检索结果-南通市图书馆

Early and mid-term results of transarticular external fixation in the treatment of supination-external rotation type IV equivalent ankle fractures

引用

Chinese Journal of Traumatology 2018年第4期21卷 193-196页

作者： Bo-Hua Li Shan-Xi Wang Jun Li Fu-Guo Huang Zhou Xiang Yue Fang Gang Zhong Min Yi Xiao-Dan Zhao Lei Liu Department of Orthopedics West China Hospital of Sichuan University Chengdu 610041 China

Purpose： To investigate the early and mid-term results of open reduction and internal fixation （ORIF） with transarticular external fixation （TEF） but no deltoid ligament repair （DLR） in the treatment of supination-external rotation type Ⅳ equivalent （SER Ⅳ E） ankle fractures （AO/OTA classification 44-B 3.1 ） and provide evidence for clinical practice. Methods： This study cohort consisted of 22 patients with SER IV E ankle fractures that underwent ORIF with TEF but no DLR between December 2011 and December 2014, There were 13 males and 9 females, mean age 38.9 years （range, 17-73 years）. Eight cases involved the left side and 14 the right side. The causes of fractures included road traffic accidents （11 cases）, falling from height （6 cases） and sports injuries （5 cases）. The mean period of hospitalization was 9.8 days （range, 6 14 days）. For all the patients, MRI and three-dimensional CT were done before surgery and X-rays done preoperatively and during follow-ups. The external frame was kept for 8-10 weeks. The preoperative American Orthopedic Foot and Ankle Society （AOFAS） ankle-hindfoot score was 56.86 m 4.400, the Medical Outcomes Short Form 36-item （SF-36） questionnaire score was 57.41 ± 4.102 and the visual analog score （VAS） was 5.50 m 1.058. Patients＇ main complaints about inconvenience of daily life were also recorded. Results： All the 22 patients were followed up for 24 63 months （mean, 33.6 months）. None of them developed nonunion during the follow-up; pin site infection was observed in one patient and posttraumatic osteoarthritis in another. At the final follow-up, the average AOFAS score, SF-36 score and VAS score were respectively 90.59 e 5.096, 79.59± 5.394 and 1.82 ± 1.181, which were significantly improved compared with the preoperative data （t - 26.221, p 〈 0.001; t - 11.910, p 〈 0.001; t - 11.571, p 〈 0.001）. The therapeutic effect was excellent in 13 cases, good in 7 cases and fair in 2 cases, with a good-excellent rate of 90.9%. Patients＇ main co

关键词： jAnkle fractures Supination-external rotation deltoid ligament Fracture fixation external

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Ankle injuries in athletes:A review of the literature

引用

World Journal of Meta-Analysis 2021年第2期9卷 128-138页

作者： Jenita Jona James Oday Al-Dadah The Medical School Newcastle UniversityNewcastle-upon-Tyne NE24HHUnited Kingdom Translational and Clinical Research Institute Faculty of Medical SciencesNewcastle UniversityNewcastle-upon-Tyne NE24HHUnited Kingdom

Ankle injuries are commonplace in the athletic population, with lateral ligamentsprains accounting for the majority of them. The medial ligament complex, thedistal tibiofibular syndesmosis as well as any of the bones that constitute the anklejoint can also be injured. Typical mechanisms of injury include inversion-plantarflexionand external rotation on a supinated, dorsiflexed or pronated foot. Lesionsof the ankle present with similar symptoms of pain, swelling and ***, a thorough history and physical examination must be obtained to makethe correct diagnosis. This is especially critical for athletes as certain injuries canlead to termination of their career if not treated accurately on time. Imaging maybe useful in some cases to confirm or rule out differential diagnoses. Most injuriescan be managed conservatively using the Protection, Rest, Ice, Compression andElevation protocol followed by a comprehensive rehabilitation *** is reserved for grade III ligament tears that are refractory to initial nonoperativetreatment and displaced fractures that are unlikely to unite withoutsurgical intervention. The objective of this review is to discuss the common ankleinjuries encountered in the athletic population and the approaches to theirdiagnosis and management.

关键词： Ankle sprain Athlete deltoid ligament Lateral ligament Syndesmosis Fracture

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：