose: Ankle fracture open reduction and internal fixation (ORIF) is one of the most commonly performed orthopaedic surgeries, which can be performed at a variety of surgical locations. However, there is very little data exploring the cost and efficiency of ankle fracture ORIF in different operative settings. Time-Driven Activity Based Costing (TDABC) is a novel accounting method used to accurately assign costs for various procedures by creating a process map of all personnel interactions as a patient moves through a care event. Further, it has been shown

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10

Gray, Mitchell T., Krystin A. Hidden, Azeem T. Malik, et al. "Octogenarian and Nonagenarians Are at a Higher Risk for Experiencing Adverse 30-Day Outcomes Following ORIF of Ankle Fractures." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110114. http://dx.doi.org/10.1177/21514593211011462.

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Introduction: Despite an increasing number of elderly individuals undergoing surgical fixation for ankle fractures, few studies have investigated peri-operative outcomes and safety of surgery in an octogenarian and nonagenarian population (age >80 years). Materials and Methods: The 2012-2017 American College of Surgeons database was queried for patients undergoing open reduction internal fixation for isolated uni-malleolar, bi-malleolar and tri-malleolar ankle fractures. The study cohort was divided into 3 comparison groups (age <65 years, 65-75 and >80). Multi-variate regression anal

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11

Malik, Azeem Tariq, Safdar N. Khan, Laura Phieffer, et al. "Octogenarian and Nonagenarians Are at a Higher Risk for Experiencing Adverse 30-Day Outcomes Following ORIF for Ankle Fractures." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0028. http://dx.doi.org/10.1177/2473011419s00288.

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Category: Ankle, Trauma Introduction/Purpose: Despite an increasing number of elderly individuals undergoing surgical fixation for ankle fractures, few studies have investigated peri-operative outcomes and safety of surgery in an octogenarian and nonagenarian population (age >=80 years). Past literature has shown octogenarians to be a potentially vulnerable population that have drastically different adverse outcomes and higher resource utilization as compared to individuals below the age of 80 years. Methods: The 2012-2017 American College of Surgeons – National Surgical Quality Improvement

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12

Bohl, Daniel, Simon Lee, Kamran Hamid, Johnny Lin, and George Holmes. "Timing of Adverse Events Following Open Reduction and Internal Fixation of the Ankle." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0016. http://dx.doi.org/10.1177/2473011418s00164.

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Category: Ankle Introduction/Purpose: There is increasing interest in the early identification and treatment of adverse medical events following orthopaedic procedures. The purpose of this study is to characterize the timing of adverse events following open reduction and internal fixation of closed fractures of the ankle. Methods: A retrospective cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program. A total of 17,318 patients undergoing open reduction and internal fixation of closed ankle fractures were identified. For each of eight di

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13

Hegazy, Mohamed, Ahmed Zakaria, and Mohamed Mounir. "Tri-malleolar Ankle Fractures: Trans-syndesmotic Versus Posterior Malleolar Fixation." Benha Journal of Applied Sciences 8, no. 9 (2023): 35–40. http://dx.doi.org/10.21608/bjas.2023.232705.1238.

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14

Ren, Wei, Mauro Holledge Masumi, Yongcheng Hu, and Lu Jike. "The Highly Variable Typologies of Posterior Malleolus Fractures of the Ankle." July 8, 2016. https://doi.org/10.19070/2470-4520-160009.

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Objectives: Although historical studies frequently classify posterior malleolus fractures (PMFs) according to fragment size, our hypothesis is that PMFs have more complex patterns than is widely recognized. None of the studies so far have provided a comprehensive picture of the complexity of PMFs or guidelines for surgical decision making. The optimal management of PMFs is still unclear. This study aims to look at the typology of PMFs using a combination of initial injury radiographs, preoperative computed tomographic (CT) scans, and intra-operative image intensifier (II) screening, as well as

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15

Mason, Lyndon W., Junaid Aamir, and Anxhela Syziu. "A Systematic Review of Tibialis Posterior Tendon Entrapment in Pilon and Trimalleolar Injuries." Foot & Ankle Orthopaedics 8, no. 4 (2023). http://dx.doi.org/10.1177/2473011423s00224.

