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Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study.

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Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study. / Kleinertz, Holger; Tessarzyk, Marlon; Schoof, B; Nüchtern, Jakob Valentin; Püschel, K; Barg, Alexej; Frosch, KH.

in: EUR J TRAUMA EMERG S, Jahrgang 48, Nr. 5, 10.2022, S. 4031-4041.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Kleinertz, H, Tessarzyk, M, Schoof, B, Nüchtern, JV, Püschel, K, Barg, A & Frosch, KH 2022, 'Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study.', EUR J TRAUMA EMERG S, Jg. 48, Nr. 5, S. 4031-4041. https://doi.org/10.1007/s00068-022-01927-w

APA

Kleinertz, H., Tessarzyk, M., Schoof, B., Nüchtern, J. V., Püschel, K., Barg, A., & Frosch, KH. (2022). Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study. EUR J TRAUMA EMERG S, 48(5), 4031-4041. https://doi.org/10.1007/s00068-022-01927-w

Vancouver

Kleinertz H, Tessarzyk M, Schoof B, Nüchtern JV, Püschel K, Barg A et al. Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study. EUR J TRAUMA EMERG S. 2022 Okt;48(5):4031-4041. https://doi.org/10.1007/s00068-022-01927-w

Bibtex

@article{db33fc9de2674e69a5c55e066ac0c5f2,
title = "Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study.",
abstract = "PurposeDirect visualization is a very effective method in accomplishing adequate articular surface reconstruction in fracture repair. This study investigates distal tibial plafond articular surface visibility using the anteromedial, anterolateral, posteromedial, and posterolateral approaches, the effect of instrumented distraction on visibility, and which zones of the articular surface are visible for each approach.MethodsThe anteromedial, anterolateral, posteromedial, and posterolateral approaches to the distal tibial plafond were performed on 16 cadaveric ankle specimens. The articular surface visualization for each approach was marked using an electrocautery device with manual and instrumented distraction. Articular surface visualization was photographically documented. Digital axial segmentation and quantitative analysis of the visualized distal tibial plafond articular surface were performed.ResultsWith manual distraction, distal tibial plafond articular surface visualization, expressed in percent of overall articular surface, was limited to 9% (SD ± 9) for the anteromedial, 24% (SD ± 18) for the anterolateral, 26% (SD ± 10) for the posteromedial, and 30% (SD ± 18) for the posterolateral approaches. Using instrumented distraction significantly improved articular surface visualization in all instances (p ConclusionThis study demonstrates the efficacy of instrumented distraction when attempting surgical visualization of the distal tibial plafond articular surface. Knowledge of approach specific articular surface visibility may assist the surgeon in choosing the appropriate approach(es) based on case-specific distal tibial plafond fracture patterns.Level of evidenceIV, cadaver study.",
author = "Holger Kleinertz and Marlon Tessarzyk and B Schoof and N{\"u}chtern, {Jakob Valentin} and K P{\"u}schel and Alexej Barg and KH Frosch",
year = "2022",
month = oct,
doi = "10.1007/s00068-022-01927-w",
language = "English",
volume = "48",
pages = "4031--4041",
journal = "EUR J TRAUMA EMERG S",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "5",

}

RIS

TY - JOUR

T1 - Visualization of the distal tibial plafond articular surface using four established approaches and the efficacy of instrumented distraction: a cadaveric study.

AU - Kleinertz, Holger

AU - Tessarzyk, Marlon

AU - Schoof, B

AU - Nüchtern, Jakob Valentin

AU - Püschel, K

AU - Barg, Alexej

AU - Frosch, KH

PY - 2022/10

Y1 - 2022/10

N2 - PurposeDirect visualization is a very effective method in accomplishing adequate articular surface reconstruction in fracture repair. This study investigates distal tibial plafond articular surface visibility using the anteromedial, anterolateral, posteromedial, and posterolateral approaches, the effect of instrumented distraction on visibility, and which zones of the articular surface are visible for each approach.MethodsThe anteromedial, anterolateral, posteromedial, and posterolateral approaches to the distal tibial plafond were performed on 16 cadaveric ankle specimens. The articular surface visualization for each approach was marked using an electrocautery device with manual and instrumented distraction. Articular surface visualization was photographically documented. Digital axial segmentation and quantitative analysis of the visualized distal tibial plafond articular surface were performed.ResultsWith manual distraction, distal tibial plafond articular surface visualization, expressed in percent of overall articular surface, was limited to 9% (SD ± 9) for the anteromedial, 24% (SD ± 18) for the anterolateral, 26% (SD ± 10) for the posteromedial, and 30% (SD ± 18) for the posterolateral approaches. Using instrumented distraction significantly improved articular surface visualization in all instances (p ConclusionThis study demonstrates the efficacy of instrumented distraction when attempting surgical visualization of the distal tibial plafond articular surface. Knowledge of approach specific articular surface visibility may assist the surgeon in choosing the appropriate approach(es) based on case-specific distal tibial plafond fracture patterns.Level of evidenceIV, cadaver study.

AB - PurposeDirect visualization is a very effective method in accomplishing adequate articular surface reconstruction in fracture repair. This study investigates distal tibial plafond articular surface visibility using the anteromedial, anterolateral, posteromedial, and posterolateral approaches, the effect of instrumented distraction on visibility, and which zones of the articular surface are visible for each approach.MethodsThe anteromedial, anterolateral, posteromedial, and posterolateral approaches to the distal tibial plafond were performed on 16 cadaveric ankle specimens. The articular surface visualization for each approach was marked using an electrocautery device with manual and instrumented distraction. Articular surface visualization was photographically documented. Digital axial segmentation and quantitative analysis of the visualized distal tibial plafond articular surface were performed.ResultsWith manual distraction, distal tibial plafond articular surface visualization, expressed in percent of overall articular surface, was limited to 9% (SD ± 9) for the anteromedial, 24% (SD ± 18) for the anterolateral, 26% (SD ± 10) for the posteromedial, and 30% (SD ± 18) for the posterolateral approaches. Using instrumented distraction significantly improved articular surface visualization in all instances (p ConclusionThis study demonstrates the efficacy of instrumented distraction when attempting surgical visualization of the distal tibial plafond articular surface. Knowledge of approach specific articular surface visibility may assist the surgeon in choosing the appropriate approach(es) based on case-specific distal tibial plafond fracture patterns.Level of evidenceIV, cadaver study.

UR - https://europepmc.org/articles/PMC9532318

U2 - 10.1007/s00068-022-01927-w

DO - 10.1007/s00068-022-01927-w

M3 - SCORING: Journal article

C2 - 35296908

VL - 48

SP - 4031

EP - 4041

JO - EUR J TRAUMA EMERG S

JF - EUR J TRAUMA EMERG S

SN - 1863-9933

IS - 5

ER -