A systematic review of ankle fracture-dislocations: Recent update and future prospects.

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Abstract

Conflict of interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 4. Forensic Sci Int. 2018 Oct;291:185-192. doi: 10.1016/j.forsciint.2018.08.042. Epub 2018 Sep 5. X-ray features to predict ankle fracture mechanism. Boszczyk A(1), Fudalej M(2), Kwapisz S(3), Błoński M(4), Kiciński M(5), Kordasiewicz B(6), Rammelt S(7). Author information: (1)Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland. Electronic address: ortopeda@boszczyk.pl. (2)Forensic Medicine Department, Medical University of Warsaw, Wojciecha Oczki Str. 1, 00-001 Warsaw, Poland. Electronic address: marcin_zms@wp.pl. (3)Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland. Electronic address: skwapisz@gmail.com. (4)Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland. Electronic address: mblo@wp.pl. (5)Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland. Electronic address: keatech@msn.com. (6)Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland. Electronic address: bartekko@tlen.pl. (7)University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany. Electronic address: Stefan.rammelt@uniklinikum-dresden.de. INTRODUCTION: The genetic Lauge-Hansen classification has been traditionally used for reconstruction of the mechanism of ankle injury. The ability of the Lauge-Hansen classification to predict actual mechanism of the injury has been questioned in recent studies, leaving a void in medicolegal reasoning. The aim of this study is to identify morphologic features of malleolar fractures on plain X-rays that may be used to reveal the fracture mechanism. MATERIAL AND METHODS: Radiographs of 78 patients with acute malleolar fractures were analyzed and compared with fracture mechanisms reported by these patients. RESULTS: A modified Pankovich classification of medial malleolus fractures and the presence of a posterior malleolus fracture were able to significantly predict the mechanism of fracture reported by the patient (p