Journal of orthopaedic trauma · 2010
Functional outcomes after syndesmotic screw fixation and removal.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Miller Anna N, Paul Omesh, Boraiah Sreevathsa, Parker Robert J, Helfet David L, Lorich Dean G
Аннотация
OBJECTIVES: Ankle fractures with a syndesmotic injury have historically been treated with syndesmotic screw fixation. We compared range of motion and functional outcomes' scores to assess patient benefit from syndesmotic screw and plate removal.
DESIGN: Level IV--case series.
SETTING: Level I--trauma center.
PATIENTS/PARTICIPANTS: Twenty-five consecutive patients with unstable ankle fractures and syndesmotic injury confirmed on magnetic resonance imaging.
INTERVENTION: Locked syndesmotic screws and plates were removed; functional outcomes and range of motion were measured before and after screw removal.
MAIN OUTCOME MEASUREMENTS: Foot and Ankle Outcome Score, Olerud and Molander Ankle Score, and physical examination
RESULTS: There was a significant improvement in range of motion, Foot and Ankle Outcome, and Olerud and Molander Ankle scores at the immediate postoperative visit. This was not significantly changed at longer follow-up. There were no adverse events or complications in these patients. No patient had radiographic loss of syndesmotic reduction after screw removal.
CONCLUSIONS: Locked screw and plate removal improved function both subjectively and objectively. Transsyndesmotic implant removal seems to assist improvements in the speed of rehabilitation.
DESIGN: Level IV--case series.
SETTING: Level I--trauma center.
PATIENTS/PARTICIPANTS: Twenty-five consecutive patients with unstable ankle fractures and syndesmotic injury confirmed on magnetic resonance imaging.
INTERVENTION: Locked syndesmotic screws and plates were removed; functional outcomes and range of motion were measured before and after screw removal.
MAIN OUTCOME MEASUREMENTS: Foot and Ankle Outcome Score, Olerud and Molander Ankle Score, and physical examination
RESULTS: There was a significant improvement in range of motion, Foot and Ankle Outcome, and Olerud and Molander Ankle scores at the immediate postoperative visit. This was not significantly changed at longer follow-up. There were no adverse events or complications in these patients. No patient had radiographic loss of syndesmotic reduction after screw removal.
CONCLUSIONS: Locked screw and plate removal improved function both subjectively and objectively. Transsyndesmotic implant removal seems to assist improvements in the speed of rehabilitation.