advertising
-
1.
Delaney JP, Charlson MD, Michelson JD: Ankle fracture stability-based classification: a study of reproducibility and clinical prognostic ability. J Orthop Trauma 33: 465, 2019.
-
2.
Herscovici D Jr, Scaduto JM, Infante A: Conservative treatment of isolated fractures of the medial malleolus. J Bone Joint Surg Br 89: 89, 2007.
-
3.
Kochai A, Türker M, Çiçekli Ö, et al: A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture. Eklem Hastalik Cerrahisi 29: 104, 2018.
-
4.
Macera A, Carulli C, Sirleo L: Postoperative complications and reoperation rates following open reduction and internal fixation of ankle fracture. Joints 6: 110, 2018.
-
5.
SooHoo NF, Krenek L, Eagan MJ, et al: Complication rates following open reduction and internal fixation of ankle fractures. J Bone Joint Surg Am 91: 1042, 2009.
-
6.
Smith M, Medlock G, Johnstone AJ: Percutaneous screw fixation of unstable ankle fractures in patients with poor soft tissues and significant comorbidities. Foot Ankle Surg 23: 16, 2017.
-
7.
Hoelsbrekken SE, Kaul-Jensen K, Morch T, et al: Nonoperative treatment of the medial malleolus in bimalleolar and trimalleolar ankle fractures: a randomized controlled trial. J Orthop Trauma 27: 633, 2013.
-
8.
Carter TH, Oliver WM, Graham C, et al: Medial malleolus: Operative Or Non-operative (MOON) trial protocol: a prospective randomised controlled trial of operative versus non-operative management of associated medial malleolus fractures in unstable fractures of the ankle. Trials 20: 565, 2019.
-
9.
DeMill SL, Bussewitz BW, Philbin TM: Injury to the posterior tibial tendon after open reduction internal fixation of the medial malleolus. Foot Ankle Spec 8: 360, 2015.
-
10.
Ackermann J, Fraser EJ, Murawski CD, et al: Trends of concurrent ankle arthroscopy at the time of operative treatment of ankle fracture: a national database review. Foot Ankle Spec 9: 107, 2016.
-
11.
Lambers KTA, Saarig A, Turner H, et al: Prevalence of osteochondral lesions in rotational type ankle fractures with syndesmotic injury. Foot Ankle Int 40: 159, 2019.
-
12.
Amouzadeh Omrani F, Kazemian G, Salimi S: Evaluation of syndesmosis reduction after removal syndesmosis screw in ankle fracture with syndesmosis injury. Adv Biomed Res 8: 50, 2019.
-
13.
Zalavras CG, Christensen T, Rigopoulos N, et al: Infection following operative treatment of ankle fractures. Clin Orthop Relat Res 467: 1715, 2009.
-
14.
Olerud C, Molander H: A scoring scale for symptom evaluation after ankle fracture. Arch Orthop Trauma Surg 103: 190, 1984.
-
15.
Barnes H, Cannada LK, Watson JT: A clinical evaluation of alternative fixation techniques for medial malleolus fractures. Injury 45: 1365, 2014.
-
16.
Carter TH, Mackenzie SP, Bell KR, et al: Selective fixation of the medial malleolus in unstable ankle fractures. Injury 50: 983, 2019.
-
17.
Buckley R, Kwek E, Duffy P, et al: Single-screw fixation compared with double screw fixation for treatment of medial malleolar fractures: a prospective randomized trial. J Orthop Trauma 32: 548, 2018.
-
18.
Kim HN, Park YJ, Kim GL, et al: Arthroscopy combined with hardware removal for chronic pain after ankle fracture. Knee Surg Sports Traumatol Arthrosc 21: 1427, 2013.
-
19.
Chan KB, Lui TH: Role of ankle arthroscopy in management of acute ankle fracture. Arthroscopy 32: 2373, 2016.
- PubMed Citation
- Article by Zhe Zhao
- Article by Guo Fu
- Article by Jianquan Liu
- Article by Yongsheng Li
- Article by Xiaoqiang Chen
- Article by Guanghui Wang
- Article by Xiangyu Cheng
- Article by Jianwen Yin
- Article by Jiabei Li
- Article by Zhiqin Deng
- Article by Manyi Wang
- Article by Wencui Li
- Similar articles in PubMed
Arthroscopy-Assisted Closed Reduction and Percutaneous Internal Fixation for Medial Malleolus Fracture
Search for other papers by Zhe Zhao in
Current site
Google Scholar
PubMed
Search for other papers by Guo Fu in
Current site
Google Scholar
PubMed
Search for other papers by Jianquan Liu in
Current site
Google Scholar
PubMed
Search for other papers by Yongsheng Li in
Current site
Google Scholar
PubMed
Search for other papers by Xiaoqiang Chen in
Current site
Google Scholar
PubMed
Search for other papers by Guanghui Wang in
Current site
Google Scholar
PubMed
Search for other papers by Xiangyu Cheng in
Current site
Google Scholar
PubMed
Search for other papers by Jianwen Yin in
Current site
Google Scholar
PubMed
Search for other papers by Jiabei Li in
Current site
Google Scholar
PubMed
Search for other papers by Zhiqin Deng in
Current site
Google Scholar
PubMed
Search for other papers by Manyi Wang in
Current site
Google Scholar
PubMed
Search for other papers by Wencui Li in
Current site
Google Scholar
PubMed
Background: Arthroscopy-assisted closed reduction and percutaneous internal fixation is a minimally invasive technique for medial malleolus fracture treatment. The purpose of the study was to assess the quality and functional outcomes of this technique.
Methods: Seventy-eight patients with combined medial malleolus fractures were treated with arthroscopy-assisted closed reduction and percutaneous screw fixation technique. The surgical procedure was described in detail; the clinical efficacy of this method was evaluated in terms of time of operation, postoperative complications, and fracture healing time; and functional outcomes were analyzed.
Results: All of the patients were followed up for a minimum of 12 months without complications of the medial malleolus wound, and all of the medial malleolus fractures healed within 6 to 8 weeks. At the last follow-up, the visual analog scale scores ranged from 0 to 3 and the American Orthopaedic Foot and Ankle Society ankle and hindfoot function scores ranged from 75 to 95.
Conclusions: Arthroscopy-assisted closed reduction and percutaneous internal fixation makes the treatment of medial malleolus fractures less invasive compared with traditional surgical methods and allows simultaneous exploration and management of the articular surface.
advertising
