title: Use of a Hybrid Operating Room to Improve Reduction of Syndesmotic Injuries in Ankle Fractures: A Case Report.
abstract: Ankle fractures are one of the most common orthopedic injuries requiring operative treatment, and approximately 1 in 4 ankle fractures will have an associated distal tibiofibular syndesmosis disruption. Syndesmotic reduction is crucial to restoring ankle function and preventing the development of arthritis. The hybrid operating room provides 3-dimensional intraoperative imaging capabilities that can enable the surgeon to ensure the syndesmosis is appropriately reduced, particularly by comparing it with the contralateral ankle. By confirming the syndesmosis reduction intraoperatively, the risk of a return to the operating room for revision surgery is decreased.
authors.affiliation: Resident Physician, Department of Orthopaedics, University of Virginia School of Medicine, Charlottesville, VA.
authors.forename: Jourdan M
authors.initials: JM
authors.lastname: Cancienne
authors.affiliation: University of Virginia School of Medicine, Charlottesville, VA.
authors.forename: Matelin P
authors.initials: MP
authors.lastname: Crosen
authors.affiliation: Assistant Professor, Department of Orthopaedics, University of Virginia School of Medicine, Charlottesville, VA. Electronic address: Sry2j@virginia.edu.
authors.forename: Seth R
authors.initials: SR
authors.lastname: Yarboro
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001860:Bone Plates; D001863:Bone Screws; D002678:Chimera; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D015601:Injury Severity Score; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D009873:Operating Rooms / Q000458:organization & administration*; D010147:Pain Measurement; D056888:Patient Positioning; D011300:Preoperative Care / Q000379:methods; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology; D012494:Sampling Studies; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: fixation; hybrid operating room; malreduction; robotic C-arm; syndesmosis