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 171
- Downloads 0
Study of secondary changes in patients tissues after posttraumatic extraarticular femur and tibia deformities [Дослідження вторинних змін у тканинах хворих із післятравматичними позасуглобовими деформаціями стегнової кістки та кісток гомілки]
One of complications after shaft fractures is formation of angular deformities. Clinical significance of axial infringement can influence on the leg function. Objective: to study the changes which occur in the tissues o...
Stress-strain state of fibrin-blood clot and periosteum in the area of diaphyseal fracture under different conditions of fracture fragments fixation and its impact on the structural organization of regenerate
The goal: using mathematical finite-element modeling to calculate the stress-strain state (SSS) of fibrin-blood clot and periosteum around the fracture zone in the conditions of fixation of femur fragments with on-bone p...
Morphological characteristics and correlation of chronic hematogenous osteomyelitis with latent clinical course (Garre type)
One of the clinico-morphological variants of osteomyelitis with latent course is sclerosing hematogenous osteomyelitis of the Garre type. Objective: on the basis of pathomorphological and gradation-morphometric studies o...
Diagnostics of scapho-lunate ligament injury [Діагностика ушкоджень човноподібно-півмісяцевої зв’язки]
The main problem in the diagnostics of scapho-lunate ligament injury is the relative rare detailed clinical and radiologic picture, the lack of information and pronounced dissonance between anatomic types if injuries and...
Surgical treatment of patients with ankle joint fracture and damage of syndesmosis [Хірургічне лікування пацієнтів із переломами кісточок гомілки та ушкодженням синдесмозу]
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 f...