Imperial College London
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DrArulRamasamy

Faculty of Engineering, Department of Bioengineering

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

a.ramasamy09

 
 
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Location

 

B304BBessemer BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bali:2017:10.1302/0301-620X.99B11.BJJ-2017-0558.R1.,
author = {Bali, N and Aktselis, I and Ramasamy, A and Mitchell, S and Fenton, P},
doi = {10.1302/0301-620X.99B11.BJJ-2017-0558.R1.},
journal = {Journal of Bone and Joint Surgery, British Volume},
pages = {1496--1501},
title = {An evolution in the management of fractures of the ankle: Safety and efficacy of posteromedial approach for Haraguchi type 2 posterior malleolar fractures},
url = {http://dx.doi.org/10.1302/0301-620X.99B11.BJJ-2017-0558.R1.},
volume = {99-B},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AimsThere has been an evolution recently in the management of unstable fractures of the anklewith a trend towards direct fixation of a posterior malleolar fragment. Within thesefractures, Haraguchi type 2 fractures extend medially and often cannot be fixed using astandard posterolateral approach. Our aim was to describe the posteromedial approach toaddress these fractures and to assess its efficacy and safety.Patients and MethodsWe performed a review of 15 patients with a Haraguchi type 2 posterior malleolar fracturewhich was fixed using a posteromedial approach. Five patients underwent initial temporaryspanning external fixation. The outcome was assessed at a median follow-up of 29 months(interquartile range (IQR) 17 to 36) using the Olerud and Molander score and radiographswere assessed for the quality of the reduction.ResultsThe median Olerud and Molander score was 72 (IQR 70 to 75), representing a goodfunctional outcome. The reduction was anatomical in ten, with a median step of 1.2 mm(IQR 0.9 to 1.85) in the remaining five patients. One patient had parasthaesiae affecting themedial forefoot, which resolved within three months.ConclusionWe found that the posteromedial approach to the ankle for the surgical treatment ofHaraguchi type 2 posterior malleolar fractures is a safe technique that enables goodvisualisation and reduction of the individual fracture fragments with promising earlyoutcomes
AU  - Bali,N
AU  - Aktselis,I
AU  - Ramasamy,A
AU  - Mitchell,S
AU  - Fenton,P
DO  - 10.1302/0301-620X.99B11.BJJ-2017-0558.R1.
EP  - 1501
PY  - 2017///
SN  - 0301-620X
SP  - 1496
TI  - An evolution in the management of fractures of the ankle: Safety and efficacy of posteromedial approach for Haraguchi type 2 posterior malleolar fractures
T2  - Journal of Bone and Joint Surgery, British Volume
UR  - http://dx.doi.org/10.1302/0301-620X.99B11.BJJ-2017-0558.R1.
UR  - http://hdl.handle.net/10044/1/51435
VL  - 99-B
ER  -
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