Comparison of Two Surgical Managements for the Delayed Ankles Fracture Combined with Distal Tibiofibular Syndesmosis Injuries

Lu-ping LIU; Lan-ran ZHU; Wei ZHANG; Lei-jie CHEN; Chao-ran WANG; Jing-wu LIAO

doi:10.12259/j.issn.2095-610X.S20211017

Volume 42 Issue 10

Oct. 2021

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Lu-ping LIU, Lan-ran ZHU, Wei ZHANG, Lei-jie CHEN, Chao-ran WANG, Jing-wu LIAO. Comparison of Two Surgical Managements for the Delayed Ankles Fracture Combined with Distal Tibiofibular Syndesmosis Injuries[J]. Journal of Kunming Medical University, 2021, 42(10): 106-111. doi: 10.12259/j.issn.2095-610X.S20211017

Qing Kai Xiong , Cai Hong Bo , Yang Bin , Peng Ming Sheng , Yang Di . The Use of OSCE System among Students Majoring in Surgery[J]. Journal of Kunming Medical University, 2018, 39(06): 136-139.

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Comparison of Two Surgical Managements for the Delayed Ankles Fracture Combined with Distal Tibiofibular Syndesmosis Injuries

doi: 10.12259/j.issn.2095-610X.S20211017

1.
Dept. of Orthopedic Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101
2.
Second Department of Surgery，Luchun County People’s Hospital，Luchun Honghe Prefecture 662500
3.
Orthopedic-Traumatology Department，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2021-07-18
Available Online: 2021-10-29
Publish Date: 2021-10-30

Abstract

Abstract

Objective To investigate the effect of surgical treatments for delayed ankles fracture combined with distal tibiofibular syndesmosis injuries （AFTSI）. Methods A retrospective study the operative effects of 38 cases of delayed AFTSI treated with open reduction and internal fixation （ORIF） + Tightrope fixation （group A, n = 18） or ORIF + screw fixation （group B, n = 20） for syndesmosis injuries. AOFAS （Ankle-Hindfoot Score system）, hospital stay, operative time, introperative blood loss, full weightbearing time, difference value between preoperative and postoperative tibiofibular clear space （TFCS） and tibiofibular overlap （TFO） were used to evaluate the postoperative curative effect. All patients were received a follow-up with an average of 18 months, and the syndesmosis screws were removed 2-3 months after operations. Results AOFAS score was higher in group A than in group B, postoperative onset time of full weightbearing was earlier in group A than in group B statistically （P < 0. 05）, while no statistics difference were found between 2 groups in the factors of hospital stay, operative time, introperative blood loss, and the difference value between preoperative and postoperative time on TFCS together with TFO. Conclusion Tightrope syndesmosis fixation is a better options to enable early weight bearing for the delayed AFTSI compared with the traditional screws fixation.
- Delayed ankle fracture,
- Syndesmosis injury,
- Surgical management,
- Dynamic stabilization

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References

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