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学科主题: 临床医学
题名:
A retrospective study of posterior malleolus fractures
作者: Xu, Hai-lin1; Li, Xuan1; Zhang, Dian-ying1; Fu, Zhong-guo1; Wang, Tian-bing1; Zhang, Pei-xun1; Jiang, Bao-guo1; Shen, Hui-liang2; Wang, Gang3; Wang, Guang-lin4; Wu, Xin-bao5
刊名: INTERNATIONAL ORTHOPAEDICS
发表日期: 2012-09-01
DOI: 10.1007/s00264-012-1591-9
卷: 36, 期:9, 页:1929-1936
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics
研究领域[WOS]: Orthopedics
关键词[WOS]: ADULT ANKLE FRACTURES ; OPERATIVE TREATMENT ; FIXATION
英文摘要:

In this retrospective study, we evaluated the treatment effect of ankle joint fracture surgery involving the posterior malleolus, and discuss relevant factors influencing the occurrence of traumatic arthritis of the ankle joint.

A total of 102 cases of ankle joint fractures involving the posterior malleolus in five large-scale skeletal trauma centres in China, from January 2000 to July 2009, were retrospectively analysed in terms of surgical treatment and complete follow-up. Ankle joint mobility, posterior malleolus fragment size, articular surface evenness, Ankle-Hindfoot Scale of the American Orthopedic Foot and Ankle Society (AOFAS) score, and imaging scale score for arthritis were recorded. The degree of fracture pain during rest, active movement, and weight-bearing walking, and satisfaction with treatment were evaluated using a visual analogue scale (VAS).

The average AOFAS score was 95.9, excellence rate was 92.2 %, and average VAS scores for degree of fracture pain during rest, active movement, and weight-bearing walking were 0.15, 0.31, and 0.68, respectively. Thirty-six cases showed arthritic manifestations. Ankle joint mobility along all directions on the injured side was lower than that on the unaffected side. There was no obvious difference in treatment effect between the fixed and unfixed posterior malleolus fragment groups for all and for fragment size of < 25 %; between fixing the posterior malleolus fragment from front to back or from back to front; or between elderly patients (a parts per thousand yen60 years old) and young patients (< 60 years old). There was a distinct difference in the treatment effect between articular surface evenness and unevenness for all and for fragment size of a parts per thousand yen25 %.

For all 102 cases of ankle joint fracture involving the posterior malleolus, the treatment effect was satisfactory. Restoration of an even articular surface, especially when fragment size a parts per thousand yen25 %, should be attempted during treatment.

语种: 英语
WOS记录号: WOS:000307994300025
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67869
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Dept Orthopaed Trauma, Beijing 100044, Peoples R China
2.Capital Med Univ, Dept Orthopaed, Xuan Wu Hosp, Beijing 100053, Peoples R China
3.So Med Univ, Dept Orthopaed, Nanfang Hosp, Guangzhou 510515, Guangdong, Peoples R China
4.Sichuan Univ, Dept Orthopaed, W China Hosp, Chengdu 610041, Sichuan, Peoples R China
5.Peking Univ, Dept Orthopaed, Jishuitan Hosp, Beijing 100035, Peoples R China

Recommended Citation:
Xu, Hai-lin,Li, Xuan,Zhang, Dian-ying,et al. A retrospective study of posterior malleolus fractures[J]. INTERNATIONAL ORTHOPAEDICS,2012,36(9):1929-1936.
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