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学科主题临床医学
A retrospective study of posterior malleolus fractures
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
2012-09-01
DOI10.1007/s00264-012-1591-9
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
引用统计
被引频次:32[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67869
专题北京大学第二临床医学院
北京大学第二临床医学院_创伤骨科
北京大学第二临床医学院_党委院长办公室
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
推荐引用方式
GB/T 7714
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.
APA Xu, Hai-lin.,Li, Xuan.,Zhang, Dian-ying.,Fu, Zhong-guo.,Wang, Tian-bing.,...&Wu, Xin-bao.(2012).A retrospective study of posterior malleolus fractures.INTERNATIONAL ORTHOPAEDICS,36(9),1929-1936.
MLA Xu, Hai-lin,et al."A retrospective study of posterior malleolus fractures".INTERNATIONAL ORTHOPAEDICS 36.9(2012):1929-1936.
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