Surgical Treatment of Subfibular Ossicle in Children: A Retrospective Study of 36 Patients with Functional Instability
| Autor: | Kim Bin, Antoine Peyronnet, Didier Moukoko, Nicolas Henric, Richard Gouron |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Joint Instability Male medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine Ossicle medicine Humans Orthopedics and Sports Medicine Ankle Injuries Child Ankle pain Physical Therapy Modalities Retrospective Studies 030222 orthopedics Functional instability Ossicles Proprioception business.industry Retrospective cohort study 030229 sport sciences General Medicine Arthralgia Surgery medicine.anatomical_structure Case-Control Studies Pediatrics Perinatology and Child Health Female Ankle business Ankle Joint Foot (unit) |
| Zdroj: | Journal of Pediatric Orthopaedics. 38:e524-e529 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000001229 |
| Popis: | Backgrounds To evaluate the surgical management of a symptomatic subfibular ossicle after severe ankle sprain with functional instability and pain sequelae in children. Methods We analyzed 36 patients complaining of functional instability without laxity, 1 year after an ankle inversion trauma associated with the observation of a subfibular ossicle. We systematically suggested the open excision of the residual ossicles, followed by 6 weeks of immobilization and proprioceptive physiotherapy. Seventeen of them, constituting the "resection" group accepted this surgical approach. The remaining 19 patients, the "control" group, received only rehabilitative care. The American Orthopaedic Foot and Ankle Society ankle pain and function score was evaluated in both groups. Results The mean latest follow-up was 4 years and 4 months (range, 1 y 8 mo to 14 y 7 mo). A significant improvement of the American Orthopaedic Foot and Ankle Society score was observed and was significantly higher in the resection group with a mean gain of 31 points (SD=31.8), versus 7 points (SD=7) in the control group (P Conclusions We conclude that in the absence of objective laxity, excision of the os subfibulare appears as a simple and effective technique in the treatment of posttraumatic functional instability and ankle pain. Level of evidence Level IV-retrospective case-control study. |
| Databáze: | OpenAIRE |
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