Cargando…

A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly

An ankle fracture is a fracture of the distal tibia or fibula that forms the ankle joint, usually associated with ligament and soft tissue injury, and is a common type of lower limb fracture and one of the most common types of fracture in the elderly. Although ankle fractures are one of the most com...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhao, Wenhai, Wang, Qian, Cui, Zhenhai, Yue, Zhenshuang, Hu, Zhongqing, Zeng, Linru, Xin, Dawei, Tang, Yanghua, Tang, Dezhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622573/
https://www.ncbi.nlm.nih.gov/pubmed/36316934
http://dx.doi.org/10.1097/MD.0000000000030973
_version_ 1784821802358276096
author Zhao, Wenhai
Wang, Qian
Cui, Zhenhai
Yue, Zhenshuang
Hu, Zhongqing
Zeng, Linru
Xin, Dawei
Tang, Yanghua
Tang, Dezhi
author_facet Zhao, Wenhai
Wang, Qian
Cui, Zhenhai
Yue, Zhenshuang
Hu, Zhongqing
Zeng, Linru
Xin, Dawei
Tang, Yanghua
Tang, Dezhi
author_sort Zhao, Wenhai
collection PubMed
description An ankle fracture is a fracture of the distal tibia or fibula that forms the ankle joint, usually associated with ligament and soft tissue injury, and is a common type of lower limb fracture and one of the most common types of fracture in the elderly. Although ankle fractures are one of the most common injuries seen by orthopedic trauma surgeons, there is no uniform protocol for the diagnosis and treatment of ankle fractures in the elderly, and there are many controversial indications for surgery. The aim of this study is to assess the clinical efficacy of different internal fixation methods in the treatment of distal fibular fractures in the elderly, in an effort to improve the rational selection and application of clinical acts. A retrospective analysis was performed on 68 cases of patients who suffered an ankle fracture and were treated with different internal fixation methods according to the fracture types and individual differences in distal fibula fractures. The postoperative therapeutic effect assessment was performed in terms of clinical examination, imaging evaluation, and AOFAS ankle-hind foot function scoring. There was no unhealed bone, ankle instability and loose/fractured internal fixation. Fracture healing time was 2.7 to 4.0 months (average 3.2 months). AOFAS score was 88.3 ± 6.2, of which, 34 excellent cases, 30 good cases, and 4 fair cases. Ankle activity dorsiflexion 6º~18º, average 15º; plantar flexion 26º~47º, average 37º. A good clinical efficacy could be achieved from the most appropriate individualized internal fixation for distal fibula fractures of elderly patients.
format Online
Article
Text
id pubmed-9622573
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-96225732022-11-03 A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly Zhao, Wenhai Wang, Qian Cui, Zhenhai Yue, Zhenshuang Hu, Zhongqing Zeng, Linru Xin, Dawei Tang, Yanghua Tang, Dezhi Medicine (Baltimore) 7100 An ankle fracture is a fracture of the distal tibia or fibula that forms the ankle joint, usually associated with ligament and soft tissue injury, and is a common type of lower limb fracture and one of the most common types of fracture in the elderly. Although ankle fractures are one of the most common injuries seen by orthopedic trauma surgeons, there is no uniform protocol for the diagnosis and treatment of ankle fractures in the elderly, and there are many controversial indications for surgery. The aim of this study is to assess the clinical efficacy of different internal fixation methods in the treatment of distal fibular fractures in the elderly, in an effort to improve the rational selection and application of clinical acts. A retrospective analysis was performed on 68 cases of patients who suffered an ankle fracture and were treated with different internal fixation methods according to the fracture types and individual differences in distal fibula fractures. The postoperative therapeutic effect assessment was performed in terms of clinical examination, imaging evaluation, and AOFAS ankle-hind foot function scoring. There was no unhealed bone, ankle instability and loose/fractured internal fixation. Fracture healing time was 2.7 to 4.0 months (average 3.2 months). AOFAS score was 88.3 ± 6.2, of which, 34 excellent cases, 30 good cases, and 4 fair cases. Ankle activity dorsiflexion 6º~18º, average 15º; plantar flexion 26º~47º, average 37º. A good clinical efficacy could be achieved from the most appropriate individualized internal fixation for distal fibula fractures of elderly patients. Lippincott Williams & Wilkins 2022-10-28 /pmc/articles/PMC9622573/ /pubmed/36316934 http://dx.doi.org/10.1097/MD.0000000000030973 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 7100
Zhao, Wenhai
Wang, Qian
Cui, Zhenhai
Yue, Zhenshuang
Hu, Zhongqing
Zeng, Linru
Xin, Dawei
Tang, Yanghua
Tang, Dezhi
A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title_full A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title_fullStr A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title_full_unstemmed A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title_short A retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
title_sort retrospective assessment of the clinical efficacy of different internal fixation methods in the treatment of distal fibula fractures in the elderly
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622573/
https://www.ncbi.nlm.nih.gov/pubmed/36316934
http://dx.doi.org/10.1097/MD.0000000000030973
work_keys_str_mv AT zhaowenhai aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT wangqian aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT cuizhenhai aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT yuezhenshuang aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT huzhongqing aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT zenglinru aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT xindawei aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT tangyanghua aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT tangdezhi aretrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT zhaowenhai retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT wangqian retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT cuizhenhai retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT yuezhenshuang retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT huzhongqing retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT zenglinru retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT xindawei retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT tangyanghua retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly
AT tangdezhi retrospectiveassessmentoftheclinicalefficacyofdifferentinternalfixationmethodsinthetreatmentofdistalfibulafracturesintheelderly