The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study
Abstract Background The aim of this study was to introduce a novel intraoperative lateral ankle dislocation approach during surgical treatment for patients with unstable trimalleolar fractures involving posterior ankle comminuted fractures and compare its effects and safety with those with conventio...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-018-0356-9 |
| _version_ | 1828765352491745280 |
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| author | Wenzhao Xing Peng Xie Linjie Wang Changcheng Liu Jian Cui Zhiguo Zhang Liang Sun |
| author_facet | Wenzhao Xing Peng Xie Linjie Wang Changcheng Liu Jian Cui Zhiguo Zhang Liang Sun |
| author_sort | Wenzhao Xing |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to introduce a novel intraoperative lateral ankle dislocation approach during surgical treatment for patients with unstable trimalleolar fractures involving posterior ankle comminuted fractures and compare its effects and safety with those with conventional approach. Methods From June 2006 to June 2014, 69 patients diagnosed as unstable trimalleolar fractures involving posterior ankle comminuted fracture were included in this study. The patients were divided into intraoperative dislocating ankle group (experimental group) and conventional treatment group (control group) according to surgical modalities. The following parameters including rate of primary healing, healing time, incidence of talus necrosis, incidence of post-traumatic arthritis, functional outcomes according to Baird-Jackson classification system, and any possible complications in two groups were recorded and compared. Results There were no significant differences regarding the rate of primary healing, healing time and the rate of talus necrosis in two groups (P > 0.05). The incidence of post-traumatic arthritis in experimental and control group were 0 and 24.24% (P = 0.0006), respectively. The rate of excellent and good outcomes were achieved in 91.67% in experimental group and 72.73% in control group (P = 0.038), respectively. Conclusions The findings suggest that the intraoperative ankle dislocation approach appears to be a promising surgical option for unstable trimalleolar fractures involving posterior ankle comminuted fracture because it can provide better functional outcomes and lower incidence of post-traumatic arthritis while not compromising primary healing and healing time. |
| first_indexed | 2024-12-11T06:47:24Z |
| format | Article |
| id | doaj.art-991732a62caa429e8bcd2d105b8a233a |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-11T06:47:24Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-991732a62caa429e8bcd2d105b8a233a2022-12-22T01:17:02ZengBMCBMC Surgery1471-24822018-04-0118111010.1186/s12893-018-0356-9The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort studyWenzhao Xing0Peng Xie1Linjie Wang2Changcheng Liu3Jian Cui4Zhiguo Zhang5Liang Sun6Department of Orthopaedics, the Third Hospital of Hebei Medical UniversityDepartment of Nuclear Medicine, the Third Hospital of Hebei Medical UniversityDepartment of Orthopaedics, Affiliated Hospital of Hebei UniversityDepartment of Orthopaedics, the Third Hospital of Hebei Medical UniversityDepartment of Orthopaedics, the Third Hospital of Hebei Medical UniversityDepartment of Orthopaedics, the Third Hospital of Hebei Medical UniversityDepartment of Orthopaedics, the Third Hospital of Hebei Medical UniversityAbstract Background The aim of this study was to introduce a novel intraoperative lateral ankle dislocation approach during surgical treatment for patients with unstable trimalleolar fractures involving posterior ankle comminuted fractures and compare its effects and safety with those with conventional approach. Methods From June 2006 to June 2014, 69 patients diagnosed as unstable trimalleolar fractures involving posterior ankle comminuted fracture were included in this study. The patients were divided into intraoperative dislocating ankle group (experimental group) and conventional treatment group (control group) according to surgical modalities. The following parameters including rate of primary healing, healing time, incidence of talus necrosis, incidence of post-traumatic arthritis, functional outcomes according to Baird-Jackson classification system, and any possible complications in two groups were recorded and compared. Results There were no significant differences regarding the rate of primary healing, healing time and the rate of talus necrosis in two groups (P > 0.05). The incidence of post-traumatic arthritis in experimental and control group were 0 and 24.24% (P = 0.0006), respectively. The rate of excellent and good outcomes were achieved in 91.67% in experimental group and 72.73% in control group (P = 0.038), respectively. Conclusions The findings suggest that the intraoperative ankle dislocation approach appears to be a promising surgical option for unstable trimalleolar fractures involving posterior ankle comminuted fracture because it can provide better functional outcomes and lower incidence of post-traumatic arthritis while not compromising primary healing and healing time.http://link.springer.com/article/10.1186/s12893-018-0356-9Trimalleolar fracturesPosterior ankle comminuted fractureIntraoperative dislocating ankle joint method |
| spellingShingle | Wenzhao Xing Peng Xie Linjie Wang Changcheng Liu Jian Cui Zhiguo Zhang Liang Sun The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study BMC Surgery Trimalleolar fractures Posterior ankle comminuted fracture Intraoperative dislocating ankle joint method |
| title | The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study |
| title_full | The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study |
| title_fullStr | The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study |
| title_full_unstemmed | The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study |
| title_short | The application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture: a retrospective cohort study |
| title_sort | application of intraoperative ankle dislocation approach in the treatment of the unstable trimalleolar fractures involving posterior ankle comminuted fracture a retrospective cohort study |
| topic | Trimalleolar fractures Posterior ankle comminuted fracture Intraoperative dislocating ankle joint method |
| url | http://link.springer.com/article/10.1186/s12893-018-0356-9 |
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