LONG-TERM FOLLOW-UP AFTER FRACTURES OF THE TIBIAL AND FIBULAR SHAFTS
LONG-TERM FOLLOW-UP AFTER FRACTURES OF THE TIBIAL AND FIBULAR SHAFTS
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DOI：
10.2106/00004623-198971040-00016
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发表时间：
1989-04-01
影响因子：
5.3
通讯作者：
DIETZ, FR
中科院分区：
文献类型：
--
作者：
MERCHANT, TC;DIETZ, FR
37名闭合性或I级开放性胫腓骨骨折患者在受伤后平均29年接受了评估。所有患者均接受了简单的石膏治疗。在临床上，78%的踝关节被评为良好或优秀，92%的膝关节被评为优秀。骨关节炎变化的影像学评估显示，76%的踝关节结果良好或极佳，92%的膝关节结果极佳。临床和影像学结局不受前后角、内翻或外翻角度以及骨折水平的影响。不超过一年的固定时间也不影响结果。
Thirty-seven patients who sustained a closed or a Grade-I open tibial and fibular fracture were evaluated an average of twenty-nine years after injury. All of the patients had had uncomplicated treatment with a plaster cast. Clinically, 78 per cent of the ankles were rated good or excellent, and 92 per cent of the knees were rated excellent. Radiographic assessment for osteoarthritic changes revealed a good or excellent result for 76 per cent of the ankles and an excellent result for 92 per cent of the knees. The clinical and radiographic outcomes were unaffected by the amounts of anterior or posterior and of varus or valgus angulation, as well as by the level of the fracture. The length of immobilization, which did not exceed one year, also did not affect the outcomes.