| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Yu, Guang-rong Zhang, Ming-zhu Aiyer, Amiethab Tang, Xin Xie, Ming Zeng, Lin-ru Zhao, You-guang Li, Bing Yang, Yun-feng |
| Description |
Author Affiliation: Yu GR ( Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address: yuguangrong@hotmail.com.); Zhang MZ ( Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address: michaelzhang120@hotmail.com.); Aiyer A ( Orthopedist, Institute for Foot and Ankle Reconstruction at Mercy, Baltimore, MD.); Tang X ( Orthopedist, Department of Orthopaedics, First Affiliated Hospital of Dalian Medical University, Dalian, China.); Xie M ( Orthopedist, Department of Orthopaedics, Pu Ai Hospital of Huazhong Technology and Science University, Wuhan, China.); Zeng LR ( Orthopedist, Department of Orthopaedics, Hangzhou Xiaoshan Hospital, Hangzhou, China.); Zhao YG ( Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.); Li B ( Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.); Yang YF ( Orthopedist, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.) |
| Abstract |
Controversy exists concerning the need for operative repair of the deltoid ligament during management of acute ankle fractures. The purpose of our report was to identify the indications for surgical intervention for deltoid ligament injury in the setting of ankle fractures. Furthermore, we aimed to elucidate the clinical outcomes after deltoid ligament repair in this setting. This was a multicenter study, involving 4 clinical institutions. From January 2006 to December 2011, 1533 ankle fractures underwent surgical intervention. Of this group, 131 deltoid ligament ruptures (8.55%) were identified and repaired operatively. Of the 131 patients, 74 were male (56.5%) and 57 were female (43.5%), with a mean age of 33.2 (range 16 to 63) years. The outcome measures included the clinical examination findings, radiographic findings, American Orthopaedic Foot and Ankle Society ankle-hindfoot scores, visual analog scale (VAS) scores, and Medical Outcomes Study Short Form 36-item questionnaire scores. All incisions healed primarily. A total of 106 patients were followed up for a minimum of 12 (range 12 to 72) months, with an average follow-up period of 27 months. The mean interval to fracture union was 14.5 (range 9 to 16) weeks. The mean American Orthopaedic Foot and Ankle Society ankle-hindfoot score at the latest follow-up visit was 91.4 (range 83 to 100) points. The mean visual analog scale score was 1.2 (range 0 to 6) points. The mean Short Form-36 score was 91.2 (range 80 to 96) points. Compared with the preoperative scores, all the 3 outcome measures had improved significantly postoperatively (p < .05). The postoperative stress radiographs did not reveal any ankle instability. None had evidence of post-traumatic arthritis of the ankle from the clinical examination and radiographs. A reasonable clinical evaluation and surgical repair was executed, with an appropriate repair technique chosen according to the site of deltoid ligament rupture. The results of the present multicenter study have shown that deltoid ligament rupture can be repaired in patients with an unstable medial ankle after fracture fixation and prevent ankle stabilization-related complications. |
| File Format |
HTM / HTML |
| ISSN |
10672516 |
| Issue Number |
2 |
| Volume Number |
54 |
| e-ISSN |
15422224 |
| Journal |
The Journal of Foot and Ankle Surgery |
| Language |
English |
| Publisher |
Elsevier |
| Publisher Date |
2015-03-01 |
| Publisher Place |
United States |
| Access Restriction |
One Nation One Subscription (ONOS) |
| Subject Keyword |
Discipline Orthopedics Discipline General Surgery Ankle Fractures Surgery Ankle Injuries Fracture Fixation, Internal Ligaments, Articular Injuries Adolescent Adult Complications Diagnosis Cohort Studies Female Humans Male Middle Aged Patient Selection Rupture Suture Techniques Treatment Outcome Young Adult Clinical Study Journal Article Multicenter Study Research Support, Non-u.s. Gov't |
| Content Type |
Text |
| Resource Type |
Article |
| Subject |
Orthopedics and Sports Medicine Surgery |
