[Kirschner wire combined with PEEK anchor for the treatment of Wagstaffeâ
¡fracture].
Zhongguo Gu Shang
; 35(9): 874-7, 2022 Sep 25.
Article
en Zh
| MEDLINE
| ID: mdl-36124460
ABSTRACT
OBJECTIVE:
To explore clinical effect of Kirschner wire combined with PEEK anchor with thread to fix fibula bone block in Wagstaffeâ ¡fracture.METHODS:
From January 2018 to December 2020, 29 patients with Wagstaffeâ ¡fracture of ankle joint were treated with Kirschner wire fixation of avulsed fibular bone block, PEEK with thread anchor repair and reinforcement, and plaster external fixation, including 18 males and 11 females, aged from 27 to 69 years old with an average of (46.3±10.2) years old. All of them were unilateral operations, and the time from injury to operation ranged from 3 to 5 days with an average of(4.05±0.63) days. Clinical efficacy was evaluated by using American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional scoring system and visual analogue scaleat scoring system before and after operation at 6 months.RESULTS:
All patients were followed up from 6 to 12 months with an average of (9.7±2.1) months. Two patients occurred pain of ankle joint during walking, which was relieved after strengthening rehabilitation exercise and anti-nflammatory and analgesic drug treatment. AOFAS score was incrased from(62.16±19.73) preoperativyly to(91.35±6.37) at 6 months after operation (t=5.51, P<0.01);15 patients got excellent results, 12 moderate and 2 good. VAS was decreased (5.91±1.57) preoperativly to (0.41±0.37) at 6 months after operation(t=10.54, P<0.01).CONCLUSION:
Kirschner wire combined with PEEK anchor with thread to fix fibula bone block in Wagstaffeâ ¡fracture strengthen repair of inferior tibiofibular syndesmosis ligament and anterior talofibular ligament, and effectively relieved ankle joint pain, obtain good function recovery, the avulsion fracture block was fixed securely, and receive good clinical effect.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Hilos Ortopédicos
/
Fracturas Óseas
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhongguo Gu Shang
Asunto de la revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
China