Arthroscopically Assisted Technique in the Treatment of Ankle Fractures with Posterior Malleolus Fragment in Adults

Mohamed Atef Mohamed Elhabet, Khaled Mohamed Abo-Elnasr, A. Henawy, Ahmed Metwally, A. Toreih
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Abstract

Ankle fractures constitute a challenging condition due to its high impact on the long term. Thus, advancements in management have been proposed to ensure the best possible outcome. Hence, we aimed to assess the role of arthroscopy in the treatment of ankle fractures that involve posterior malleolus fragments in adults. In a quasi-experimental, interventional, prospective, nonrandomized study, we included 16 adult patients with acute ankle fracture with posterior malleolus fragment. They underwent arthroscopically assisted technique for their fracture treatment. A standard systematic arthroscopic ankle examination, their fracture grade, and classification were assessed, and subsequent management was conducted. The patients were followed up for 6 months using the American Orthopedic Foot and Ankle Society (AOFAS) score and radiographic monitoring with standard X-ray. The mean AOFAS score improved significantly after 6 months of follow-up (from 84.81 in the 3rd month to 92.81 in the 6th month). Ankle dorsiflexion angle and ankle plantar-flexion angle showed a gradual increase during follow-up, reaching 17.31° ± 3.25° and 45° ± 5°, respectively. Only two patients developed complications. Age, body mass index, and grade of the osteochondral lesion were negatively correlated statistically significantly with the AOFAS score. This proves the effective role of arthroscopically assisted technique in the treatment of ankle fractures with posterior malleolus fragment. Arthroscopically assisted technique in the treatment of ankle fractures with posterior malleolus fragment in adults resulted in good functional outcomes with less complications and it allows the assessment of associated intra-articular injuries. Further studies with longer follow-up periods are needed for the assessment of outcomes and complications for comparison.
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关节镜辅助技术治疗成人踝关节骨折伴后耳骨碎片
踝关节骨折是一种具有挑战性的疾病,因为它对长期治疗有很大影响。因此,人们提出了先进的治疗方法,以确保最佳治疗效果。因此,我们旨在评估关节镜在治疗涉及后踝骨碎片的成人踝关节骨折中的作用。 在一项准实验性、介入性、前瞻性、非随机研究中,我们纳入了 16 名患有急性踝关节骨折并伴有后踝骨碎片的成人患者。他们接受了关节镜辅助技术的骨折治疗。对患者进行了标准系统的关节镜踝关节检查、骨折分级和分类评估,并进行了后续处理。使用美国骨科足踝协会(AOFAS)评分和标准 X 光片对患者进行了为期 6 个月的随访。 随访 6 个月后,AOFAS 平均得分明显提高(从第 3 个月的 84.81 分提高到第 6 个月的 92.81 分)。踝关节背屈角度和踝关节跖屈角在随访期间逐渐增加,分别达到 17.31° ± 3.25° 和 45° ± 5°。只有两名患者出现了并发症。年龄、体重指数和骨软骨病变的等级与 AOFAS 评分在统计学上呈显著负相关。这证明了关节镜辅助技术在治疗踝关节骨折伴后踝骨碎裂中的有效作用。 关节镜辅助技术在治疗成人踝关节骨折伴踝后槌骨碎片时可取得良好的功能效果,且并发症较少,还可对相关的关节内损伤进行评估。需要进行更长时间的随访研究,以评估疗效和并发症,并进行比较。
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来源期刊
Journal of Arthroscopy and Joint Surgery
Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine
CiteScore
0.60
自引率
0.00%
发文量
1
期刊介绍: Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.
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