Comparison of Clamp Reduction and Manual Reduction of Syndesmosis in Rotational Ankle Fractures: A Prospective Randomized Trial
| Autor: | Jeong Hwan Ahn, Hak Jun Kim, Gi Won Choi, Young Hwan Park |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Joint Instability Male Syndesmosis medicine.medical_specialty Radiography Manual reduction Ankle Fractures Risk Assessment law.invention 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine Injury Severity Score Randomized controlled trial law medicine Humans Orthopedics and Sports Medicine Ankle Injuries Prospective Studies Range of Motion Articular Aged Fracture Healing 030222 orthopedics business.industry 030229 sport sciences Syndesmotic Injury Middle Aged Prognosis Surgical Instruments Musculoskeletal Manipulations Surgery medicine.anatomical_structure Clamp Treatment Outcome Female Ankle Range of motion business |
| Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 57(1) |
| ISSN: | 1542-2224 |
| Popis: | An optimal outcome of surgical treatment for a syndesmotic injury depends on accurate reduction and adequate fixation. It has been suggested that the use of a reduction clamp for reduction of the syndesmosis results in better reduction and a lower rate of redisplacement than manual reduction. However, these concepts have never been scientifically evaluated. We compared these 2 methods in a prospective randomized trial. A total of 85 acute ankle rotational fractures combined with syndesmotic injury were randomized to syndesmosis reduction with either a reduction clamp or manual manipulation. Reduction of the syndesmosis was assessed radiographically by measuring the tibiofibular clear space, tibiofibular overlap, and the medial clear space immediately postoperatively and at the final follow-up examination. Ankle joint range of motion, visual analog scale score, Olerud-Molander ankle scoring system, and complications were obtained at the last follow-up visit to assess the clinical outcomes. Of the 3 radiographic measurements, the tibiofibular clear space and tibiofibular overlap differed significantly between the 2 groups (p .05). The clinical outcomes did not differ significantly between the 2 groups (p .05). Although differences were found in the radiographic measurements, most syndesmoses in both groups were within the normal range at the final follow-up visit, and the 2 methods of syndesmosis reduction provided similar clinical outcomes. Accordingly, the results of the present study suggest that both of these methods are effective and reliable for reduction of the syndesmosis in rotational ankle fractures. |
| Databáze: | OpenAIRE |
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