中华创伤杂志最新文献

{"title":"Interpretation of 'expert consensus on elderly patients with hip fractures under epidemic of novel coronavirus pneumonia'","authors":"Yan Hu, Liehu Cao, Biaotong Huang, Ji-ye He, Zhengrong Gu, Chen Xiao, Guohui Liu, Ximing Liu, Yanxi Chen, Dongliang Wang, S. Jiacan","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.007","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.007","url":null,"abstract":"With aim to reasonably cope with the elderly patients with hip fracture during epidemic of corona virus disease 2019 (COVID-19), Professor Su Jiacan and Academician Zhang Yingze organized the \"expert consensus on elderly patients with hip fractures under epidemic of novel coronavirus pneumonia\" that for the first time formulated the management strategies for the elderly patients with hip fracture including selection of surgical methods and protective measures for medical staff from perspective of orthopedic surgeons. The authors interpret the clinical guiding value and key points of diagnosis and treatment of the consensus to help clinicians better understand the consensus and strengthen its practical application. \u0000 \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Aged; Hip fractures; Interpretation of consensus","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"133-136"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42282486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical management strategies for orthopedic trauma patients under epidemic of novel coronavirus pneumonia/ 中华创伤杂志","authors":"Hang Xue, Faqi Cao, Hui Li, Wu Zhou, B. Mi, Mengfei Liu, Jing Liu, T. Xia, Liming Xiong, Ming Chen, Jun‐wen Wang, Z. Hou, Yingze Zhang, Guohui Liu","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.005","url":null,"abstract":"With the outbreak of novel coronavirus pneumonia (NCP) induced by 2019 novel coronavirus (2019-nCoV) in Wuhan, Hubei Province in December 2019, more and more suspected or confirmed cases have been found in various regions of China. Although China has adopted unprecedented strict quarantine and closed management measures to prevent the spreading of the disease, Department of Traumatic Orthopedics may still have to manage NCP patients with open fractures or severe trauma that require emergency surgery. Therefore, the identification and management of 2019-nCoV infection as soon as possible as well as the protection of all medical staff involved in the emergency treatment of patients are the severe challenges faced by orthopedic traumatologists during the prevention and control of NCP. Based on the characteristics of such patients and related diagnosis and treatment experiences during the epidemic of NCP, the authors formulate the surgical management strategies for orthopedic trauma patients. \u0000 \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Fractures, bone; Surgical procedures, operative; Universal precautions","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"124-128"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42273850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operating room management strategy for orthopedic patients in Third Hospital of Hebei Medical University during epidemic of corona virus disease 2019/ 中华创伤杂志","authors":"Shuhong Yang, Fang Hu, Shi Jia, Xiuting Li, Yingchao Yin, Yan-bin Zhu, Yingze Zhang","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.006","url":null,"abstract":"In December 2019, the corona virus disease 2019 (COVID-19) broke out in Wuhan, Hubei Province. Although the number of newly confirmed COVID-19 cases in provinces outside of Hubei Province has declined continuously since February 4, the epidemic of COVID-19 remains serious. As companies resume work, it is still inevitable that some high-energy orthopedic trauma patients and elderly patients with low-energy fractures will need surgical treatment. The operating room, as a place for close contact between doctors, patients and nurses, increases the risk of infection and transmission. Based on the current needs of orthopedic trauma patients and the situation of the country's resistance to the epidemic of COVID-19, the authors expound the operating room management, preparation of medical materials, transfer of patients needing surgery, intraoperative protection and post-operative end disinfection in Third Hospital of Hebei Medical University so as to provide reference for prevention and control management of the operating room during the epidemic period. \u0000 \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Operating rooms; Hospitals, orteopathic; Management strategy","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"129-132"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42238870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus on standardized diagnosis and treatment for osteoporotic vertebral compression fracture patients during epidemic of corona virus disease 2019","authors":"Z. Fang, B. He, D. Hao, Feng Li, Liang Yan, Yanzheng Gao, Shiqing Feng, T. Sun, D. Jiang, Jiwei Tian, Huan Wang, Yingze Zhang, S. Fan, Yue Zhu, Yijian Liang, Yun Tian, L. Bo, Weimin Jiang, Jing-yan Wang, Xiao-Bei Mao, Changsheng Zhu, L. Yali, Lijun He, Yuan He, Q. Shi, Shuixia Li, Jing Wang, Zijun