A Partenheimer1, J Geerling, C Voigt, H Lill. 1. Klinik für Unfall- und Wiederherstellungschirurgie, Abteilung des BG Krankenhauses Hamburg im Friederikenstift, Diakoniekrankenhaus Friederikenstift Hannover gGmbH, Humboldstr. 5, 30169, Hannover, Deutschland. Axel.Partenheimer@friederikenstift.de
Abstract
QUESTION: Fractures of the ankle joint belong to the most often occurring injuries. The aftercare in plaster lasts several weeks and is problematic especially in elderly patients. METHODS: In a retrospective study patients over the age of 50 years who underwent surgical treatment of ankle fractures and early functional mobilization were examined in a follow-up. The range of motion, the circumferential measurements and the radiological course were examined by comparing preoperative and postoperative X-ray images after 13-24 months. The subjective results were collected using the Olerud-Molander score (OMS). RESULTS: A total of 30 out of 42 patients who qualified for the follow-up were included in the study. The distribution of the gender was equal as was the right/left distribution and the mean age was 68 years. The magnitude of movement and comparison between the two sides showed no significant differences. The average score for subjective satisfaction was 90 in the OMS. The radiological results showed few changes and no deviations from the axis. No redislocations or implant fractures could be observed. Early functional full weight-bearing showed satisfactory preliminary results. CONCLUSION: This treatment concept can be recommended because patient comfort is increased and the risk of immobilization is excluded.
QUESTION: Fractures of the ankle joint belong to the most often occurring injuries. The aftercare in plaster lasts several weeks and is problematic especially in elderly patients. METHODS: In a retrospective study patients over the age of 50 years who underwent surgical treatment of ankle fractures and early functional mobilization were examined in a follow-up. The range of motion, the circumferential measurements and the radiological course were examined by comparing preoperative and postoperative X-ray images after 13-24 months. The subjective results were collected using the Olerud-Molander score (OMS). RESULTS: A total of 30 out of 42 patients who qualified for the follow-up were included in the study. The distribution of the gender was equal as was the right/left distribution and the mean age was 68 years. The magnitude of movement and comparison between the two sides showed no significant differences. The average score for subjective satisfaction was 90 in the OMS. The radiological results showed few changes and no deviations from the axis. No redislocations or implant fractures could be observed. Early functional full weight-bearing showed satisfactory preliminary results. CONCLUSION: This treatment concept can be recommended because patient comfort is increased and the risk of immobilization is excluded.
Authors: Hannu Lehtonen; Teppo L N Järvinen; Seppo Honkonen; Markku Nyman; Kimmo Vihtonen; Markku Järvinen Journal: J Bone Joint Surg Am Date: 2003-02 Impact factor: 5.284
Authors: Jan Paul Briet; Roderick M Houwert; Diederik P J Smeeing; Janity S Pawiroredjo; Johannes C Kelder; Koen W Lansink; Luke P H Leenen; Peer van der Zwaal; Stephan W A M van Zutphen; Jochem M Hoogendoorn; Mark van Heijl; Egbert J M M Verleisdonk; Guus W van Lammeren; Michiel J Segers; Falco Hietbrink Journal: Trials Date: 2015-04-18 Impact factor: 2.279
Authors: Diederik P J Smeeing; Roderick M Houwert; Jan Paul Briet; Johannes C Kelder; Michiel J M Segers; Egbert Jan M M Verleisdonk; Luke P H Leenen; Falco Hietbrink Journal: PLoS One Date: 2015-02-19 Impact factor: 3.240