Abstract:
PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surgery. METHODS:We retrospectively reviewed 119 cases (118 patients) of lateral ankle ligament surgery between 2006 and 2016. Patient charts and operative reports were examined for demographics, use and timing of ankle arthroscopy, ligament fixation method, type of surgical incision, presence of calcaneofibular ligament repair, and operative technique. Impact of operative methods on failure (one-year minimum follow-up) and complication outcomes was explored using Chi-square test of independence (or Fisher's exact test). Statistical significance was set at p less than .05. RESULTS:Mean age at surgery was 40 (range, 18-73) years. Mean follow-up was 51 (range, 12-260) weeks. Failure rate was 8.4% (10/89 cases) while complication rate was 17.6% (21/119). Failure rate did not differ significantly between any data subgroups (p > .05). Single stage arthroscopy was associated with a significantly lower complication rate (11%, 4/37) than double-stage arthroscopy (47%, 9/19) (p < .01) as was suture anchor ligament fixation (9%, 6/67) compared to direct suture ligament fixation (29%, 15/52) (p < .01). CONCLUSION:Failure rate was not impacted by any of the studied variables. Use of suture anchors and concurrent ankle arthroscopy may be favourable options to achieve fewer complications in chronic lateral ankle instability repair surgery.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Araoye I,De Cesar Netto C,Cone B,Hudson P,Sahranavard B,Shah Adoi
10.1007/s00264-017-3617-9subject
Has Abstractpub_date
2017-11-01 00:00:00pages
2289-2295issue
11eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3617-9journal_volume
41pub_type
杂志文章abstract:PURPOSE:In prosthetic joint infections (PJIs) of the knee, debridement with implant retention is associated with a high risk of recurrence. METHODS:A single-centre cohort study was performed with extensive analysis of the literature covering 1980-2012. RESULTS:In 21 patients (mean age 80.4 years, 19 immunosuppressed)...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-1923-4
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abstract::Over 10 years, 842 consecutive autopsies on patients dying from a malignant neoplasm were evaluated microscopically to determine the incidence of spinal and skeletal metastases. Vertebral wedging, sclerosis and areas of osteolysis were defined as features of spinal metastases. The incidence was 30.6%, 65% of which aro...
journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-06-01 00:00:00
abstract::Between 1993 and 1998, 49 consecutive patients with impending or complete pathological fractures of the femur due to metastatic bone disease were treated with intramedullary nailing. Twenty-four were treated with a long Gamma nail and 32 with an AO nail with a cephalomedullary spiral blade. Both implants gave a good f...
journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1543-4
更新日期:2012-10-01 00:00:00
abstract::Since 1975 we have treated 36 infected hip replacements by a two stage procedure in which the prosthesis and cement were first removed. Gentamicin impregnated beads were left at the sites of the prosthesis. Not less than 45 days later a fresh prosthesis was inserted into the hip. In two hips revision was not undertake...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181860
更新日期:1995-01-01 00:00:00
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更新日期:2009-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1979-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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更新日期:2016-01-01 00:00:00
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更新日期:2014-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2004-08-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...
journal_title:International orthopaedics
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