Surgical treatment of a displaced lateral malleolus fracture: The antiglide technique versus lateral plate fixation
Surgical treatment of a displaced lateral malleolus fracture: The antiglide technique versus lateral plate fixation
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DOI：
10.1097/00005131-200208000-00008
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发表时间：
2002-08-01
影响因子：
2.3
通讯作者：
Meek, RN
中科院分区：
文献类型：
--
作者：
Lamontagne, J;Blachut, PA;Meek, RN
目的：评估结果的手术治疗的“孤立”移位外踝骨折，比较技术的外侧钢板和antiglide plating作为previous.Design：这是一个回顾性的审查，主要是一个外科医生随机比较study.Setting：这项研究是在一所大学教学医院，作为一个省级创伤转诊服务，并提供当地社区护理。高级外科医生均为骨科创伤专科医生。患者：1987年至1998年间在温哥华总医院接受手术治疗的孤立性外踝骨折患者，共193例符合我们的纳入标准。干预：85例采用抗滑移钢板治疗，而其余108例采用传统外侧钢板治疗。主要结果测量：功能结果用先前描述的踝关节评分系统进行评价。我们还比较了并发症发生率，包括固定失败、感染、伤口裂开和需要取出内固定器械。结果：两组在年龄、性别分布、损伤机制和职业方面具有可比性。踝关节评分、功能和感染率无差异。外侧钢板组的伤口裂开和再次手术取出硬件的发生率略高，但差异无统计学意义。结论：移位外踝骨折的手术治疗的结果与这两种技术相当。虽然很少有研究报告使用抗滑移技术的一些优势，我们的数据并不支持一种技术超过其他。
Objectives: To assess the outcomes of the surgical management of "isolated" displaced lateral malleolar fractures, comparing the techniques of lateral plating and antiglide plating as described previously.Design: This is a retrospective review, being largely a surgeon-randomized comparative study.Setting: The study was carried out at a university teaching hospital that serves as a provincial trauma referral service and provides local community care. The senior surgeons are all orthopaedic trauma subspecialists.Patients: A total of 193 patients meeting our inclusion criteria, with isolated lateral malleolus fractures surgically treated at the Vancouver General Hospital between 1987 and 1998, were studied.Intervention: Eighty-five were treated with antiglide plating, whereas the remaining 108 patients underwent traditional lateral plating.Main Outcome Measures: The functional results were evaluated with the ankle scoring system described previously. We also compared the complication rates, including failure of fixation, infection, wound dehiscence, and need for hardware removal. Results: Both groups were comparable for age, sex distribution, mechanism of injury, and occupation. There was no difference in ankle score, function, and infection rate. The incidence of wound dehiscence and reoperation for hardware removal was slightly higher in the lateral plate group, but the difference was not statistically significant.Conclusions: The outcome of the surgical management of a displaced lateral malleolus fracture is comparable with both techniques. Although few studies have reported some advantages using the antiglide technique, our data do not support one technique over the other.