B型韦伯外侧踝关节骨折的后表面和外侧表面钢板置入术的比较

Foot & ankle specialist Pub Date : 2024-04-01 Epub Date: 2022-02-22 DOI:10.1177/19386400221079197
Atmananda Hegde, Chethan Shetty, Nitin Joseph, Prajwal Mane
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引用次数: 0

摘要

目的:本研究的目的是比较孤立的B型韦伯外侧踝骨骨折的外侧表面和后方表面钢板的功能结果、放射学结果、并发症发生率和硬件移除情况:这是一项回顾性研究,比较了B型韦伯外侧踝骨骨折采用外侧表面或后方表面钢板固定治疗的效果。定期对放射学和功能结果进行评估。随访详情、并发症以及是否需要移除植入物均来自医院记录:我们的研究包括 60 名患者(男性 35 名,女性 25 名)。平均年龄为 41.7 ± 10.5 岁。其中,28 名患者(46.7%)接受了外侧表面钢板植入术,32 名患者(53.3%)接受了后表面钢板植入术。从受伤到手术之间的平均时间间隔在接受外侧钢板植入的患者中明显较长(P < .001)。两种手术所需的平均手术时间相当,因此无显著性差异(P = .576)。手术 2 年后的美国骨科足踝协会(AOFAS)平均评分明显高于后侧钢板植入术(P = .014)。采用侧向钢板植入的患者并发症发生率和植入物取出率更高(P < .05):结论:对于孤立的B型韦伯外侧踝骨骨折,后方表面钢板植入术可被视为首选手术,其功能效果更好,并发症发生率更低,且无需移除植入物:证据等级:三级:经济/决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Posterior and Lateral Surface Plating for Type B Weber Lateral Malleoli Fractures.

Purpose: The purpose of this study is to compare the functional outcomes, radiological outcomes, complication rates, and hardware removal between lateral and posterior surface plating in isolated type B Weber lateral malleolus fractures.

Methods: It was a retrospective study that compared the outcomes of type B Weber lateral malleoli fractures treated by either lateral surface or posterior surface plating. Radiological and functional outcomes were assessed at regular intervals. The follow-up details and the complications and need for implant removal were collected from the hospital records.

Results: Our study included 60 patients (male-35 and female-25). The mean age was 41.7 ± 10.5 years. In all, 28 (46.7%) patients received lateral surface plating and 32 (53.3%) patients received posterior surface plating. The mean time gap between the injury and the surgery was significantly more among patients who underwent lateral plate insertion (P < .001). The mean operative time required for both the procedures was comparable, hence nonsignificant (P = .576). The mean American Orthopaedic Foot and Ankle Society score (AOFAS) after 2 years of operation was significantly higher for posterior plate insertion (P = .014). The complication rates as well as the implant removal rates were higher in patients with lateral plating (P < .05).

Conclusion: Posterior surface plating can be considered as the procedure of choice for isolated type B Weber lateral malleolus fractures with respect to better functional outcome, lesser complications rates, and need for implant removal.

Level of evidence: Level III: Economic/decision.

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