Screw and absorbable suture tension band technique for geriatric weber type A lateral malleolus fractures

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2024-10-10 DOI:10.1016/j.jor.2024.10.017

Zhendong Li , Haichao Zhou , Youguang Zhao , Jiang Xia , Yunfeng Yang

{"title":"Screw and absorbable suture tension band technique for geriatric weber type A lateral malleolus fractures","authors":"Zhendong Li , Haichao Zhou , Youguang Zhao , Jiang Xia , Yunfeng Yang","doi":"10.1016/j.jor.2024.10.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>The optimal method of internal fixation for ankle fractures in geriatric patients remains debated. This study aims to assess the efficacy of the screw and absorbable suture self-compression tension band technique in treating Weber Type A lateral malleolus fractures in geriatric patients.</div></div><div><h3>Methods</h3><div>Clinical data were analyzed from 31 geriatric patients with Weber Type A lateral malleolus fractures treated between March 2018 and June 2022. All patients underwent fixation with two screws combined with an absorbable suture self-compression tension band. The cohort comprised 18 males and 13 females, with a mean age of 65.6 ± 7.3 years. The study recorded operative time, intraoperative blood loss, fracture healing time, and postoperative complications. Outcomes were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for pain, and ankle range of motion (ROM).</div></div><div><h3>Results</h3><div>Of the 31 patients, 30 achieved primary wound healing. Follow-up periods ranged from 12 to 36 months (mean: 19.5 months). The average operative time was 44.7 ± 13.6 min, with slightly longer times for patients with additional injuries. Fracture healing time ranged from 8 to 16 weeks (mean: 12.1 weeks), with no cases of delayed healing or non-union, and no instances of fixation loosening or failure. Postoperative complications included one cases of superficial infection, one case of numbness, one case of foreign body sensation, and one case of prolonged pain. At the final follow-up, the mean AOFAS score was 89.8 ± 6.2, with VAS scores of 0 in 18 cases, 1 in 11 cases, and 2 in 2 cases. The average ROM was 65.4° ± 4.3°, resulting in a clinical satisfaction rate of 87.1 %.</div></div><div><h3>Conclusion</h3><div>The use of screws combined with an absorbable suture self-compression tension band for treating Weber Type A lateral malleolus fractures in geriatric patients is straightforward, effective, and warrants broader adoption.</div></div>","PeriodicalId":16633,"journal":{"name":"Journal of orthopaedics","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0972978X24003453","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

The optimal method of internal fixation for ankle fractures in geriatric patients remains debated. This study aims to assess the efficacy of the screw and absorbable suture self-compression tension band technique in treating Weber Type A lateral malleolus fractures in geriatric patients.

Methods

Clinical data were analyzed from 31 geriatric patients with Weber Type A lateral malleolus fractures treated between March 2018 and June 2022. All patients underwent fixation with two screws combined with an absorbable suture self-compression tension band. The cohort comprised 18 males and 13 females, with a mean age of 65.6 ± 7.3 years. The study recorded operative time, intraoperative blood loss, fracture healing time, and postoperative complications. Outcomes were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for pain, and ankle range of motion (ROM).

Results

Of the 31 patients, 30 achieved primary wound healing. Follow-up periods ranged from 12 to 36 months (mean: 19.5 months). The average operative time was 44.7 ± 13.6 min, with slightly longer times for patients with additional injuries. Fracture healing time ranged from 8 to 16 weeks (mean: 12.1 weeks), with no cases of delayed healing or non-union, and no instances of fixation loosening or failure. Postoperative complications included one cases of superficial infection, one case of numbness, one case of foreign body sensation, and one case of prolonged pain. At the final follow-up, the mean AOFAS score was 89.8 ± 6.2, with VAS scores of 0 in 18 cases, 1 in 11 cases, and 2 in 2 cases. The average ROM was 65.4° ± 4.3°, resulting in a clinical satisfaction rate of 87.1 %.

Conclusion

The use of screws combined with an absorbable suture self-compression tension band for treating Weber Type A lateral malleolus fractures in geriatric patients is straightforward, effective, and warrants broader adoption.

查看原文本刊更多论文

治疗老年韦伯 A 型外侧踝骨骨折的螺钉和可吸收缝合张力带技术

目的老年患者踝关节骨折的最佳内固定方法仍存在争议。本研究旨在评估螺钉和可吸收缝线自加压张力带技术治疗老年患者韦伯A型外侧踝骨骨折的疗效。方法分析了2018年3月至2022年6月间接受治疗的31例老年韦伯A型外侧踝骨骨折患者的临床数据。所有患者均接受了双螺钉结合可吸收缝合自压张力带的固定治疗。组群中有18名男性和13名女性，平均年龄为（65.6±7.3）岁。研究记录了手术时间、术中失血量、骨折愈合时间和术后并发症。研究结果采用美国矫形足踝协会（AOFAS）踝关节-后足评分、疼痛视觉模拟量表（VAS）和踝关节活动范围（ROM）进行评估。随访时间为 12 至 36 个月（平均 19.5 个月）。平均手术时间为（44.7 ± 13.6）分钟，有其他损伤的患者手术时间稍长。骨折愈合时间为8至16周（平均：12.1周），无延迟愈合或不愈合病例，无固定松动或失败病例。术后并发症包括一例表皮感染、一例麻木、一例异物感和一例长时间疼痛。在最后的随访中，AOFAS平均得分为（89.8 ± 6.2）分，VAS评分为0分的有18例，1分的有11例，2分的有2例。结论：使用螺钉结合可吸收缝合自加压张力带治疗老年患者的韦伯 A 型外侧踝骨骨折简单、有效，值得广泛采用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.