1/18/2024 0 Comments Distal fibula![]() ![]() Trauma patients may not have the ability to rotate their lower limb internally, in this case, the x-ray beam can be angled 15-20° medially to achieve the view although this will result in some artifactual elongation of structures.įractures of the 5 th metatarsal may also be seen and the medial clear space might be assessed in this view 3. In trauma, it is important to obtain a diagnostic mortise view for the proper assessment of the mortise joint. Often if the foot is not in dorsiflexion, the mortise joint will not be in full profile. In Australia, the mortise view is part of a three-part ankle series, yet in other countries, including the United Kingdom, the mortise view is the primary 'AP projection' of the ankle alongside the lateral projection.Īligning the 5 th toe to the center of the calcaneus is a practical way to gauge optimal internal rotation needed to demonstrate the mortise joint. Another way to ensure correct positioning is by rotating the leg internally until the central line of the collimation field is in line with the 5 th metatarsal. the base of the 5 th metatarsal must be included in the inferior aspect of the image.uniformity of the mortise joint should be seen without any superimposition of either malleolus.the lateral and medial malleoli of the distal fibula and tibia, respectively, should be seen in profile.inferior to the proximal aspect of the metatarsals.superiorly to examine the distal third of the tibia and fibula.the midpoint of the lateral and medial malleoli.internal rotation must be from the hip isolated rotation of the ankle will result in a non-diagnostic image.This usually results in the 5 th toe being directly in line with the center of the calcaneum the leg must be rotated internally 15° to 20°, thus aligning the intermalleolar line parallel to the detector.the patient may be supine or sitting upright with the leg straightened on the table.assessment of fragment position and implants in postoperative follow up.The most common indication is a trauma to the ankle in the setting of suspected ankle fractures and/or dislocations including talar fractures. This projection is the most pertinent for assessing the articulation of the tibial plafond and two malleoli with the talar dome, otherwise known as the mortise joint of the ankle 1,2. ![]() Both plate sets are used with the LOQTEQ® Small Fragment Set (instruments and screws).Mortise and mortice are variant spellings and equally valid 4. ![]() Further, a special fibula set with additional 8 and 10 hole plates can be ordered. A modular plate set, combined with medial and anterolateral distal tibia plates, contains 3, 4 and 6 hole plates. The LOQTEQ® Distal Fibula Plates 3.5 are available in a left and right version, and in the lengths of 75 mm to 159 mm each. The LOQTEQ® Distal Fibula Plates 3.5 can address intra- and extra-articular fractures, non-unions and osteotomies of the distal fibula, especially in osteoporotic bone.ĭetailed information on the indications for individual plates can be found in the IFU and in the surgical technique. reduces symptoms or pain due to soft tissue irritations in the area of the implant following the surgery.intra-operative contouring is rarely needed which enhances application.Converging screws through the distal plate holes offer optimal fixation to the bone.Īnatomical design and low profile increase comfort for both user and patient: A extremidade distal permite a fixação de vários ligamentos que sustentam a articulação do tornozelo. Fractures of the ankle joint and the distal fibula are common, with the fibula being of vital importance for the stability in the upper ankle joint. A extremidade distal da fíbula termina como uma projeção apical que se articula com a face lateral do tálus. The LOQTEQ® Distal Fibula Plates 3.5 are anatomically contoured and can be used as an alignment guide in fracture treatment. Like most broken bones, trauma is the main cause of a fibula fracture. However, it is a common ankle injury called a distal fibula fracture. A broken fibula can happen anywhere along the bone. The lower end forms the bony bump on the outside of your ankle. With higher weight bearing, particularly in connection with the decreasing bone quality in elderly people, the locking fibula plate gains advantage over the conventional use of 1/3 tubular plates or compression screws. The upper end of the fibular bone sits at the outside of your knee. The LOQTEQ® Distal Fibula Plates 3.5 have been designed to securely retain the anatomic reduction of distal fibula fractures which is essential to maintain the function of the upper ankle joint. ![]()
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