Successful immediate weight-bearing of internal fixated ankle fractures in a general population
| Autor: | Klaus Harager, Kirsten Hviid, Kim Schantz, Claus Jensen |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Population medicine.disease_cause Weight-bearing Weight-Bearing Fracture Fixation Internal medicine Humans Internal fixation Orthopedics and Sports Medicine Ankle Injuries education Aged Aged 80 and over education.field_of_study Osteosynthesis business.industry Emergency department Middle Aged Surgery medicine.anatomical_structure Orthopedic surgery Female Ankle Complication business Ankle Joint |
| Zdroj: | Journal of Orthopaedic Science. 5:552-554 |
| ISSN: | 0949-2658 |
| DOI: | 10.1007/s007760070004 |
| Popis: | Several studies on operated ankle fractures have shown that immediate weight-bearing is recommendable. Consequently, we changed our postoperative standard regimen, from 3 weeks of non-weight-bearing followed by 3 weeks of weight-bearing, to full immediate weight-bearing in all 6 weeks. A below-knee walking cast was applied immediately after surgery. Between December 1995 and September 1996, we studied 62 patients (median age, 55 years; range 21–92 years; M/F, 24/38), with ankle fractures who attended our emergency department and were subsequently admitted for open reduction and internal fixation. We excluded patients with distal tibia fracture and patients under 18 years of age. Overall, our elderly population did not have complication rates higher than those reported in similar studies on younger patients. In 1 patient, we observed radiographic widening of the ankle joint, of about 3mm, 6 weeks postoperatively. No patients required reoperation. Our study indicates that full immediate weight-bearing after open reduction and internal fixation is recommendable, even in an elderly population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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