Tabaković Dejan, Manojlović Radovan, Kadija Marko, Ille Mihailo, Turković Goran, Vukasinović Zoran
Klinicki centar Srbije, Institut za ortopedsku hirurgiju i traumatologiju, Beograd, Srbija.
Vojnosanit Pregl. 2010 Mar;67(3):225-8. doi: 10.2298/vsp1003225t.
BACKGROUND/AIM: Classification of ankle fractures is commonly used for selecting an appropriate treatment and prognosing an outcome of definite management. One of the most used classifications is the Danis-Weber classification. To the best of our knowledge, in the available literature, there are no parameters affecting specific types of ankle fractures according to the Danis-Weber classification. The aim of this study was to analyze the correlation of the following parameters: age, body weight, body mass index (BMI), height, osteoporosis, osteopenia and physical exercises with specific types of ankle fractures using the Danis-Weber classification.
A total of 85 patients grouped by the Danis-Weber classification fracture types were analyzed and the significance of certain parameters for specific types of ankle fractures was established.
The proportion of females was significantly higher (p < 0.001) with a significantly higher age (59.9 years, SD +/- 14.2) in relation to males (45.1 years, SD +/- 12.8) (p < 0.0001). Type A fracture was most frequent in the younger patients (34.2 years, SD +/- 8.6), and those with increased physical exercises (p = 0.020). In type B fracture, the risk factor was osteoporosis (p = 0.0180), while in type C fracture, body weight (p = 0.017) and osteoporosis (p = 0.004) were significant parameters.
Statistical analysis using the Danis-Weber classification reveals that there are certain parameters suggesting significant risk factors for specific types of ankle fractures.
背景/目的:踝关节骨折的分类常用于选择合适的治疗方法并预测特定治疗的结果。最常用的分类方法之一是丹尼斯-韦伯分类法。据我们所知,在现有文献中,尚无根据丹尼斯-韦伯分类法影响特定类型踝关节骨折的参数。本研究的目的是使用丹尼斯-韦伯分类法分析以下参数与特定类型踝关节骨折的相关性:年龄、体重、体重指数(BMI)、身高、骨质疏松症、骨质减少和体育锻炼。
对85例按丹尼斯-韦伯分类法骨折类型分组的患者进行分析,并确定某些参数对特定类型踝关节骨折的意义。
女性比例显著更高(p < 0.001),年龄显著更高(59.9岁,标准差±14.2),而男性为(45.1岁,标准差±12.8)(p < 0.0001)。A型骨折在年轻患者(34.2岁,标准差±8.6)和体育锻炼增加的患者中最为常见(p = 0.020)。在B型骨折中,危险因素是骨质疏松症(p = 0.0180),而在C型骨折中,体重(p = 0.017)和骨质疏松症(p = 0.004)是显著参数。
使用丹尼斯-韦伯分类法进行的统计分析表明,有某些参数提示特定类型踝关节骨折的显著危险因素。