Functional outcome of ankle fracture patients treated with biodegradable implants
| Autor: | Daljit Singh, Narendra Joshi, Ashwani Soni, Sushil Rangdal, Radheshyam Sament |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Bone Screws Bimalleolar fracture Bone healing medicine.disease_cause Weight-bearing Fracture Fixation Internal Fractures Bone Young Adult Absorbable Implants Fracture fixation Bone plate medicine Humans Orthopedics and Sports Medicine Ankle Injuries Prospective Studies Fibula business.industry Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Female Ankle business Bone Plates Ankle Joint |
| Zdroj: | Foot and Ankle Surgery. 18:153-156 |
| ISSN: | 1268-7731 |
| Popis: | Background Biodegradable devices have been developed to overcome the disadvantages of metallic implants especially the need for their subsequent removal, though they have their own drawbacks like poor mechanical properties and tissue reactions. Aim of this prospective study was to access the outcome of bimalleolar fractures fixed with biodegradable plates and screws. Methods A prospective study was conducted between July 2006 and November 2008 comprising of sixteen patients with unilateral bimalleolar fractures. Fibula fractures were fixed with biodegradable plates and medial malleoli with screws. Patients were followed at two weeks, six weeks, three months, six months, twelve months and eighteen months. Final evaluation was done using Olerud Molander ankle score. Results Six patients had excellent results; four patients had good results and six patients had fair performance. No patient in this series had a poor outcome. One patient had both pain and swelling at 14 weeks postoperatively which settled down with debridement and antibiotics. None of the patients needed implant removal. Conclusion Biodegradable plates and screws when used to fix bimalleolar fracture along with restricted weight bearing, provide satisfactory fracture healing, good functional results and reduce the need of implant removal. |
| Databáze: | OpenAIRE |
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