Deltoid Ligament Arthroscopic Repair in Ankle Fractures: Case Series

Federal University of São Paulo

Status: Completed

Conditions: Ligament Rupture; Deltoid Ligament; Sprain (Strain) (Ankle); Ankle Fractures; Ankle Injuries

Treatments: Procedure: Arthroscopic Deltoid Repair

Study type: Observational

Funder types: Other

Identifiers

NCT04473638

Arthroscopic_Deltoid_Fx_EPM

Details and patient eligibility

About

To demonstrate the functional results of patients with ankle fractures operated with arthroscopic deltoid repair.

Full description

Introduction: The diagnosis and treatment of ankle medial ligament lesions in malleolar fractures have always been surrounded by controversies. Even in the certainty of deltoid involvement and its consequent instability, the direct repair of this structure is not a consensus. In recent years, the arthroscopic technique to approach this ligament has been described with the objective of potentiating clinical results and minimizing possible complications.

Objective: To demonstrate the functional results of patients with ankle fractures operated with arthroscopic deltoid repair.

Methods: This is a retrospective study in patients diagnosed with ankle fractures associated with acute deltoid injuries and submitted to a malleolar fixation and deltoid arthroscopic repair between January 2018 and January 2020. All patients will fill an epidemiological questionnaire and will be evaluated for pain and function according to the Visual Analogue Scale (VAS) and the American Orthopaedic Foot and Ankle Society Score (AOFAS) at 12 months (6-24 months) average of follow-up.

Discussion: The inclusion of the deltoid complex and the low invasiveness of this technique can improve the clinical outcomes of these patients. Additional studies, with a prospective and comparative methodology are required to sustain this proposal.

Enrollment: 20 patients

Sex: All

Ages: 15 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• acute (less than two weeks) ankle fracture containing a medial ligament injury suspicion will be included. Syndesmotic lesion with a deltoid association will also be addressed

Exclusion criteria

• previous surgery
• autoimmune diseases
• neuropathy
• inflammatory diseases
• radiographic preoperative findings of ankle arthritis
• open medial wound
• coagulopathies
• any other condition that would contraindicate surgery

Trial design

20 participants in 1 patient group

Arthroscopic

Description:

Deltoid Arthroscopic Repair in Ankle Fractures

Treatment:

Procedure: Arthroscopic Deltoid Repair