Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach
Ankle joint distraction (AJD) has gained increasing recognition as a joint-preserving strategy in the management of complex posttraumatic ankle injuries, particularly in younger, active patients where traditional salvage procedures may compromise long-term function. This invited article presents a d...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2025-06-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1407 |
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| author | Beth Lineham Hemant Sharma |
| author_facet | Beth Lineham Hemant Sharma |
| author_sort | Beth Lineham |
| collection | DOAJ |
| description | Ankle joint distraction (AJD) has gained increasing recognition as a joint-preserving strategy in the management of complex posttraumatic ankle injuries, particularly in younger, active patients where traditional salvage procedures may compromise long-term function. This invited article presents a detailed surgical technique for AJD utilizing a circular external fixator system. Indications include posttraumatic osteoarthritis, talar chondral lesions, and residual joint incongruity following intra-articular fractures. The technique involves meticulous preoperative planning, precise application of the external fixator, and gradual joint distraction. Intraoperative considerations, distraction protocols, and postoperative rehabilitation strategies are described to guide optimal outcomes. Pearls and common pitfalls are discussed, emphasizing the importance of patient selection and multidisciplinary care. AJD offers a promising approach for biologic joint preservation in a select trauma population. This article aims to provide a comprehensive, step-by-step guide, from preoperative planning to postoperative care, to support the successful implementation of this procedure. |
| format | Article |
| id | doaj-art-0b2139553bf14ce687fc4db2fb53b4a9 |
| institution | Kabale University |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-0b2139553bf14ce687fc4db2fb53b4a92025-08-20T03:41:14ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052025-06-0112313213710.5005/jp-journals-10040-14076Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative ApproachBeth Lineham0Hemant Sharma1https://orcid.org/0000-0003-3781-1651Beth Lineham, Liverpool University Hospitals NHS Foundation Trust, Leeds, United Kingdom, Phone: +44 113 262 3404Hull University Teaching Hospitals, NHS Trust, Hull, United KingdomAnkle joint distraction (AJD) has gained increasing recognition as a joint-preserving strategy in the management of complex posttraumatic ankle injuries, particularly in younger, active patients where traditional salvage procedures may compromise long-term function. This invited article presents a detailed surgical technique for AJD utilizing a circular external fixator system. Indications include posttraumatic osteoarthritis, talar chondral lesions, and residual joint incongruity following intra-articular fractures. The technique involves meticulous preoperative planning, precise application of the external fixator, and gradual joint distraction. Intraoperative considerations, distraction protocols, and postoperative rehabilitation strategies are described to guide optimal outcomes. Pearls and common pitfalls are discussed, emphasizing the importance of patient selection and multidisciplinary care. AJD offers a promising approach for biologic joint preservation in a select trauma population. This article aims to provide a comprehensive, step-by-step guide, from preoperative planning to postoperative care, to support the successful implementation of this procedure.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1407ankle fracturearthritisarthrodiastasisarticular fracturesdistractionpilon fracturetalus fractures |
| spellingShingle | Beth Lineham Hemant Sharma Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach Journal of Foot and Ankle Surgery (Asia Pacific) ankle fracture arthritis arthrodiastasis articular fractures distraction pilon fracture talus fractures |
| title | Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach |
| title_full | Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach |
| title_fullStr | Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach |
| title_full_unstemmed | Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach |
| title_short | Ankle Joint Distraction in Traumatic Injuries: Step-by-Step Operative Approach |
| title_sort | ankle joint distraction in traumatic injuries step by step operative approach |
| topic | ankle fracture arthritis arthrodiastasis articular fractures distraction pilon fracture talus fractures |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1407 |
| work_keys_str_mv | AT bethlineham anklejointdistractionintraumaticinjuriesstepbystepoperativeapproach AT hemantsharma anklejointdistractionintraumaticinjuriesstepbystepoperativeapproach |