How well do we reduce ankle fractures intra-operatively: A retrospective 1 year review using Pettrone's criteria.
Foot (Edinb)
; 40: 46-53, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31085446
ABSTRACT
INTRODUCTION:
Ankle ORIF is a common orthopaedic procedure. Assessment of the reduction is often performed by 'eyeballing' the intra-operative images.AIMS:
This study aimed to assess the radiographic reduction of all ankle fracture ORIFs at COCH over a 1-year period using Pettrone's criteriaMETHOD:
Using the trauma database at the COCH all patients admitted for ankle ORIF over a 1 year period (n = 284) were identified. Each patient was retrospectively reviewed, duplicates or non-ankle fractures excluded and data collected on patient demographics, Lauge-Hansen classification, time from injury to theatre, level of primary surgeon, type of fixation, reduction of medial, lateral or posterior malleolar reduction, syndesmosis reduction, date and satisfaction at last clinic appointment and complications.RESULTS:
After exclusions 187 patients were included in the study. The average age of patients was 49 years old (14-93). The most common Lauge-Hansen fracture classifications were SER (51.6% (98)) and PER (29.9% (57)). Registrars were first surgeon in 49.7% (93) of cases. 80% (111 of 139) of medial malleoli were reduced, 90% of lateral malleoli were reduced 11% (21) had residual talar shift. The syndesmosis was reduced in 76.4% (143) of cases. 19% (36) had further operations. There were 35 major complications in 25 (13.4%) patients. Not all malposition of fracture fixation were in the same ankles, 34.2% (64) ankle ORIFs had residual deformity after being fixed.CONCLUSION:
The implications of this study are very important. The authors aim to raise awareness of Pettrone's radiographic criteria of a successful ORIF of the ankle and subsequently improve the mal-reduction rate of post-fixation ankle ORIF.Palavras-chave
Texto completo:
1
Tema:
Epidemiologia
/
Geral
Bases de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Fraturas do Tornozelo
/
Fixação Interna de Fraturas
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
Foot (Edinb)
Ano de publicação:
2019
Tipo de documento:
Article