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Talar tilt : a prognostic criterion of post-operative outcome in bi-malleolar fractures [L'inclinaison de l'astragale, critère pronostique de l'évolution post-opératoire après fracture bi-malléolaire]

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Talar tilt : a prognostic criterion of post-operative outcome in bi-malleolar fractures [L'inclinaison de l'astragale, critère pronostique de l'évolution post-opératoire après fracture bi-malléolaire]
Efstathopoulos, N. Agoropoulos, Z. Patas, C. Karras, K. Korres, D.
scientific_publication_article
Επιστημονική δημοσίευση - Άρθρο Περιοδικού (EL)
Scientific publication - Journal Article (EN)
1993
Eighty patients with bi-malleolar fractures treated operatively between 1977-1984, formed the basis of this study. Twenty-six of the patients were male and 53 female, aged from 16-76 years (means av. 45 years). Talar tilt was measured on the anteroposterior radiograph of the ankle, as a difference between two angles. The first is the angle which formed by the line who joins the tips of the medial and lateral malleoli and the parallel to the talar surface and the second one is the angle which is formed by the former line and the parallel to the distal tibial surface. The results were as follows : a) Talar tilt 0° - (+ -) 1° in 32 patients (40 %), b) Talar tilt < ( - ) 1° (talus in valgus) in 36 patients (45 %), c) Talar tilt > ( + ) 1° (talus in varus) in 12 patients (15 %). The immediate postoperative X-Ray findings and the long term radiographic and clinical evaluation (F.U. : painswelling-motion-X-Rays) correlated with symptoms in : a) 9,37 % of the patients of the first group, b) 62,5 % of the patients of the second group, c) 100 % of the patients of the third group. On the basis of this study it would appear that talar tilt is a safe prognostic index of the postoperative outcome in patients with bi-malleolar fractures. © 1993 Springer-Verlag. (EN)
Ερευνητικό υλικό ΕΚΠΑ
https://creativecommons.org/licenses/by-nc/4.0/
University of Athens
Pergamos Digital Library
Journal Article



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