Dong Yan1, Hua Li2, Botian Shao3, Ge Jiang4, Junpeng Yang5, Dehu Liu6, Miao Zhang7, Lei Fu8. 1. First District of Orthopedics Department, The 960th Hospital of Joint Logistic Support Force of PLA Zibo 255300, Shandong, China. 2. Fifth Department of Surgery, Penglai People's Hospital Yantai 265600, Shandong, China. 3. Department of Hand and Foot Surgery, The Eighth People's Hospital of Qingdao Qingdao 266000, Shandong, China. 4. Department of Emergency, Yantai Penglai Traditional Chinese Medicine Hospital Yantai 264000, Shandong, China. 5. Department of Orthopedics, Yantai Penglai Traditional Chinese Medicine Hospital Yantai 264000, Shandong, China. 6. Department of Orthopedics, Tai'an Traditional Chinese Medicine Hospital Tai'an 271000, Shandong, China. 7. Department of Orthopedics, Zhejiang Tianshi Orthopedics Hospital Group Lishui 323000, Zhejiang, China. 8. Department of Hand and Foot Micro Orthopedics, The Second People's Hospital of Dongying City Dongying 257335, Shandong, China.
Abstract
OBJECTIVE: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures. METHODS: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. The operation indices, the score of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scoring System (AOFAS-AH), callus growth score, pain score, treatment effect, complications and quality of life score were compared between the two groups. RESULTS: The research group showed shorter time of fracture healing, hospitalization and less intraoperative blood loss than the control group (all P<0.001). The ankle-hindfoot score in the research group was higher than those in the control group 3 and 6 months after surgery (both P<0.001). The excellent and good rate of treatment in the research group (93.48%) was higher than that in the control group (78.26%; P<0.05). Compared with the control group, the VAS score was lower and the callus growth score was higher in the research group at 1st, 3rd and 6th month after surgery (all P<0.01). The incidence of complications in the research group (2.17%) was lower than that in the control group (13.04%; P<0.05). Six months after surgery, the SF-36 score increased compared with that before surgery, with higher parameters in the research group than in the control group (P<0.001). CONCLUSION: ARIF is more effective than traditional open reduction and internal fixation in treating talus fractures, with less complications and higher safety. AJTR
OBJECTIVE: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures. METHODS: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. The operation indices, the score of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scoring System (AOFAS-AH), callus growth score, pain score, treatment effect, complications and quality of life score were compared between the two groups. RESULTS: The research group showed shorter time of fracture healing, hospitalization and less intraoperative blood loss than the control group (all P<0.001). The ankle-hindfoot score in the research group was higher than those in the control group 3 and 6 months after surgery (both P<0.001). The excellent and good rate of treatment in the research group (93.48%) was higher than that in the control group (78.26%; P<0.05). Compared with the control group, the VAS score was lower and the callus growth score was higher in the research group at 1st, 3rd and 6th month after surgery (all P<0.01). The incidence of complications in the research group (2.17%) was lower than that in the control group (13.04%; P<0.05). Six months after surgery, the SF-36 score increased compared with that before surgery, with higher parameters in the research group than in the control group (P<0.001). CONCLUSION: ARIF is more effective than traditional open reduction and internal fixation in treating talus fractures, with less complications and higher safety. AJTR
Authors: Emilie R C Williamson; Yoshiharu Shimozono; James Toale; John Dankert; Eoghan T Hurley; Kenneth A Egol; John G Kennedy Journal: J Foot Ankle Surg Date: 2021-12-11 Impact factor: 1.286
Authors: Florian Haasters; Tobias Helfen; Wolfgang Böcker; Hermann O Mayr; Wolf Christian Prall; Andreas Lenich Journal: BMC Musculoskelet Disord Date: 2019-07-27 Impact factor: 2.362