Open AccessSurgical Methods for Treatment of Patients with Ankle Joint Injuries
Author(s) -
V A Kaplun,
В. А. Копысова,
И. И. Мартель
Publication year - 2013
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto20130127-33
Subject(s) - medicine , ankle , osteosynthesis , syndesmosis , fixation (population genetics) , surgery , orthopedic surgery , fibula , tibia , orthodontics , population , environmental health
From 2001 through 2010 one hundred eighty six patients were treated for I-III degree pronation (134) and supination (52) ankle joint injuries. In 150 (80.6%) patients (main group) fixation of bone fragments and tibiofibular syndesmosis were performed using tightening anchors with shape memory effect and in 36 (19.4%) from control group conventional osteosynthesis techniques were applied. Consolidation of bone fragments and restoration of injured extremity function was achieved in 141 (94.0%) and 15 (41.7%) patients from the main and control groups, respectively. Long term results were analyzed at terms 3 — 5 years for 80 patients from the main and 22 patients from the control group: statistically significant disorders and degenerative changes in the ankle joint were detected in 5 (6.3%) and 8 (34.4%) patients, respectively. Comparative analysis of different techniques for bone fragments fixation and tibiofibular syndesmosis showed that elastic-strained osteosynthesis with tightening anchors was as effective as conventional techniques and transosseous osteosynthesis by Ilizarov and even exceeded those methods by terms of limb function restoration.