Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may aris...Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may arise as a result of untreated ligamentous or chondral injuries. This study aims to correlate acute arthroscopic ankle findings with the <i><span>Lauge-Hansen </span></i><span>fracture pattern classification. We further aim to compare subjective functional outcomes at least one year following surgery between patients who have received Open Reduction and Internal Fixation (ORIF) alone, </span><b><i><span>versus</span></i></b><i><span> </span></i><span>ORIF </span><i><span>plus</span></i><span> arthroscopy. This is a retrospective case series of patients who have undergone ankle fracture ORIF +/</span><span>-</span><span> arthroscopy from July 2014 to July 2017 inclusive. Each patient’s presenting radiograph was classified according to the </span><i><span>Lauge-Hansen</span></i><span> ankle fracture classification with subsequent correlation to intra-operative arthroscopic findings. Functional outcome at a minimum of one year was evaluated with the American Academy of Orthopaedic Surgeons (AAOS) metric. Twenty two patients underwent ankle ORIF plus arthroscopy (Group A) with a further 26 patients receiving ORIF alone (Group B). 1 in 3 supination-external-rotation type II (SER II) injuries possessed a concomitant syndesmosis injury or osteochondral lesion (OCL) on arthroscopy. 1 in 3 patients with a</span><span>n</span><span> SER IV injury had an osteochondral lesion. The mean AAOS score achieved for Group A was 89.6 (±7.9) with the mean score for Group B being 82.0 (±13.7). In conclusion, ankle arthroscopy aids the diagnosis and treatment of ligamentous and osteochondral injuries not evident on plain film with subsequent superior short-term outcomes</span><span>.</span>展开更多
目的观察关节镜手术治疗踝关节骨折后创伤性关节炎的近期效果。方法 2007年12月～2009年4月我院对17例踝关节骨折术后创伤性关节炎进行踝关节镜手术治疗,并运用关节镜观察踝关节病变情况。结果术中踝关节镜下见慢性滑膜炎性增生17例,胫...目的观察关节镜手术治疗踝关节骨折后创伤性关节炎的近期效果。方法 2007年12月～2009年4月我院对17例踝关节骨折术后创伤性关节炎进行踝关节镜手术治疗,并运用关节镜观察踝关节病变情况。结果术中踝关节镜下见慢性滑膜炎性增生17例,胫骨下端前缘骨赘6例,距骨颈部骨赘4例,距骨关节软骨损伤11例,胫骨关节软骨损伤4例,游离体2例。术后48 h 5例有关节疼痛、轻度肿胀1,周后好转,余无明显关节疼痛。16例随访12～25个月,平均18.2个月。根据Baird等踝关节评分系统评定疗效,优4例,良10例,可2例,优良率87.5%。结论踝关节镜手术治疗踝关节骨折后创伤性关节炎近期效果满意。展开更多
目的:研究晚期创伤性关节炎治疗过程中运用关节镜踝关节融合术所起到的辅助治疗效果。方法:2019年8月-2020年1月收治晚期创伤性关节炎患者11例,均采用关节镜踝关节融合术,对患者进行20~32周的术后随访,分析手术与术后治疗效果。结果:术...目的:研究晚期创伤性关节炎治疗过程中运用关节镜踝关节融合术所起到的辅助治疗效果。方法:2019年8月-2020年1月收治晚期创伤性关节炎患者11例,均采用关节镜踝关节融合术,对患者进行20~32周的术后随访,分析手术与术后治疗效果。结果:术后Mazur评分高于术前,差异有统计学意义(P<0.05)。Angus and Cowell评价术前均为差,术后优8例,良2例,差1例。术后患者完全融合时间平均11.2周,融合率为90.9%,对于骨性未融合1例采取相应的治疗后在手术14周实现骨性融合。结论:在晚期创伤性关节炎的治疗过程中运用关节镜踝关节融合术能起到很好的辅助作用。展开更多
文摘Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may arise as a result of untreated ligamentous or chondral injuries. This study aims to correlate acute arthroscopic ankle findings with the <i><span>Lauge-Hansen </span></i><span>fracture pattern classification. We further aim to compare subjective functional outcomes at least one year following surgery between patients who have received Open Reduction and Internal Fixation (ORIF) alone, </span><b><i><span>versus</span></i></b><i><span> </span></i><span>ORIF </span><i><span>plus</span></i><span> arthroscopy. This is a retrospective case series of patients who have undergone ankle fracture ORIF +/</span><span>-</span><span> arthroscopy from July 2014 to July 2017 inclusive. Each patient’s presenting radiograph was classified according to the </span><i><span>Lauge-Hansen</span></i><span> ankle fracture classification with subsequent correlation to intra-operative arthroscopic findings. Functional outcome at a minimum of one year was evaluated with the American Academy of Orthopaedic Surgeons (AAOS) metric. Twenty two patients underwent ankle ORIF plus arthroscopy (Group A) with a further 26 patients receiving ORIF alone (Group B). 1 in 3 supination-external-rotation type II (SER II) injuries possessed a concomitant syndesmosis injury or osteochondral lesion (OCL) on arthroscopy. 1 in 3 patients with a</span><span>n</span><span> SER IV injury had an osteochondral lesion. The mean AAOS score achieved for Group A was 89.6 (±7.9) with the mean score for Group B being 82.0 (±13.7). In conclusion, ankle arthroscopy aids the diagnosis and treatment of ligamentous and osteochondral injuries not evident on plain film with subsequent superior short-term outcomes</span><span>.</span>
文摘目的观察关节镜手术治疗踝关节骨折后创伤性关节炎的近期效果。方法 2007年12月～2009年4月我院对17例踝关节骨折术后创伤性关节炎进行踝关节镜手术治疗,并运用关节镜观察踝关节病变情况。结果术中踝关节镜下见慢性滑膜炎性增生17例,胫骨下端前缘骨赘6例,距骨颈部骨赘4例,距骨关节软骨损伤11例,胫骨关节软骨损伤4例,游离体2例。术后48 h 5例有关节疼痛、轻度肿胀1,周后好转,余无明显关节疼痛。16例随访12～25个月,平均18.2个月。根据Baird等踝关节评分系统评定疗效,优4例,良10例,可2例,优良率87.5%。结论踝关节镜手术治疗踝关节骨折后创伤性关节炎近期效果满意。
文摘目的:研究晚期创伤性关节炎治疗过程中运用关节镜踝关节融合术所起到的辅助治疗效果。方法:2019年8月-2020年1月收治晚期创伤性关节炎患者11例,均采用关节镜踝关节融合术,对患者进行20~32周的术后随访,分析手术与术后治疗效果。结果:术后Mazur评分高于术前,差异有统计学意义(P<0.05)。Angus and Cowell评价术前均为差,术后优8例,良2例,差1例。术后患者完全融合时间平均11.2周,融合率为90.9%,对于骨性未融合1例采取相应的治疗后在手术14周实现骨性融合。结论:在晚期创伤性关节炎的治疗过程中运用关节镜踝关节融合术能起到很好的辅助作用。
