Arthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures

Purpose: Purpose of this case-control study was to evaluate the feasibility and advantages of arthroscopically assisted reduction and internal fixation of isolated medial malleolar fractures and compare the outcomes with conventional open reduction and internal fixation. Methods: Forty-seven patients with medial malleolar fractures were grouped into two: arthroscopy-assisted group, and conventional open reduction and internal fixation group. Arthroscopic treatment group consisted of 21 patients. The mean age was 34 years (range: 22-49 years). Conventional open reduction and internal fixation group included 26 patients. The mean age was 42 years (range: 22-58 years). According to Herscovici system, 6 fractures in the arthroscopy group were classified as type-B, 13 fractures as type-C, and 2 fractures were classified as type-D. In both groups, fractures were classified according to Herscovici system. Radiological and clinical outcomes were evaluated according to van Dijk classification and Olerud-Molander scoring system, respectively. Results: The mean follow-up period was 26 months (18-52 months) for arthroscopically assisted group and 38 months (24-58 months) for the conventional group. According to van Dijk classification, there was only one patient with Grade 1 osteoarthritic changes in arthroscopically assisted group compared with the conventional group where two patients had Grade 2 and one patient had Grade 1 osteoarthritic changes. Median Olerud Scores were 92.3 (75-100) and 86.3 (70-100) for the arthroscopically assisted group and for the conventional group, respectively. The difference was statistically significant (p = 0.015). Conclusions: With the use of arthroscopically assisted techniques in fixation of isolated medial malleolar fractures, surgeon can evaluate intra-articular surface and reduction that may be of value in the improvement in clinical outcomes over conventional surgical treatment. Level of evidence: Case-control study, Level III. © 2012 Springer-Verlag France.

Yazar Turhan E.
Doral M.N.
Demirel M.
Atay A.O.
Bozkurt M.
Bilge O.
Huri G.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4350
Tek Biçim Adres 10.1007/s00590-012-1100-2
Konu Başlıkları Arthroscopy
Intra-articular fracture fixation
Medial malleolus fracture
Open reduction internal fixation
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı European Journal of Orthopaedic Surgery and Traumatology
Dergi Cilt Bilgisi 23
Dergi Sayısı 8
Sayfalar 953 - 959
Yayın Yılı 2013
Eser Adı
[dc.title]
Arthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures
Yazar
[dc.contributor.author]
Turhan E.
Yazar
[dc.contributor.author]
Doral M.N.
Yazar
[dc.contributor.author]
Demirel M.
Yazar
[dc.contributor.author]
Atay A.O.
Yazar
[dc.contributor.author]
Bozkurt M.
Yazar
[dc.contributor.author]
Bilge O.
Yazar
[dc.contributor.author]
Huri G.
Yayın Yılı
[dc.date.issued]
2013
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: Purpose of this case-control study was to evaluate the feasibility and advantages of arthroscopically assisted reduction and internal fixation of isolated medial malleolar fractures and compare the outcomes with conventional open reduction and internal fixation. Methods: Forty-seven patients with medial malleolar fractures were grouped into two: arthroscopy-assisted group, and conventional open reduction and internal fixation group. Arthroscopic treatment group consisted of 21 patients. The mean age was 34 years (range: 22-49 years). Conventional open reduction and internal fixation group included 26 patients. The mean age was 42 years (range: 22-58 years). According to Herscovici system, 6 fractures in the arthroscopy group were classified as type-B, 13 fractures as type-C, and 2 fractures were classified as type-D. In both groups, fractures were classified according to Herscovici system. Radiological and clinical outcomes were evaluated according to van Dijk classification and Olerud-Molander scoring system, respectively. Results: The mean follow-up period was 26 months (18-52 months) for arthroscopically assisted group and 38 months (24-58 months) for the conventional group. According to van Dijk classification, there was only one patient with Grade 1 osteoarthritic changes in arthroscopically assisted group compared with the conventional group where two patients had Grade 2 and one patient had Grade 1 osteoarthritic changes. Median Olerud Scores were 92.3 (75-100) and 86.3 (70-100) for the arthroscopically assisted group and for the conventional group, respectively. The difference was statistically significant (p = 0.015). Conclusions: With the use of arthroscopically assisted techniques in fixation of isolated medial malleolar fractures, surgeon can evaluate intra-articular surface and reduction that may be of value in the improvement in clinical outcomes over conventional surgical treatment. Level of evidence: Case-control study, Level III. © 2012 Springer-Verlag France.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Arthroscopy
Konu Başlıkları
[dc.subject]
Intra-articular fracture fixation
Konu Başlıkları
[dc.subject]
Medial malleolus fracture
Konu Başlıkları
[dc.subject]
Open reduction internal fixation
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1633-8065
İlk Sayfa Sayısı
[dc.identifier.startpage]
953
Son Sayfa Sayısı
[dc.identifier.endpage]
959
Dergi Adı
[dc.relation.journal]
European Journal of Orthopaedic Surgery and Traumatology
Dergi Sayısı
[dc.identifier.issue]
8
Dergi Cilt Bilgisi
[dc.identifier.volume]
23
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s00590-012-1100-2
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4350
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
13
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 07:31
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Tıklayınız
fractures conventional arthroscopically assisted reduction fixation patients internal medial malleolar outcomes classified system Herscovici clinical Purpose classification respectively months months) patient osteoarthritic changes According according evaluate years) treatment (range isolated included significant Conclusions (70-100) statistically
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