التفاصيل البيبلوغرافية
| العنوان: |
Percutaneous screw fixation for painful non-union of lateral malleolus ankle fractures. |
| المؤلفون: |
Batten, Timothy J., Scott-Davies, Charlotte, Butler, Michael, Parsons, Stephen W., Walter, Richard P. |
| المصدر: |
Body Cast; Jul-Dec2022, Vol. 37 Issue 2, p11-15, 5p |
| مصطلحات موضوعية: |
UNUNITED fractures, ORTHOPEDIC implants, ANKLE fractures, ORAL drug administration, ANKLE joint, BONE screws, POSTOPERATIVE care, SURGERY, PATIENTS, ACQUISITION of data, RETROSPECTIVE studies, TREATMENT effectiveness, FRACTURE fixation, SURGICAL site, MEDICAL records, SURGICAL site infections, LONGITUDINAL method, ANTIBIOTICS, FRACTURE healing, POSTOPERATIVE pain, KINEMATICS, EVALUATION |
| مستخلص: |
Introduction: Lateral malleolus non-union can cause pain and loss of function. Standard treatment involves open approach with debridement, bone-grafting and plate stabilisation, with published surgical site infection rates to 17%. To minimise the risk of soft tissue complications and allow early mobilisation, we describe a technique for percutaneous cannulated screw stabilisation. Materials and methods: Retrospective case review for all percutaneous lateral malleolus non-union stabilisation procedures undertaken in our hospital between 2011 and 2017 was performed. Fracture union was diagnosed by resolution of pain and swelling, with a return to full weight-bearing mobilisation and two-view radiographs consistent with union. Results: Twelve cases were reviewed. All fractures united. There was one superficial wound infection treated with oral antibiotics, and one early case with drill-piece fracture requiring conversion to open procedure with plate stabilisation. Conclusion: We believe this to be the first report of percutaneous stabilisation for non-union of lateral malleolus fractures. We demonstrate this to be a safe and effective technique. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
