{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T15:19:36Z","timestamp":1781191176717,"version":"3.54.1"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n            <jats:title>OBJECTIVE:<\/jats:title>\n            <jats:p>To determine the effect of deltoid ligament repair on the development of posttraumatic arthritis in logsplitter ankle injuries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective cohort.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Academic, Level I trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patient Selection Criteria:<\/jats:title>\n            <jats:p>Patients \u226518 years of age with logsplitter injuries (OTA\/AO 44B, 44C) treated with open reduction internal fixation (ORIF) with or without deltoid ligament repair from January 2008 to October 2021.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcome Measures and Comparison:<\/jats:title>\n            <jats:p>The rate of posttraumatic arthritis (PTOA) development at the final follow-up (minimum 6 months) after ORIF was evaluated using the Kellgren\u2013Lawrence scale. The achievement of acceptable reduction indicated by articular reduction &lt;2 mm, and a medial clear space \u22644 mm was assessed at 6 weeks postoperatively with weight-bearing radiographs. The effect of deltoid ligament repair on the development of PTOA was investigated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>Fifty-nine patients aged 49.1 \u00b1 17.2 years met inclusion criteria with a mean follow-up of 16.6 months (range = 6 to 96). Twenty-six of 59 patients (44%) had developed PTOA at the final follow-up. Acceptable reduction was achieved in 83.1% (49\/59) of fractures. The acceptable reduction rate in fractures undergoing deltoid ligament repair was 100% versus 78% in those without deltoid ligament repair (13\/13 vs. 36\/46, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.017). The rate of PTOA development was significantly lower in patients who underwent deltoid ligament repair (15%) than those who did not (52%), <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.026. Patients who underwent deltoid ligament repair had a significantly reduced rate of PTOA development leading to arthrodesis compared with those who did not (0% vs. 17%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.013).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Logsplitter injuries resulted in a high rate of development of posttraumatic arthritis. An acceptable reduction is required to minimize the risk of development of PTOA and progression to arthrodesis. Deltoid ligament repair during ORIF may facilitate acceptable reduction and decrease the rate of PTOA and progression to arthrodesis in these injuries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>LEVEL OF EVIDENCE:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002877","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T13:04:40Z","timestamp":1722344680000},"page":"615-621","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["High-Energy Transsyndesmotic Ankle Fracture Dislocation\u2014Does Deltoid Ligament Repair Influence the Progression of Posttraumatic Arthritis in Logsplitter Injuries?"],"prefix":"10.1097","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2776-5076","authenticated-orcid":false,"given":"Olawale A.","family":"Sogbein","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"},{"name":"Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Saad","sequence":"additional","affiliation":[{"name":"Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5143-7822","authenticated-orcid":false,"given":"Kristen I.","family":"Barton","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"},{"name":"Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5679-2076","authenticated-orcid":false,"given":"Mansur","family":"Halai","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3900-2068","authenticated-orcid":false,"given":"Abdel Rahman","family":"Lawendy","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Del Balso","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University; London Health Sciences Centre, Victoria Hospital, London, ON, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.fas.2018.11.001","article-title":"Adding deltoid ligament repair in ankle fracture treatment: is it necessary? 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