Understanding risks and complications in the management of ankle fractures.

Understanding risks and complications in the management of ankle fractures.
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DOI:
10.4103/0019-5413.139829
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发表时间:
2014-09
影响因子:
1
通讯作者:
Mangwani J
Mangwani J
中科院分区:
医学4区
文献类型:
--
作者:
Mehta SS;Rees K;Cutler L;Mangwani J

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踝关节骨折(AF)是一种常见的损伤,具有潜在的显著发病率。最常见的受影响年龄组是年轻的活跃患者,持续的高能创伤和老年患者的合并症。这两个群体都对这些伤害的适当管理提出了独特的挑战。年轻患者有患创伤后骨关节炎的风险,由于疼痛和功能受损,对生活质量有重大影响。老年患者,尤其是控制不良的糖尿病和骨质疏松患者,伤口并发症、感染和固定失败的风险增加。在最严重的情况下,这可能导致截肢和死亡。因此,治疗房颤的个体化方法至关重要。本文重点介绍了常见的并发症,并讨论了在处理这些损伤时将其最小化所需的措施。
Ankle fracture (AF) is a common injury with potentially significant morbidity associated with it. The most common age groups affected are young active patients, sustaining high energy trauma and elderly patients with comorbidities. Both these groups pose unique challenges for appropriate management of these injuries. Young patients are at risk of developing posttraumatic osteoarthritis, with a significant impact on quality of life due to pain and impaired function. Elderly patients, especially with poorly controlled diabetes and osteoporosis are at increased risk of wound complications, infection and failure of fixation. In the most severe cases, this can lead to amputation and mortality. Therefore, individualized approach to the management of AF is vital. This article highlights commonly encountered complications and discusses the measures needed to minimize them when dealing with these injuries.
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