Assessment Inter- and Intraobserver Agreement in Two Radiological Indexes in True Lateral X-Rays View for Syndesmotic Reduction in Ankle Fractures:

摘要

Category:TraumaIntroduction/Purpose:Malreduction of distal tibio-fibular syndesmosis in ankle fractures has been reported from 20% to 52% in surgically treated patients. Current intraoperative methods, fluoroscopy and intraoperative CT, have not improved consistently this results. Recently, new indexes to determine the normal anatomy of the syndesmosis have been published using a true lateral view of the ankle to evaluate the relation of the fibula with the tibia in the sagittal plane. These studies have been made in non- injured ankles. If these measurements could be performed intra operatively, they may improve the evaluation of syndesmotic reduction. To our knowledge this indexes have been not tested in injured ankles. The purpose of this study is to assess intra- observer and inter-observer agreement in two radiological indexes by evaluating true lateral x-ray view in surgically treated patients for ankle fractures with syndesmotic injury.Methods:Retrospective study of case series. Forty-three consecu...