Carr James C, Werner Brian C, Yarboro Seth R
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
Am J Orthop (Belle Mead NJ). 2016 Nov/Dec;45(7):E472-E477.
We conducted a study to determine the incidence of syndesmotic injury and stabilization within various ankle fracture patterns along with the rate of syndesmotic implant removal. All data were obtained from a publicly available for-fee healthcare database, the PearlDiver Patient Records Database. Current Procedural Terminology (CPT) codes were used to search the database for cases of fixation of lateral malleolus, bimalleolar, and trimalleolar fractures in addition to syndesmotic fixation and implant removal. Open reduction and internal fixation (ORIF) was performed for an ankle injury in 54,767 patients during 2007 to 2011. Total number of ORIF procedures was higher with each decade of life: 3206 cases in patients younger than 20 years, and 10,609 cases in patients 70 to 79 years old. Frequency of syndesmotic fixation increased significantly with ORIF of all ankle fractures (P < .0001). Hardware removal decreased throughout the study period. Incidence of syndesmotic injuries and rate of operative management trended upward over the study period, and rate of hardware removal decreased.
我们开展了一项研究，以确定不同踝关节骨折类型下胫腓联合损伤及固定的发生率，以及胫腓联合植入物取出率。所有数据均来自一个公开的收费医疗数据库——PearlDiver患者记录数据库。使用当前手术操作术语（CPT）编码在数据库中搜索外踝、双踝和三踝骨折固定病例，以及胫腓联合固定和植入物取出病例。2007年至2011年期间，54767例踝关节损伤患者接受了切开复位内固定（ORIF）治疗。每增加一个年龄段，ORIF手术的总数就更高：20岁以下患者为3206例，70至79岁患者为10609例。随着所有踝关节骨折的ORIF治疗，胫腓联合固定的频率显著增加（P < .0001）。在整个研究期间，内固定取出术减少。在研究期间，胫腓联合损伤的发生率和手术治疗率呈上升趋势，而内固定取出率则下降。
