Mid-term outcomes of ankle fracture repair with the Ilizarov method
Introduction The aim of the study was to analyze the functional results of surgical treatment in patients with unstable ankle fractures with the Ilizarov method (controlled retrospective cohort monocenter non-randomized study; Level of evidence II). Materials and methods Fifty-three patients, 15 ma...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2023-02-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1797904539584561152 |
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| author | Ilya V. Sutyagin Alexander V. Burtsev Lуudmila V. Melnikova |
| author_facet | Ilya V. Sutyagin Alexander V. Burtsev Lуudmila V. Melnikova |
| author_sort | Ilya V. Sutyagin |
| collection | DOAJ |
| description | Introduction The aim of the study was to analyze the functional results of surgical treatment in patients with unstable ankle fractures with the Ilizarov
method (controlled retrospective cohort monocenter non-randomized study; Level of evidence II). Materials and methods Fifty-three patients, 15 males
and 38 females, in the mean age of 48 years, with ankle fractures met the inclusion criteria. The patients were divided into three groups according
to the principle of dominant lesion location and according to the number of damaged bone structures. The patients underwent surgical interventions
comprising closed reduction and external fixation with the Ilizarov apparatus bridging the ankle and subtalar joints. The study period was 34.6 months
after surgery. Functional outcomes were evaluated based on the data of the AOFAS questionnaire. Results The average AOFAS score for Weber type
A fractures was 95.25 ± 6.84 (SD), 93.77 ± 6.85 (SD) for type B, and 93.57 ± 4.03 (SD) for type C. In the patients with isolated fractures of the lateral
malleolus it was 93.44 ± 8.38 (SD), in bimalleolar fractures – 94.09 ± 6.41 (SD), and in trimalleolar fractures – 93.71 ± 6.39 (SD). There were no
significant differences between the groups of patients with different (Weber) types of ankle fractures. There was tendency to worse outcomes in patients
whose surgical treatment was carried out 7 days or more after the injury. Conclusion Ankle osteosynthesis with the Ilizarov apparatus in unstable ankle
fractures demonstrates excellent mid-term (range, 2 to 4 years) functional outcomes. The number of damaged bone structures of the ankle joint and the
location of the dominant injury are not predictors of an unfavorable outcome in unstable ankle fractures in case of definitive fixation with the Ilizarov
apparatus. There is a tendency to worse functional outcomes in delayed surgical treatment if the time from injury to surgery is more than seven days. |
| first_indexed | 2024-04-10T09:50:31Z |
| format | Article |
| id | doaj.art-07f5b45950504041b5cf036e8ce8391f |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-04-10T09:50:31Z |
| publishDate | 2023-02-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-07f5b45950504041b5cf036e8ce8391f2023-02-17T04:26:40ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2023-02-01291273410.18019/1028-4427-2023-29-1-27-34Mid-term outcomes of ankle fracture repair with the Ilizarov methodIlya V. Sutyagin0Alexander V. Burtsev1Lуudmila V. Melnikova2Ilizarov National Medical Research Centre for Traumatology and Orthopedics, Kurgan, Russian FederationIlizarov National Medical Research Centre for Traumatology and Orthopedics, Kurgan, Russian FederationIlizarov National Medical Research Centre for Traumatology and Orthopedics, Kurgan, Russian FederationIntroduction The aim of the study was to analyze the functional results of surgical treatment in patients with unstable ankle fractures with the Ilizarov method (controlled retrospective cohort monocenter non-randomized study; Level of evidence II). Materials and methods Fifty-three patients, 15 males and 38 females, in the mean age of 48 years, with ankle fractures met the inclusion criteria. The patients were divided into three groups according to the principle of dominant lesion location and according to the number of damaged bone structures. The patients underwent surgical interventions comprising closed reduction and external fixation with the Ilizarov apparatus bridging the ankle and subtalar joints. The study period was 34.6 months after surgery. Functional outcomes were evaluated based on the data of the AOFAS questionnaire. Results The average AOFAS score for Weber type A fractures was 95.25 ± 6.84 (SD), 93.77 ± 6.85 (SD) for type B, and 93.57 ± 4.03 (SD) for type C. In the patients with isolated fractures of the lateral malleolus it was 93.44 ± 8.38 (SD), in bimalleolar fractures – 94.09 ± 6.41 (SD), and in trimalleolar fractures – 93.71 ± 6.39 (SD). There were no significant differences between the groups of patients with different (Weber) types of ankle fractures. There was tendency to worse outcomes in patients whose surgical treatment was carried out 7 days or more after the injury. Conclusion Ankle osteosynthesis with the Ilizarov apparatus in unstable ankle fractures demonstrates excellent mid-term (range, 2 to 4 years) functional outcomes. The number of damaged bone structures of the ankle joint and the location of the dominant injury are not predictors of an unfavorable outcome in unstable ankle fractures in case of definitive fixation with the Ilizarov apparatus. There is a tendency to worse functional outcomes in delayed surgical treatment if the time from injury to surgery is more than seven days.ankle fractureilizarov apparatusclosed transosseous osteosynthesis |
| spellingShingle | Ilya V. Sutyagin Alexander V. Burtsev Lуudmila V. Melnikova Mid-term outcomes of ankle fracture repair with the Ilizarov method Гений oртопедии ankle fracture ilizarov apparatus closed transosseous osteosynthesis |
| title | Mid-term outcomes of ankle fracture repair with the Ilizarov method |
| title_full | Mid-term outcomes of ankle fracture repair with the Ilizarov method |
| title_fullStr | Mid-term outcomes of ankle fracture repair with the Ilizarov method |
| title_full_unstemmed | Mid-term outcomes of ankle fracture repair with the Ilizarov method |
| title_short | Mid-term outcomes of ankle fracture repair with the Ilizarov method |
| title_sort | mid term outcomes of ankle fracture repair with the ilizarov method |
| topic | ankle fracture ilizarov apparatus closed transosseous osteosynthesis |
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