Surgical treatment of patients with ankle joint fracture and damage of syndesmosis [Хірургічне лікування пацієнтів із переломами кісточок гомілки та ушкодженням синдесмозу]
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 611, Issue 2
Abstract
Treatment of unstable ankle joint fractures with damage of syndesmosis is one of important problems in modern traumatology practice. Objective: to evaluate the results of surgical treatment of patients with ankle joint fractures and damage of syndesmosis due to analysis of functional ankle state and assessment of life quality in postoperative period. Methods: we analyzed the results of surgeries of 80 patients (18–67 y. o.) with ankle joint fracture and damage of syndesmosis. In all cases we made osteosynthesis and restoring of syndesmosis stability with following course of rehabilitation, which was the same in our groups. In the main group 44 patients we used developed devices (modeling plates with polyaxial screws blocking for external malleous and tight loops for syndesmosis stabilization). In comparative group (36 patients) we used method АО/ASIF (for external malleous we used AO ⅓ and 1–2 cortical screws of 3.5 mm for syndesmosis fixation). We assessed the results of treatment in 3, 6, 12 months after surgery with 100 score Ankle-Hindfoot Scale AOFAS and SF-36 system. Results: it was established that in the early terms after surgery (3 mon.) in the main group the functional results were better according to AOFAS scale on 17 %. The quality of life according to SF-36 was also better: the signs of physical condition — 21 %, psychological — 7.4 %. Conclusions: suggested method combines stable osteosynthesis of external malleous fractures with stable dynamic fixation of syndesmosis, it allow in improve the life quality and to get excellent and good results in 95.5 % cases.
Authors and Affiliations
Maksym Kozhemyaka, Maksym L. Golovakha
Keywords
Related Articles
- EP ID EP574263
- DOI 10.15674/0030-59872018263-67
- Views 141
- Downloads 0
BIOMECHANICAL RATIONALE OF ACETABULAR WALL AUGMENTATION METHOD FOR JOINT REPLACEMENT IN CONDITION OF OSTEOPOROSIS
Osteoporosis worsens the qualitative and quantitative characteristics of bone, which is a hostile environment for the stable long-fixation of acetabular component in hip joint endoprosthesis. Despite the large number of...
PERIOPERATIVE MULTIMODAL ANALGESIA IN ORTHOPEDIC AND TRAUMA PATIENTS FOR MINIMAL INVASIVE SURGICAL INTERVENTION
The goal: to evaluate the effectiveness of the proposed method of perioperative multimodal analgesia with complex use of non-opioid analgesics only of central and peripheral actions during minimally invasive surgical pro...
Anatomical large femoral heads: early complications and mid term results
Purpose: mechanical complications such as malrestoration of hip anatomy still impede surgical results and patient satisfaction after THA. Anatomical femoral «mega-heads» are a novel approach which enables a surgeon to us...
The results of Bogdanov and Bitchuk rods application for deformity correction of the low extremities in patients with osteogenesis imperfect
Treatment of low extremities deformities in children with osteogenesis imperfect is still actually under 40 years. There are a lot of surgical methods, but number of complications is still high (from 30 to 50–60 %). Pur...
THE EFFECTIVENESS OF THE DIFFERENT SCHEMES OF COMPLEX CONSERVATIVE TREATMENT OF ANIMALS WITH INDUCED KNEE ARTHRITIS
The effectiveness of conservative treatment in patients with knee joint arthritis can be enhanced through the use of the linked pharmacological and physical factors. The possibility of comprehensive use of low-intensity...