Treatment of Lateral Malleolar Fracture Associated with Disruption of the Deltoid Ligament / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
; : 210-215, 2010.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-644168
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To evaluate the necessity for repair of associated deltoid ligament rupture in lateral malleolar fracture. MATERIALS ANDMETHODS:
Twenty of twenty-five patients were evaluated. Each received surgical treatment without repair of the ruptured deltoid ligament. We found that the medial clear space was widened more than 5 mm in intraoperative stress tests which had been done between May 2003 and June 2008. We did follow-up on these patients for more than 1 year after surgery. At the final follow-up, radiologic and clinical assessment were evaluated on plain X-ray and according to Olerud Molander ankle scores.RESULTS:
Open reduction and internal fixation of the lateral malleolar was done in all cases and an additional transfixation screw was needed in 17 patients who had concurrent syndesmotic disruption. Average medial clear space widening before surgery was 9.28 mm (7.0-17.14 mm), at final follow-up time it was 3.43 mm (2.9-5.28 mm). And there were 8 (40%) good, 10 (50%) fair and 2 (10%) poor ratings on radiologic evaluation, but the mean clinical score was 93.75, with 17 (85%) being excellent, 2 (10%) good and 1 (5%) fair on clinical evaluation.CONCLUSION:
In the treatment of lateral malleolus fracture associated with disruption of the deltoid ligament, satisfactory clinical results could be obtained including lateral joint stability, with accurate anatomical reduction and internal fixation of the lateral malleolus and distal tibio-fibular joints. Medial joint stability could be obtained without deltoid ligament repair.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ruptura
/
Seguimentos
/
Teste de Esforço
/
Articulações
/
Ligamentos
/
Tornozelo
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Animais
/
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Ano de publicação:
2010
Tipo de documento:
Artigo