Efficacy of open reduction and internal fixation in management of senile osteoporotic ankle fractures

作者：Xue Chen, Zhanrong Zhang, Zixiang Deng, Qirong Zhou, Yinjun Ji, Mi Ha, Jiacan Su, Yunfei Niu, Fang Ji · 发表于：Zhonghua chuangshang zazhi · 年份：2020 · DOI：10.3760/cma.j.issn.1001-8050.2020.01.009 · 被引用次数：1 · 研究领域：Foot and Ankle Surgery

Objective To explore the efficacy of open reduction and internal fixation in the treatment of senile osteoporotic ankle fractures. Methods A retrospective case series study was conducted to analyze the data of 26 elderly patients with osteoporotic ankle fractures which all caused by sprain from June 2012 to June 2018 in Changhai Hospital, including 10 male and 16 female patients aged from 60 to 93 years (mean, 69.72 years). In these 26 patients, three had medial malleolus fractures, four had lateral malleolus fractures, six had double ankle fractures and 13 had cotton's fractures. According to the Lauge-Hansen type, all 26 patients can be classified into four types: 5 with supination external rotation type, 4 supination adduction type, 16 with pronation-external rotation type and 1 with pronation abduction type. All the patients received open reduction and internal fixation. Plate fixation was used for lateral and posterior malleolus fractures, plate fixation and cannulated screws were applied to fix the comminuted posterior malleolus fracture while in the comminuted internal malleolus fracture, the steel plate was used only when needed. Early professional functional rehabilitation training and active anti-osteoporosis treatment were applied. All the operation time and bleeding volume were recorded, and the reduction of fracture plus the healing of wounds were observed. At last follow-up, American Orthopedic Foot & Ankle Society (AOFAS) Ankle Hindfoot Scale was used to...