Browsing by Author "Krivokapić, Branislav (55750765600)"

Introduction The fractures of the posterior process of the talus are relatively rare injuries of the ankle. They most frequently occur via the mechanism of the forced hyper plantar flexion and inversion. Sometimes they are not initially diagnosed, since over 40% of cases of the fractures of the posterior process of the talus are not seen in the initial radiography. The objective of this work is the review of the case study of the arthroscopically treated unhealed fracture of the posterior process of the talus. Case outline In our case report we present a 30-year-old male, professional soccer player, with a threemonth-long history of chronic pain in the region of the left ankle and heel and the fracture of the posterior process of the talus. Conclusion The work shows all the advantages of minimally invasive surgery – arthroscopic excision of the fragment, quick recovery and returning to physical activities. © 2021, Serbia Medical Society. All rights reserved.

Introduction/Objective Sprains account for 85% of all ankle injuries. Syndesmosis injuries occur in 1–18% of patients with ankle sprains and are more common in contact sports involving forced foot dorsiflexion. Methods In our study, we compared 30 patients treated with dynamic fixation for acute syndesmotic injury with patients treated with rigid fixation. The criteria for comparison were: American Orthopedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Scale, visual analogue scale (VAS), EuroQol five-dimension questionnaire (EQ-5D), range of motion, complications and reoperations. Results The mean AOFAS score for patients treated with rigid fixation was 88.6, while the mean score for patients treated with dynamic fixation was 91.6. The mean VAS score for rigid fixation was 83.5, while it was 85.8 for dynamic fixation. Infection as a complication of rigid fixation was present in two patients (11.8%), while it was absent in the dynamic fixation group. The need for implant removal occurred in two patients treated with rigid fixation (11.8%) and in one patient treated with dynamic fixation (7.7%). Conclusion Based on our results and the results reported by other authors, we prove that there is a lower incidence of problems related to implants and the need for the implant removal with dynamic fixation, based on the results of AOFAS score, we notice better and faster recovery with dynamic fixation as well. © 2024, Serbia Medical Society. All rights reserved.

Introduction Haglund’s deformity represents a reactive enlargement of the posterosuperior aspect of the calcaneus and often causes pain that can significantly disturb everyday activities. If the patient’s condition does not improve after six months of non-surgical treatment, surgical treatment could be taken into consideration. Although Haglund’s deformity is successfully treated by endoscopic calcaneoplasty with a two-portal technique, we decided to apply a slightly newer technique – arthroscopic surgery with a three-portal technique. Case outline A patient with clinically and radiographically confirmed Haglund’s deformity was operated on using arthroscopic calcaneoplasty with a three-portal technique. The postoperative recovery was uneventful and full weight-bearing was allowed after four weeks. A complete return to sports activities was allowed after four months. Conclusion Arthroscopic calcaneoplasty with the three-portal technique proved to be a safe and cost-effective surgical method in the treatment of Haglund’s deformity. There is still not enough data in the literature regarding this type of surgical treatment, but the good postoperative functional results are extremely encouraging since this surgical technique enables faster recovery and fewer postoperative complications. © 2022, Serbia Medical Society. All rights reserved.