Gao, Buhuai Dong, Honghui Yu, Yonghong Jiang","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.004","url":null,"abstract":"Since December 2019, the corona virus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (2019-nCoV) has been reported in Wuhan, Hubei Province. Almost 70% of patients susceptible to 2019-nCoV are over age of 50 years, with extremely large proportion of critical illness and death of the elderly patients. Meanwhile, the elderly patients are at high risk of osteoporotic fractures especially osteoporotic vertebral compression fractures (OVCF). During the prevention and control of COVID-19 epidemic, orthopedists are confronted with the following difficulties including how to screen and protect OVCF patients, how to accurately diagnose and assess the condition of OVCF patients with suspected or confirmed COVID-19, and how to develop reasonable treatment plans and comprehensive protective measures in emergency and outpatient clinics. In order to standardize the diagnosis and treatment of patients with OVCF diagnosed with COVID-19, the authors jointly develop this expert consensus. The consensus systematically recommends the standardized emergency and outpatient screening and confirmation procedures for OVCF patients with suspected or confirmed COVID-19 and protective measures for emergency and outpatient clinics. Moreover, the consensus describes the grading and classification of OVCF patients diagnosed with COVID-19 according to the severity of illness and recommends different treatment plans and corresponding protective measures based on the different types and epidemic prevention and control requirements. \u0000 \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Osteoporotic fractures; Spinal fractures; Infection control","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49538648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert consensus on elderly patients with hip fracture under epidemic of novel coronavirus pneumonia/ 中华创伤杂志","authors":"Guohui Liu, Ximing Liu, X. Tong, Dongliang Wang, Yanxi Chen, Liehu Cao, Guodong Liu, Jing Liu, Hong Yan, Biaotong Huang, Zhongmin Shi, Dian-ying Zhang, Z. Hou, Hongjia Liu, Peijian Tong, Shaojun Song, Lei Yang, Yong Wang, Lei Zhang, T. Luo, Mei-hao Wang, Peng Zhang, Yong Zhang, Hao-tian Lin, Baojin Yu, B. Mi, Yingze Zhang, Jiacan Su","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.002","url":null,"abstract":"With the spread of novel coronavirus pneumonia (NCP) in December 2019, the management and rehabilitation of elderly patients with hip fractures and protection of medical staff face new challenges, and need to be adjusted appropriately under this very circumstances. Hip fractures in the elderly account for more than half of osteoporotic fractures. Expert group formulate this consensus so as to make better decision against this epidemic and protect patients' families and medical staff. This consensus elaborates not only epidemic condition of NCP, but also general principles of medical admission, treatment and protection for both medical staff and patients, in order to provide some reference and promote the standardization of clinical diagnosis and treatment of elderly patients with hip fractures under the condition of NCP. \u0000 \u0000Key words: \u0000Aged; Hip fractures; Coronavirus infections; Pneumonia; Expert consensus","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"104-110"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46569582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert consensus on emergency surgery management for traumatic orthopedics under prevention and control of novel coronavirus pneumonia/ 中华创伤杂志","authors":"Jing Liu, Hui Li, Wu Zhou, Guohui Liu, Yingze Zhang, B. Jiang, P. Tang, Guodong Liu, Xin-bao Wu, Z. Yuan, Fangzhu Zhou, Tian-bing Wang, Z. Fu, Z. Hou, Jiacan Su, Bin Yu, Zengwu Shao, T. Xia, Liming Xiong, Yue-wan Fang, Guang-lin Wang, Peng Lin, Yanxi Chen, J. Ni, Lei Yang, Dongliang Wang, Chengjian He, Ximing Liu, B. Che, Yaming Li, Jun‐wen Wang, Ming Chen, Mengli Zhao, Faqi Cao, Yun Sun, B. Mi, Mengfei Liu, Y. Xiong, Hang Xue, Liangcong Hu, Yiqiang Hu, Lang Chen, Chenchen Yan","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.003","url":null,"abstract":"Since December 2019, novel coronavirus pneumonia (NCP) has been reported in Wuhan, Hubei Province, and spreads rapidly to all through Hubei Province and even to the whole country. The virus is 2019 novel coronavirus (2019-nCoV), never been seen previously in human, but all the population is generally susceptible. The virus spreads through many ways and is highly infectious, which brings great difficulties to the prevention and control of NCP. Based on the needs of orthopedic trauma patients for emergency surgery and review of the latest NCP diagnosis and treatment strategy and the latest principles and principles of evidence-based medicine in traumatic orthopedics, the authors put forward this expert consensus to systematically standardize the clinical pathway and protective measures of emergency surgery for orthopedic trauma patients during prevention and control of NCP and provide reference for the emergency surgical treatment of orthopedic trauma patients in hospitals at all levels. \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Fractures, bone; Surgical procedures, operative; Expert consensus","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41768046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus on emergency surgery and infection prevention and control for severe trauma patients with 2019 novel coronavirus pneumonia/ 中华创伤杂志","authors":"Yang Li, Li Zhan-fei, Qingxiang Mao, Ding Liu, Letian Zhang, Fan Yang, Yu Xie, Siru Zhou, Hua-yu Zhang, Shan-mu Ai, Hao Tang, Qiu Zhong, Qingshan Guo, Yaoli Wang, Wei-guo Zhang, Liyong Chen, Xiangjun Bai, lianyang zhang","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.02.