在老年踝关节骨折中使用腓骨棒系统对外踝进行髓内固定。
Intramedullary fixation of lateral malleolus using Fibula Rod System in ankle fractures in the elderly.
作者信息
Challagundla Sudhakar Rao, Shewale Sandeep, Cree Calum, Hawkins Amanda
机构信息
Department of Trauma & Orthopaedics, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, United Kingdom.
Department of Trauma & Orthopaedics, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, United Kingdom.
出版信息
Foot Ankle Surg. 2018 Oct;24(5):423-426. doi: 10.1016/j.fas.2017.04.015. Epub 2017 Apr 27.
BACKGROUND
Operative management of ever increasing ankle fractures in the elderly need a reliable system of internal fixation. We present results of one such fixation, Fibula Rod System.
METHODS
Patients who underwent Fibula Rod System were included. Fracture union rate, complications, time to weight bearing and patient satisfaction using FAAM score were studied.
RESULTS
The mean age of the fifteen patients included was 74 years. Satisfactory reduction was achieved and maintained in all. All fractures united. There were no infections. Complications included lack of purchase of distal AP screw (n=1), fracture of fibula shaft (n=1), failure to insert syndesmotic screws through zig (n=2), delayed secondary wound healing (n=1) and removal of metal ware (n=2). At a mean follow-up of 12 months (n=10 responses), median FAAM score was 91% (Interquartile range of 62%-99%).
CONCLUSION
Fibula Rod System providing good stability and union, is a reliable operation for ankle fractures in the elderly.
背景
老年人群中踝关节骨折数量不断增加，其手术治疗需要可靠的内固定系统。我们展示了一种此类固定方式——腓骨钉系统的治疗结果。
方法
纳入接受腓骨钉系统治疗的患者。研究骨折愈合率、并发症、负重时间以及使用FAAM评分评估的患者满意度。
结果
纳入的15例患者平均年龄为74岁。所有患者均实现并维持了满意的复位。所有骨折均愈合。无感染发生。并发症包括远端AP螺钉固定不佳（n = 1）、腓骨干骨折（n = 1）、无法通过之字形置入下胫腓螺钉（n = 2）、二期伤口愈合延迟（n = 1）以及取出金属器械（n = 2）。平均随访12个月（n = 10例有回应）时，FAAM评分中位数为91%（四分位间距为62% - 99%）。
结论
腓骨钉系统稳定性良好且能促进骨折愈合，是老年踝关节骨折的一种可靠术式。
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