Posterior Malleolar Ankle Fractures: An Effort in Improving Outcomes

Foot & Ankle Orthopaedics

LyndonMason¹ 

关键词: Posterior malleolar fracture;    classification;    outcomes;   

DOI  :  10.1177/2473011418S00082

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:There is an increasing acceptance that the clinical outcomes following posterior malleolar fractures are less than satisfactory. In creating a treatment guiding classification and algorithm, we report our results in a system change in management of posterior malleolar fractures in our unit.Methods:All fractures were classified according to Mason and Molloy classification (Foot Ankle Int. 2017 Nov;38(11):1229-1235) based on CT scans obtained pre-operatively. This dictated the treatment algorithm. Type 1 fractures underwent syndesmotic fixation. Type 2A fractures underwent ORIF through a posterolateral incision, and type 2B and 3 fractures underwent ORIF through a posteromedial incision. The patient remained NWB for 6 weeks postoperative. Data was collected prospectively from December 2014 to July 2017.Results:Patient-related outcome measures were obtained in 50 patients with at least 1 year follow up (mean 18 months). The overall OMAS score for all posterior malleolar fra...

【 授权许可】

CC BY