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.02.001","url":null,"abstract":"A novel coronavirus pneumonia (NCP) epidemic has occurred in Wuhan, Hubei Province since December 2019, caused by a novel coronavirus (2019-nCoV) never been seen previously in human. China has imposed the strictest quarantine and closed management measures in history to control the spreading of the disease. However, severe trauma can still occur in the NCP patients. In order to standardize the emergency treatment and the infection prevention and control of severe trauma patients with hidden infection, suspected or confirmed infection of 2019-nCoV, Trauma Surgery Branch of Chinese Medical Doctors' Association organized this expert consensus. The consensus illustrated the classification of the NCP patients, severe trauma patients in need of emergency surgery, emergency surgery type, hierarchical protection for medical personnel and treatment places. Meanwhile, the consensus standardized the screening, injury severity evaluation, emergency surgical treatment strategy and postoperative management strategy of severe trauma patients during the epidemic period of NCP, providing a basis for the clinical treatment of such kind of patients. \u0000 \u0000Key words: \u0000Coronavirus infections; Pneumonia; Wounds and injuries; Surgical procedures, operative; Infection prevention and control","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2020-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44202641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of key contents published in Chinese Journal of Trauma in 2019","authors":"Guodong Liu, Haoyang Lin, Y. Xiang, Xuan Li, Lu Hu, Xianli Shao","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.01.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.01.019","url":null,"abstract":"There published 186 papers in Chinese Journal of Trauma in 2019. The yearly monographic topic was concentrated in spine and spinal cord injuries, involving 54 papers covering basic, clinical and rehabilitative studies. The columns mainly included Forum for Academician, Consensus and Guidelines, Trauma Center Construction, Special Monograph for 70th Anniversary of the Founding of People's Republic of China, Spine and Spinal Cord Injuries, Posttraumatic Bone Infection, Trauma Nursing and Basically Scientific Research. The authors introduce the key contents so as to help readers deepen their understanding of the publication and academic orientation of the Chinese Journal of Trauma. \u0000 \u0000 \u0000Key words: \u0000Wounds and injuries; Review literature; Journal article","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2020-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48292412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of posterior minimally invasive plate and 3D-navigated percutaneous sacroiliac screw internal fixation for treatment of posterior pelvic ring fracture in elderly patients","authors":"Xiao-zhen Wang, Guodong Wang, Gang Wu, Ximing Liu, Xianhua Cai, Hu Song","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.01.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.01.008","url":null,"abstract":"Objective \u0000To compare the clinical efficacy of posterior minimally invasive reconstruction plate and 3D-navigated percutaneous sacroiliac screw fixation of elderly patients with posterior pelvic ring fractures. \u0000 \u0000 \u0000Methods \u0000A retrospective cases control study was performed to analyze the data of 75 elderly patients with posterior pelvic ring fractures admitted from January 2014 to June 2018 in Central Hospital of the PLA. There were 32 males and 43 females, with the age range of 60-83 years (mean, 67.7 years). Twenty-four patients in the plate group were treated by posterior minimally invasive reconstruction plate fixation, and 51 patients in the navigation group were treated by percutaneous sacroiliac screw internal fixation with 3D navigation. The operation time, intraoperative blood loss, X-ray exposure time, complication rate and postoperative visual analogue scale (VAS) were compared between the two groups. Postoperative Matta radiographic criteria was used to assess fracture reduction quality, and Majeed criteria was used to assess pelvic function at the last follow-up. \u0000 \u0000 \u0000Results \u0000All 75 patients were followed up for 6-24 months (mean, 13.5 months). The operation time, intraoperative blood loss and X-ray exposure time in the plate group were (126.1±20.6)minutes, (251.6±50.8)ml, and (15.7±4.4)s, showing significant differences in comparison with the navigation groups [(49.7±17.5)minutes, (22.8±5.1)ml, and (112.8±8.8)s](P 0.05). At day 3, one week, and one month postoperatively, the VAS in the navigation group was (3.3±0.7)points, (3.2±0.7)points, (2.4±0.6)points, better than that in the plate group [(7.2±0.7)points, (6.2±0.8)points and (4.5±0.7)points] (P 0.05). According to the Matta radiographic criteria, the excellent and good rate was 92% in plate group (excellent in 14 cases, good in 8, and fair in 2), and was 82% in the navigation group (excellent in 25 cases, good in 17 and fair in 9). There was no significant difference between the two groups (P>0.05). According to the Majeed criteria at the follow-up, the excellent and good rate was 96% in the plate group (excellent in 15 cases, good in 8 and fair in 1), and was 94% in the navigation group (excellent in 35 cases, good in 13 and fair in 3). The difference between the two groups was not statistically significant (P>0.05). \u0000 \u0000 \u0000Conclusion \u0000For elderly patients with osteoporotic posterior pelvic ring fractures, percutaneous sacroiliac screw fixation under 3D navigation has the advantages of shorter operation time, less bleeding, less radiation dose and less postoperative pain than minimally invasive reconstruction plate internal fixation, and hence deserves clinical application. \u0000 \u0000 \u0000Key words: \u0000Aged; Pelvis; Fracture fixation, internal; Osteoporosis; Surgery, computer aided","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2020-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47793041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of open reduction and internal fixation in management of senile osteoporotic ankle fractures","authors":"Xueqian Chen, Zhan-kui Zhang, Z. Deng, Qirong Zhou, Yinjun Ji, Michelle Y. Ha, S. Jiacan, Y. Niu, Fang Ji","doi":"10.3760/CMA.J.ISSN.1001-8050.2020.01.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-8050.2020.01.009","url":null,"abstract":"Objective \u0000To explore the efficacy of open reduction and internal fixation in the treatment of senile osteoporotic ankle fractures. \u0000 \u0000 \u0000Methods \u0000A retrospective case series study was conducted to analyze the data of 26 elderly patients with osteoporotic ankle fractures which all caused by sprain from June 2012 to June 2018 in Changhai Hospital, including 10 male and 16 female patients aged from 60 to 93 years (mean, 69.72 years). In these 26 patients, three had medial malleolus fractures, four had lateral malleolus fractures, six had double ankle fractures and 13 had cotton's fractures. According to the Lauge-Hansen type, all 26 patients can be classified into four types: 5 with supination external rotation type, 4 supination adduction type, 16 with pronation-external rotation type and 1 with pronation abduction type. All the patients received open reduction and internal fixation. Plate fixation was used for lateral and posterior malleolus fractures, plate fixation and cannulated screws were applied to fix the comminuted posterior malleolus fracture while in the comminuted internal malleolus fracture, the steel plate was used only when needed. Early professional functional rehabilitation training and active anti-osteoporosis treatment were applied. All the operation time and bleeding volume were recorded, and the reduction of fracture plus the healing of wounds were observed. At last follow-up, American Orthopedic Foot & Ankle Society (AOFAS) Ankle Hindfoot Scale was used to evaluate the treatment effect and the Visual Analogue Scale (VAS)to evaluate the therapeutic effect and the subjective satisfaction of the patients. Complications were recorded as well. \u0000 \u0000 \u0000Results \u0000All patients were followed up for 12-48 months (mean, 23.6 months). Operation time ranged from 30 to 95 minutes (mean, 70 minutes) and bleeding volume ranged from 10 to 150 ml (mean, 70 ml). All patients got satisfied reduction of fracture within 25 patients' incision healing in first intention, although one has fat liquefaction. AOFAS Ankle Hindfoot Scale improved from preoperative (84.4±10.8)points to (31.9±11.4)points at last follow-up (P<0.01), and the results were excellent in five patients, good in 17, fair in three and poor in one, with the excellent and good rate of 85%. VAS improved from preoperative(1.85±0.73)points to (9.23±0.28)points at last follow-up (P<0.01). Among 26 patients, 5 with ankle stiffness of different degree recovered after rehabilitation care, and 2 with internal malleolus fractures had bone displacement when receiving rehabilitation care, with no side effect on basic function. No serious complications such as wound infection or skin necrosis were found. \u0000 \u0000 \u0000Conclusion \u0000For osteoporotic ankle fractures in the elderly, open reduction and internal fixation can promote functional recovery and relieve pain. \u0000 \u0000 \u0000Key words: \u0000Ankle injuries; Osteoporotic fractures; Fracture fixation, internal","PeriodicalId":10161,"journal":{"name":"Chinese Journal of Trauma","volume":"36 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2020-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42431185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}