CT controlled results of direct reduction and fixation of posterior malleolus in ankle

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F20%3A00000715" target="_blank" >RIV/61383082:_____/20:00000715 - isvavai.cz</a>

Výsledek na webu

<a href="https://pubmed.ncbi.nlm.nih.gov/32008051/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/32008051/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00068-020-01309-0" target="_blank" >10.1007/s00068-020-01309-0</a>

Jazyk výsledku

angličtina

Název v původním jazyce

CT controlled results of direct reduction and fixation of posterior malleolus in ankle

Popis výsledku v původním jazyce

Purpose The aim of this study was to present outcomes of operative treatment of the posterior malleolus fractures of type four of the Bartonicek/Rammelt classification. Methods In 19 patients, direct reduction and fixation of the posterior malleolus was performed from the posterolateral or posteromedial approaches. The accuracy of reduction was assessed with the use of postoperative CT scans. Results The mean size of the avulsed articular surface carried by posterior malleolus amounted to 36%. Reduction of the posterior malleolus fracture was assessed as anatomical in 14 cases and as satisfactory in five cases. Position of the distal fibula was assessed as anatomical in 15 cases. The mean AOFAS score was 89.4 points. All nine patients with anatomical reduction of all lesions achieved the mean AOFAS score of 93.1 points, five patients with malposition of posterior malleolus 89.1 points and five patients with malposition of the fibula in the fibular notch 87.8 points. A total of six patients developed osteoarthritic changes of grades one and two according to the Kellgren and Lawrence classification. Conclusions Outcomes of the study demonstrated good mid-term results in type four fractures of the posterior malleolus treated by direct reduction from posterior approaches. Postoperative CT examination allowed evaluation of the accuracy of reduction of all fractures and reduction of the distal fibula into the fibular notch. Based on postoperative CT examination, it will be possible to assess the effect of reduction of individual lesions on the functional results.

Název v anglickém jazyce

CT controlled results of direct reduction and fixation of posterior malleolus in ankle

Popis výsledku anglicky

Purpose The aim of this study was to present outcomes of operative treatment of the posterior malleolus fractures of type four of the Bartonicek/Rammelt classification. Methods In 19 patients, direct reduction and fixation of the posterior malleolus was performed from the posterolateral or posteromedial approaches. The accuracy of reduction was assessed with the use of postoperative CT scans. Results The mean size of the avulsed articular surface carried by posterior malleolus amounted to 36%. Reduction of the posterior malleolus fracture was assessed as anatomical in 14 cases and as satisfactory in five cases. Position of the distal fibula was assessed as anatomical in 15 cases. The mean AOFAS score was 89.4 points. All nine patients with anatomical reduction of all lesions achieved the mean AOFAS score of 93.1 points, five patients with malposition of posterior malleolus 89.1 points and five patients with malposition of the fibula in the fibular notch 87.8 points. A total of six patients developed osteoarthritic changes of grades one and two according to the Kellgren and Lawrence classification. Conclusions Outcomes of the study demonstrated good mid-term results in type four fractures of the posterior malleolus treated by direct reduction from posterior approaches. Postoperative CT examination allowed evaluation of the accuracy of reduction of all fractures and reduction of the distal fibula into the fibular notch. Based on postoperative CT examination, it will be possible to assess the effect of reduction of individual lesions on the functional results.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30212 - Surgery

Projekt

<a href="/cs/project/NV16-28458A" target="_blank" >NV16-28458A: Trimaleolární zlomeniny hlezna - CT diagnostika zlomenin zadní hrany tibie, jejich CT klasifikace, operační léčba</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY

ISSN

1863-9933

e-ISSN

—

Svazek periodika

2020

Číslo periodika v rámci svazku

Feb

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

8

Strana od-do

1-8

Kód UT WoS článku

000510357300001

EID výsledku v databázi Scopus

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