Fong Winston, Acevedo Jorge I, Stone Ross G, Mizel Mark S
Department of Orthopaedics and Rehabilitation, University of Miami, 950 NW 17th Street, Miami, FL 33136, USA.
Foot Ankle Int. 2007 Dec;28(12):1256-9. doi: 10.3113/FAI.2007.1256.
The current study examined the outcomes of operative treatment of unstable ankle fractures in patients at least 80 years old at the time of injury.
Of 2,682 patients who presented for treatment of ankle fractures, 17 patients met the study criteria. These patients had open reduction and internal fixation after sustaining 15 closed and two open unstable ankle fractures. There were 11 type B fractures and six type C fractures by the Danis-Weber classification, and 12 supination-external rotation and five pronation-external rotation fractures by the Laugen-Hansen classification systems.
When noncompliant patients who developed complications were removed from analysis, the fixation failure and deep infection rates were 0% each.
These results highlight the importance of patient compliance and non-weightbearing status in the treatment of ankle fractures in patients over 80 years.
本研究调查了受伤时年龄至少80岁的不稳定踝关节骨折患者的手术治疗结果。
在2682例因踝关节骨折前来治疗的患者中，17例符合研究标准。这些患者在遭受15例闭合性和2例开放性不稳定踝关节骨折后接受了切开复位内固定术。根据Danis-Weber分类，有11例B型骨折和6例C型骨折；根据Lauge-Hansen分类系统，有12例旋后-外旋型骨折和5例旋前-外旋型骨折。
当将出现并发症的不依从患者排除在分析之外时，固定失败率和深部感染率均为0%。
这些结果凸显了患者依从性和非负重状态在80岁以上患者踝关节骨折治疗中的重要性。
