One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures
Abstract Objective Spiral fracture of tibia combined with posterior malleolar fracture (PMF) is a special and regular injury. There is no uniform fixation method for PMF in this kind of injury. Intramedullary nail is the first choice for the treatment of tibial spiral fracture. We proposed a minimal...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06319-8 |
| _version_ | 1797854093757120512 |
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| author | Hongfei Qi Zhong Li Teng Ma Cheng Ren Yibo Xu Qiang Huang Haoxuan Feng Kun Zhang Yao Lu Ming Li |
| author_facet | Hongfei Qi Zhong Li Teng Ma Cheng Ren Yibo Xu Qiang Huang Haoxuan Feng Kun Zhang Yao Lu Ming Li |
| author_sort | Hongfei Qi |
| collection | DOAJ |
| description | Abstract Objective Spiral fracture of tibia combined with posterior malleolar fracture (PMF) is a special and regular injury. There is no uniform fixation method for PMF in this kind of injury. Intramedullary nail is the first choice for the treatment of tibial spiral fracture. We proposed a minimally invasive percutaneous screw combined with intramedullary nail technology to fix the PMF in the tibial spiral fracture. This study aims to explore the effectiveness and advantages of this technology. Materials and methods From January 2017 to February 2020, 116 cases of spiral fracture of tibia combined with PMF who were operated in our hospital were divided into Fixation Group (FG) and No Fixation Group (NG) according to whether PMF was fixed. After minimally invasive percutaneous screw fixation of ankle fracture in FG patients, the tibial intramedullary nail was inserted to fix the fracture. Collected the operation and postoperative recovery of the two groups of patients, including the operation time, intraoperative blood loss, AOFAS score, VAS score and dorsiflexion restriction of ankle joint at the last follow-up, and compared whether there is any difference between the two groups of patients. Results The fracture of both groups healed.2 patients in NG had secondary displacement of PMF during operation, and the fracture finally healed after fixation. There were statistical differences between the two groups in terms of operation time, AOFAS score and weight bearing time. The operation time of FG was 67.9±11.2 min, and that of NG was 60.8±9.4 min; The weight bearing time of FG was 57.35±34.72 days, and that of NG was 69.17±21.43 days; The AOFAS score of FG was 92.50±3.46, and that of NG was 91.00±4.16. There were no significant difference in blood loss, VAS and dorsiflexion restriction of ankle joint between the two groups. The blood loss of FG was 66.8±12.3 ml, the blood loss of NG was 65.6±11.7 ml, the VAS score of FG was 1.37±0.47, the VAS score of NG was 1.43±0.51, the dorsiflexion restriction of FG was 5.8±4.1; the NG was 6.1±5.7. Conclusion For the injury of tibial spiral fracture combined with PMF, our fixation technology can achieve minimally invasive fixation of PMF with percutaneous screws on the basis of intramedullary nail fixation of tibial fracture, promoting early functional exercise of ankle joint and early weight bearing of patients. This fixation technology is also characterized by simple and fast operation. |
| first_indexed | 2024-04-09T20:01:28Z |
| format | Article |
| id | doaj.art-faca81f9f077451a85ec442f694095ae |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T20:01:28Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-faca81f9f077451a85ec442f694095ae2023-04-03T05:13:38ZengBMCBMC Musculoskeletal Disorders1471-24742023-03-012411710.1186/s12891-023-06319-8One quick and simple fixation method: posterior malleolus fractures in spiral tibial fracturesHongfei Qi0Zhong Li1Teng Ma2Cheng Ren3Yibo Xu4Qiang Huang5Haoxuan Feng6Kun Zhang7Yao Lu8Ming Li9Department of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineDepartment of Orthopaedics and Trauma, Hong Hui Hospital, Xi’an Jiaotong University College of MedicineAbstract Objective Spiral fracture of tibia combined with posterior malleolar fracture (PMF) is a special and regular injury. There is no uniform fixation method for PMF in this kind of injury. Intramedullary nail is the first choice for the treatment of tibial spiral fracture. We proposed a minimally invasive percutaneous screw combined with intramedullary nail technology to fix the PMF in the tibial spiral fracture. This study aims to explore the effectiveness and advantages of this technology. Materials and methods From January 2017 to February 2020, 116 cases of spiral fracture of tibia combined with PMF who were operated in our hospital were divided into Fixation Group (FG) and No Fixation Group (NG) according to whether PMF was fixed. After minimally invasive percutaneous screw fixation of ankle fracture in FG patients, the tibial intramedullary nail was inserted to fix the fracture. Collected the operation and postoperative recovery of the two groups of patients, including the operation time, intraoperative blood loss, AOFAS score, VAS score and dorsiflexion restriction of ankle joint at the last follow-up, and compared whether there is any difference between the two groups of patients. Results The fracture of both groups healed.2 patients in NG had secondary displacement of PMF during operation, and the fracture finally healed after fixation. There were statistical differences between the two groups in terms of operation time, AOFAS score and weight bearing time. The operation time of FG was 67.9±11.2 min, and that of NG was 60.8±9.4 min; The weight bearing time of FG was 57.35±34.72 days, and that of NG was 69.17±21.43 days; The AOFAS score of FG was 92.50±3.46, and that of NG was 91.00±4.16. There were no significant difference in blood loss, VAS and dorsiflexion restriction of ankle joint between the two groups. The blood loss of FG was 66.8±12.3 ml, the blood loss of NG was 65.6±11.7 ml, the VAS score of FG was 1.37±0.47, the VAS score of NG was 1.43±0.51, the dorsiflexion restriction of FG was 5.8±4.1; the NG was 6.1±5.7. Conclusion For the injury of tibial spiral fracture combined with PMF, our fixation technology can achieve minimally invasive fixation of PMF with percutaneous screws on the basis of intramedullary nail fixation of tibial fracture, promoting early functional exercise of ankle joint and early weight bearing of patients. This fixation technology is also characterized by simple and fast operation.https://doi.org/10.1186/s12891-023-06319-8PMFFixationScrewRetrospective studyRehabilitations |
| spellingShingle | Hongfei Qi Zhong Li Teng Ma Cheng Ren Yibo Xu Qiang Huang Haoxuan Feng Kun Zhang Yao Lu Ming Li One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures BMC Musculoskeletal Disorders PMF Fixation Screw Retrospective study Rehabilitations |
| title | One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures |
| title_full | One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures |
| title_fullStr | One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures |
| title_full_unstemmed | One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures |
| title_short | One quick and simple fixation method: posterior malleolus fractures in spiral tibial fractures |
| title_sort | one quick and simple fixation method posterior malleolus fractures in spiral tibial fractures |
| topic | PMF Fixation Screw Retrospective study Rehabilitations |
| url | https://doi.org/10.1186/s12891-023-06319-8 |
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