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[Locked retrograde fibula nail for the surgical treatment of unstable ankle fractures].

作者信息

Förch S, Franz U, Mayr E

机构信息

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Klinik für Unfallchirurgie, Kliniken St. Elisabeth, Neuburg an der Donau, Deutschland.

出版信息

Oper Orthop Traumatol. 2017 Dec;29(6):483-491. doi: 10.1007/s00064-017-0510-z. Epub 2017 Jun 30.

DOI:10.1007/s00064-017-0510-z
PMID:28667341
Abstract

OBJECTIVE

Minimally invasive surgical stabilization of ankle fractures allowing postoperative full weight bearing.

INDICATIONS

Unstable ankle fractures type Weber B and C in the geriatric patients or with a critical soft tissue situation.

CONTRAINDICATIONS

Ankle fractures in young patients and patients with high demands (relative contraindication).

SURGICAL TECHNIQUE

Closed reduction, retrograde insertion of the intramedullary nail into the fibula via a small incision, insertion of up to four locking screws using an aiming device and small incisions.

POSTOPERATIVE MANAGEMENT

Full weight bearing in an ankle joint orthosis.

RESULTS

In 34 patients who were treated with a retrograde fibula nail, a 6-month follow-up was possible in 18 patients. Osseous consolidation was achieved without any soft tissue complications or infections in all 18 cases. The patients regained their preoperative level of mobility (Parker Mobility Score 4.2 preoperative vs 4.3 postoperative).

摘要

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本文引用的文献

1
Intramedullary fixation of distal fibular fractures: a systematic review of clinical and functional outcomes.腓骨远端骨折的髓内固定：临床及功能结局的系统评价
J Orthop Traumatol. 2014 Dec;15(4):245-54. doi: 10.1007/s10195-014-0320-0. Epub 2014 Oct 11.
2
The treatment of unstable fractures of the ankle using the Acumed fibular nail: development of a technique.使用Acumed腓骨钉治疗踝关节不稳定骨折：一种技术的发展
J Bone Joint Surg Br. 2012 Aug;94(8):1107-12. doi: 10.1302/0301-620X.94B8.28620.
3
[Causes of failed osteosynthesis of ankle fractures].
腓骨的计算机断层扫描研究：形态学、形态测量学、髓内解剖结构及在髓内钉固定中的应用前景
Surg Radiol Anat. 2019 Jun;41(6):681-687. doi: 10.1007/s00276-019-02213-y. Epub 2019 Apr 11.
[踝关节骨折内固定失败的原因]
Unfallchirurg. 2011 Oct;114(10):913-20; quiz 921. doi: 10.1007/s00113-010-1912-7.
4
[Ankle fractures in the elderly].[老年人踝关节骨折]
Unfallchirurg. 2011 Aug;114(8):681-7. doi: 10.1007/s00113-011-2023-9.
5
[Unexpected revision procedures treating ankle fractures].
Unfallchirurg. 2012 Jun;115(6):511-7. doi: 10.1007/s00113-010-1906-5.
6
The influence of perioperative soft tissue complications on the clinical outcome in surgically treated ankle fractures.围手术期软组织并发症对手术治疗踝关节骨折临床结局的影响。
Foot Ankle Int. 2001 Aug;22(8):642-8. doi: 10.1177/107110070102200805.