Comparison of screw fixation with elastic fixation methods in the treatment of syndesmosis injuries in ankle fractures
| Autor: | Serhat Mutlu, Mustafa Seyhan, Mahir Mahirogullari, Ferdi Donmez, Selami Cakmak, Olcay Guler |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Syndesmosis Turkey Bone Screws Range of movement Suture-Button Ankle Fractures Plantar flexion Screw fixation Fracture Fixation Internal Fixation (surgical) medicine Humans Ankle Injuries Range of Motion Articular Device Removal Retrospective Studies General Environmental Science business.industry Screw Significant difference Syndesmosis Repair Recovery of Function Middle Aged Fixation method Surgery Treatment Outcome Tightrope medicine.anatomical_structure General Earth and Planetary Sciences Female Ankle Tomography X-Ray Computed business Ankle Joint Follow-Up Studies |
| Zdroj: | Injury. 46:S19-S23 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2015.05.027 |
| Popis: | WOS: 000360122000005 PubMed ID: 26117414 17 patients with ankle syndesmosic injury were treated with a 4.5 mm single cortical screw fixation (passage of screw 4 cortices) and 15 patients were treated with single-level elastic fixation material. All patients were evaluated according to the AOFAS ankle and posterior foot scale at the third, sixth and twelfth months after the fixation. The ankle range of movement was recorded together with the healthy side. The Student's t test was used for statistical comparisons. No statistical significant difference was observed between the AOFAS scores (p > 0.05). The range of dorsiflexion and plantar flexion motion of the elastic fixation group at the 6th and 12th months were significantly better compared to the screw fixation group (p < 0.01). Elastic fixation is as functional as screw fixation in the treatment of ankle syndesmosis injuries. The unnecessary need of a second surgical intervention for removal of the fixation material is another advantageous aspect of this method of fixation. |
| Databáze: | OpenAIRE |
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