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Category: Ankle; Trauma Introduction/Purpose: The tibialis posterior tendon (TPT) entrapment is an uncommon complication associated with posterior malleolar and pilon fractures. If undiagnosed, TPT entrapment is associated with significant morbidity. Our aim was to perform a systematic review of all reported TPT entrapments in the literature to further understand its risks and outcomes. Methods: The electronic databases Scopus, PubMed, and Medline was utilised to identify the relevant publications regarding TPT entrapment in pilon and ankle fractures. Inclusion criteria: all adult studies publ

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16

Hasan, Khalid. ""Tri Malleolar Ankle Fracture Fixation in a Modified Lateral Position – Tips and Techniques"." Biomedical Journal of Scientific & Technical Research 46, no. 5 (2022). http://dx.doi.org/10.26717/bjstr.2022.46.007427.

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17

Liang, Hairui, He Zhang, Beibei Chen, et al. "3D printing technology combined with personalized plates for complex distal intra-articular fractures of the trimalleolar ankle." Scientific Reports 13, no. 1 (2023). http://dx.doi.org/10.1038/s41598-023-49515-1.

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AbstractThis study investigated the effectiveness of 3D printing technology in combination with personalized custom-made steel plates in the treatment of complex distal intra-articular trimalleolar fractures, with the aim of providing a new approach to improve ankle joint function in patients. The 48 patients with complex distal intra-articular trimalleolar fractures included in the study were randomly divided into two groups: the personalized custom-made steel plate group (n = 24) and the conventional steel plate group (n = 24). A comparison was made between the two groups in terms of preoper

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18

Roggy, Conner S., Frederick J. Washburn, and Casey W. Pyle. "Arthroscopically Assisted Deep Deltoid Ligament Reconstruction Utilizing Suture Tape Augmentation for Treatment of Medial Ankle Instability in Acute Ankle Fractures: A Novel Technique and Case Series." Foot & Ankle Orthopaedics 9, no. 4 (2024). https://doi.org/10.1177/2473011424s00147.

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Category: Arthroscopy; Ankle Introduction/Purpose:Objective: To present a novel technique for deep deltoid ligament reconstruction using suture tape augmentation for medial ankle instability in acute ankle fractures and conduct a case series. Background: Circular movements involving ankle supination-external rotation, pronation-external rotation, or pronation-abduction are among the most common mechanisms behind acute ankle fractures. As a result of rotational fractures, the deltoid ligament–consisting of a superficial and deep component–is often damaged or ruptured. Disruption of the deltoid

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19

Chidda, Amal, Sergio Soares, Joseph Schwab, and Angela Seidel. "A Comparison of the Long-Term Outcome after Fixed and Non-Fixed Volkmann Fractures." Foot & Ankle Orthopaedics 9, no. 4 (2024). https://doi.org/10.1177/2473011424s00111.

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Category: Trauma; Ankle Introduction/Purpose: Our first aim was to compare the long term clinical and radiological outcome of patients sustaining a trimalleolar fracture with a posterior malleolar fragment (PMF) between the patients who had a fixation of the PMF and those who did not. Our secondary aims were to compare the postoperative complication rate, to identify independent risk factors associated with worse clinical and radiological outcome and to assess if the indication of PMF fixation was correlated with the fragment size. Methods: For this monocentric retrospective comparative study,

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20

Choi, Jun Young, Hyoung Keun Oh, Lorenzo Di Mento, Jae Won Hur, and Jin Soo Suh. "Operative strategy for tri-malleolar ankle fractures with posteromedial plafond involvement: a review of sixty six cases." International Orthopaedics, August 22, 2022. http://dx.doi.org/10.1007/s00264-022-05554-3.

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