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Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations

PURPOSE: Ankle fracture–dislocations are among the most severe injuries, and the use of an external fixator as a recommended fixation method has some disadvantages. The aim of this study was to compare the clinical outcomes and complication rates of external and K-wire fixations in the treatment of...

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Autores principales: Xie, Wenjun, Li, He, Zhang, Cheng, Cui, Xueliang, Zhang, Sheng, Rui, Yunfeng, Chen, Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638746/
https://www.ncbi.nlm.nih.gov/pubmed/37951888
http://dx.doi.org/10.1186/s12891-023-07020-6
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author Xie, Wenjun
Li, He
Zhang, Cheng
Cui, Xueliang
Zhang, Sheng
Rui, Yunfeng
Chen, Hui
author_facet Xie, Wenjun
Li, He
Zhang, Cheng
Cui, Xueliang
Zhang, Sheng
Rui, Yunfeng
Chen, Hui
author_sort Xie, Wenjun
collection PubMed
description PURPOSE: Ankle fracture–dislocations are among the most severe injuries, and the use of an external fixator as a recommended fixation method has some disadvantages. The aim of this study was to compare the clinical outcomes and complication rates of external and K-wire fixations in the treatment of ankle fracture dislocations. METHODS: A total of 67 patients with ankle fracture–dislocations requiring temporary external or percutaneous K-wire fixation were included. The exclusion criteria were pilon fractures, open fractures, and those who required acute open reduction internal fixation (ORIF). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle–hindfoot score, a 10-point visual analog scale (VAS) score (range 0–10), and complications before and after the definitive surgery were recorded. RESULTS: A significant difference between the two groups was not observed for age, sex, affected side, fracture type, smoking status, or diabetes. The average AOFAS scores were 83.2 and 83.3, the median VAS scores were 3 and 3, and the complication rates were 32.4% and 6.7% in the external and K-wire fixation groups, respectively (p = 0.010). However, skin necrosis, re-dislocation of the ankle, surgical wound infection, and posttraumatic ankle osteoarthritis frequency were not significantly different between the groups, except for pin-sites infection (p = 0.036). CONCLUSION: Ankle fracture–dislocations using percutaneous k-wire fixation showed a low rate of complications and favorable clinical outcomes. This method could be a good alternative treatment option for ankle fracture-dislocations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-07020-6.
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spelling pubmed-106387462023-11-11 Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations Xie, Wenjun Li, He Zhang, Cheng Cui, Xueliang Zhang, Sheng Rui, Yunfeng Chen, Hui BMC Musculoskelet Disord Research Article PURPOSE: Ankle fracture–dislocations are among the most severe injuries, and the use of an external fixator as a recommended fixation method has some disadvantages. The aim of this study was to compare the clinical outcomes and complication rates of external and K-wire fixations in the treatment of ankle fracture dislocations. METHODS: A total of 67 patients with ankle fracture–dislocations requiring temporary external or percutaneous K-wire fixation were included. The exclusion criteria were pilon fractures, open fractures, and those who required acute open reduction internal fixation (ORIF). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle–hindfoot score, a 10-point visual analog scale (VAS) score (range 0–10), and complications before and after the definitive surgery were recorded. RESULTS: A significant difference between the two groups was not observed for age, sex, affected side, fracture type, smoking status, or diabetes. The average AOFAS scores were 83.2 and 83.3, the median VAS scores were 3 and 3, and the complication rates were 32.4% and 6.7% in the external and K-wire fixation groups, respectively (p = 0.010). However, skin necrosis, re-dislocation of the ankle, surgical wound infection, and posttraumatic ankle osteoarthritis frequency were not significantly different between the groups, except for pin-sites infection (p = 0.036). CONCLUSION: Ankle fracture–dislocations using percutaneous k-wire fixation showed a low rate of complications and favorable clinical outcomes. This method could be a good alternative treatment option for ankle fracture-dislocations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-023-07020-6. BioMed Central 2023-11-11 /pmc/articles/PMC10638746/ /pubmed/37951888 http://dx.doi.org/10.1186/s12891-023-07020-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Xie, Wenjun
Li, He
Zhang, Cheng
Cui, Xueliang
Zhang, Sheng
Rui, Yunfeng
Chen, Hui
Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title_full Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title_fullStr Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title_full_unstemmed Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title_short Comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
title_sort comparison of temporary external and percutaneous k-wire fixations for treatment of ankle fracture–dislocations
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638746/
https://www.ncbi.nlm.nih.gov/pubmed/37951888
http://dx.doi.org/10.1186/s12891-023-07020-6
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