Arthroscopy-Assisted Closed Reduction and Percutaneous Internal Fixation for Medial Malleolus Fracture.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/21-172

Zhe Zhao, Guo Fu, Jianquan Liu, Yongsheng Li, Xiaoqiang Chen, Guanghui Wang, Xiangyu Cheng, Jianwen Yin, Jiabei Li, Zhiqin Deng, Manyi Wang, Wencui Li

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引用次数: 0

Abstract

Background: Arthroscopy-assisted closed reduction and percutaneous internal fixation is a minimally invasive technique for medial malleolus fracture treatment. The purpose of the study was to assess the quality and functional outcomes of this technique.

Methods: Seventy-eight patients with combined medial malleolus fractures were treated with arthroscopy-assisted closed reduction and percutaneous screw fixation technique. The surgical procedure was described in detail; the clinical efficacy of this method was evaluated in terms of time of operation, postoperative complications, and fracture healing time; and functional outcomes were analyzed.

Results: All of the patients were followed up for a minimum of 12 months without complications of the medial malleolus wound, and all of the medial malleolus fractures healed within 6 to 8 weeks. At the last follow-up, the visual analog scale scores ranged from 0 to 3 and the American Orthopaedic Foot and Ankle Society ankle and hindfoot function scores ranged from 75 to 95.

Conclusions: Arthroscopy-assisted closed reduction and percutaneous internal fixation makes the treatment of medial malleolus fractures less invasive compared with traditional surgical methods and allows simultaneous exploration and management of the articular surface.

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关节镜辅助闭合复位和经皮内固定治疗内侧踝骨骨折。

背景：关节镜辅助闭合复位和经皮内固定术是治疗内侧踝骨骨折的一种微创技术。本研究旨在评估该技术的质量和功能效果：78名合并内侧踝骨骨折的患者接受了关节镜辅助闭合复位和经皮螺钉固定技术治疗。详细描述了手术过程，从手术时间、术后并发症和骨折愈合时间等方面评估了该方法的临床疗效，并对功能结果进行了分析：所有患者均接受了至少12个月的随访，内侧踝骨伤口未出现并发症，所有内侧踝骨骨折均在6至8周内愈合。在最后一次随访中，视觉模拟量表评分为0至3分，美国骨科足踝协会踝关节和后足功能评分为75至95分：与传统手术方法相比，关节镜辅助闭合复位和经皮内固定术治疗内侧踝骨骨折的创伤更小，而且可以同时对关节面进行探查和处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.