当前位置： SCI文献检索 > Acta Orthopaedica et Traumatologica Turcica期刊下所有文献 > [Treatment of trimalleolar fractures. Is osteosynthesis needed in posterior malleolar fractures measuring less than 25% of the joint surface?].

[Treatment of trimalleolar fractures. Is osteosynthesis needed in posterior malleolar fractures measuring less than 25% of the joint surface?].

Abstract：

OBJECTIVES:We evaluated the effect of posterior malleolar fractures, which measured less than 25% of the joint surface, on the results of ankle fractures. METHODS:The study included 44 patients (21 females, 23 males; mean age 44 years; range 17 to 76 years) who underwent surgical treatment for Weber types B or C ankle fractures. Fibula fractures were associated with deltoid ligament ruptures in 12 patients, and with medial malleolar fractures in 32 patients. Sixteen patients and 28 patients with and without posterior malleolar fractures, respectively, were evaluated as separate groups according to the Phillips' criteria for comparison of clinical, anatomical, and arthritic scores. The mean follow-up was 29.5 months (range 18 to 64 months). RESULTS:There were no significant differences between the two groups with regard to clinical and anatomical scores. Although the mean arthritic score was higher in patients with a posterior malleolar fracture, it did not reach significance (p>0.05). CONCLUSION:Our data show that satisfactory results can be achieved in posterior malleolar fractures measuring less than 25% of the joint surface when an acceptable reduction is performed even without osteosynthesis.

journal_name

Acta Orthop Traumatol Turc

journal_title

Acta orthopaedica et traumatologica turcica

authors

Katiöz H,Bombaci H,Görgeç M

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

299-303

issue

4

eissn

1017-995X

issn

2589-1294

pii

pii

journal_volume

37

pub_type

杂志文章

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