Comparison of three posterior malleolar fixation methods in trimalleolar ankle fractures

This study aimed to compare the results of AP screws, PA screws and posterior buttress plate used in posterior malleolar fixation of trimalleolar fractures. In this study, the data of 104 trimalleolar fracture cases treated surgically between October 2011 and January 2014 were extracted from hospital records. Patient demographics (age, gender, body mass index), the presence of syndesmotic injury, fracture type (according to the Lauge-Hansen classification), the size of posterior malleolar fragment (measured on lateral radiographs) were recorded. The patients requiring postoperative care for at least a year were invited to attend an evaluation of functional and radiological outcomes. At the final follow-up examination the functional evaluation was made by using AOFAS scores, VAS scores during walking, and dorsiflexion restrictions as compared with the unaffected side. As for the radiological evaluation, the patients were assessed according to the presence of a gap or step by the direct use of graphies following the fixation and with regard to the osteoarthritic development in alignment with the Bargon criteria. A total of 67 patients met the study inclusion criteria; 20 cases in the AP screw, 13 cases in the PA screw and 34 cases in the plate group. The mean follow-up period was 14.4 +/- 2.23 months in AP, 16.3 +/- 2.56 months in PA and 17.1 +/- 3.01 months in the plate group. Better AOFAS scores were obtained in the PA group and the plate group compared to the AP screw group (p < 0.001). No statistically significant difference was found between the groups in respect of VAS scores during walking and dorsiflexion restriction. Better radiological reduction was observed in the PA screw group and the plate group (p < 0.001). PA screw and posterior buttress plate fixation with direct reduction via posterolateral approach demonstrated better radiological and functional outcomes than AP screw fixation.

Dergi Adı ACTA ORTHOPAEDICA BELGICA
Dergi Cilt Bilgisi 84
Dergi Sayısı 2
Sayfalar 203 - 212
Yayın Yılı 2018
Eser Adı
[dc.title]
Comparison of three posterior malleolar fixation methods in trimalleolar ankle fractures
Yazar
[dc.contributor.author]
Kalem, Mahmut
Yazar
[dc.contributor.author]
Sahin, Ercan
Yazar
[dc.contributor.author]
Songur, Murat
Yazar
[dc.contributor.author]
Keser, Scicuk
Yazar
[dc.contributor.author]
Kinik, Hakall
Yayın Yılı
[dc.date.issued]
2018
Yayıncı
[dc.publisher]
ACTA MEDICA BELGICA
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
This study aimed to compare the results of AP screws, PA screws and posterior buttress plate used in posterior malleolar fixation of trimalleolar fractures. In this study, the data of 104 trimalleolar fracture cases treated surgically between October 2011 and January 2014 were extracted from hospital records. Patient demographics (age, gender, body mass index), the presence of syndesmotic injury, fracture type (according to the Lauge-Hansen classification), the size of posterior malleolar fragment (measured on lateral radiographs) were recorded. The patients requiring postoperative care for at least a year were invited to attend an evaluation of functional and radiological outcomes. At the final follow-up examination the functional evaluation was made by using AOFAS scores, VAS scores during walking, and dorsiflexion restrictions as compared with the unaffected side. As for the radiological evaluation, the patients were assessed according to the presence of a gap or step by the direct use of graphies following the fixation and with regard to the osteoarthritic development in alignment with the Bargon criteria. A total of 67 patients met the study inclusion criteria; 20 cases in the AP screw, 13 cases in the PA screw and 34 cases in the plate group. The mean follow-up period was 14.4 +/- 2.23 months in AP, 16.3 +/- 2.56 months in PA and 17.1 +/- 3.01 months in the plate group. Better AOFAS scores were obtained in the PA group and the plate group compared to the AP screw group (p < 0.001). No statistically significant difference was found between the groups in respect of VAS scores during walking and dorsiflexion restriction. Better radiological reduction was observed in the PA screw group and the plate group (p < 0.001). PA screw and posterior buttress plate fixation with direct reduction via posterolateral approach demonstrated better radiological and functional outcomes than AP screw fixation.
Açıklama
[dc.description]
WOS: 000482219000012
Açıklama
[dc.description]
PubMed: 30462604
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]
Trimalleolar fractures
Konu Başlıkları
[dc.subject]
posterolateral incision
Konu Başlıkları
[dc.subject]
posterior malleolar fixation
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0001-6462
İlk Sayfa Sayısı
[dc.identifier.startpage]
203
Son Sayfa Sayısı
[dc.identifier.endpage]
212
Dergi Adı
[dc.relation.journal]
ACTA ORTHOPAEDICA BELGICA
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
84
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2290
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
201
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
15 Temmuz 2024 13:19
Google Kontrol
Tıklayınız
fixation scores radiological posterior patients evaluation months functional presence outcomes Better follow-up dorsiflexion direct screws buttress compared malleolar trimalleolar reduction walking fracture criteria between during following Bargon alignment development osteoarthritic regard graphies statistically better demonstrated
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms