Research on Correlation Between Morphological Changes in Ankle Mortise and Ankle Joint Functions After a Pilon Fracture Surgery
Journal of Surgery
Volume 4, Issue 3, June 2016, Pages: 65-70
Received: Jun. 28, 2016; Published: Jun. 30, 2016
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Authors
Jinshan Wang, Department of Osteology, Inner Mongolia Bayannaoer City Hospital, Linhe, Inner Mongolia Autonomous Region, China
Qiang Li, Department of Osteology, Inner Mongolia Bayannaoer City Hospital, Linhe, Inner Mongolia Autonomous Region, China
Qiang Zhang, Department of Osteology, Inner Mongolia Bayannaoer City Hospital, Linhe, Inner Mongolia Autonomous Region, China
Yunfei Wang, Department of Osteology, Inner Mongolia Bayannaoer City Hospital, Linhe, Inner Mongolia Autonomous Region, China
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Abstract
To discuss the correlation between morphological changes in ankle mortise and ankle joint functions after a surgery for Ruedi-Allgower Type III Pilon fracture. A retrospective analysis was conducted for 60 patients who received operative treatment for Ruedi-Allgower Type III pilon fracture and attended a follow-up visit from January 2007 to December 2012, among which, 32 were male and 28 were female; aged 20-25 years and averaged at 38 years; the time for follow-up visit is at 18-24 months averaged at 20 months. On the X-ray film photographed at the last follow-up visit, the following indexes were measured: (I) Height of ankle mortise, (2) Width of ankle mortise, (3) Depth of ankle mortise, (4) Angle of ankle mortise coronal, (5) Angle of ankle mortise sagittal view The functions of ankle joint on the affected side were scored and grouped at the last follow-up visit based on such scoring methods as Mazur and the like. 41 cases were assigned to the Excellent Group, 12 cases were assigned to the Good Group and 7 cases were assigned to the Moderate+Poor Group. The correlation between morphological changes in the ankle mortise and functions was analysed based on comparison among the five indexes of the ankle mortises on the affected side and the unaffected side of 60 patients and comparison of the difference values of the indexes for the affected side and unaffected side among the three groups. The research has shown that all differences in width of ankle mortise, depth of ankle mortise, coronal view and sagittal view angles have statistical significance except that height of ankle mortise does not have statistical significance based on the comparison among various indexes for the affected sides and the unaffected sides of 60 patients. The remaining four difference values exhibit negative correlation with scores and difference values increase with decreasing scores. It indicates that treatment of ankle mortise width, depth, angles of coronal view and sagittal view during operation exhibits significant correlation with postoperative ankle joint functions. Anatomical reduction of ankle mortise width, depth, angles of coronal view and sagittal view for patients with Ruedi-Allgower Type III pilon fracture during operation imposes a significant effect on postoperative functions of ankle joints. Thus the anatomic form of ankle mortise should be recovered as much as possible.
Keywords
Ankle Joint, Fracture, Anatomy, Therapeutic Outcome
To cite this article
Jinshan Wang, Qiang Li, Qiang Zhang, Yunfei Wang, Research on Correlation Between Morphological Changes in Ankle Mortise and Ankle Joint Functions After a Pilon Fracture Surgery, Journal of Surgery. Vol. 4, No. 3, 2016, pp. 65-70. doi: 10.11648/j.js.20160403.11
References
[1]
Klammer G. Kadakia AR. et al. Posterior pilon fractures: a retrospective case series and proposed classification system [J]. Foot Ankle Int, 2013, 34 (2): 189-99.
[2]
Jansen H. Fenwick A. et al. Clinical outcome and changes in gait pattern after pilon fractures [J]. Int Orthop, 2013, 37 (1): 51-8.
[3]
Gulabi D. Toprak O. et al. The mid-term results of treatment for tibial pilon fractures [J]. Ulus Travma Acil Cerrahi Derg, 2012, 18 (5): 429-35.
[4]
Shen QJ. Liu YB. et al. Analyses of relevant influencing factors in the treatment of tibial pilon fractures [J]. Zhonghua Yi Xue Za Zhi, 2012, 92 (27): 1909-12.
[5]
Webb MS. Bansal P. Closed reduction of Pilon fractures using an ankle distractor to allow for minimally invasive fixation [J]. Ann R Coll Surg Engl, 2012, 94 (8): 606.
[6]
Dresing K. Minimally invasive osteosynthesis of pilon fractures [J]. Oper Orthop Traumatol, 2012, 24 (4): 368-82.
[7]
Puha B. Veliceasa B. et al. Minimally invasive percutaneous screws osteosynthesis indications in tibial pilon fractures [J]. Rev Med Chir Soc Med Nat Iasi, 2012, 116 (2): 532-5.
[8]
Kiene J. Herzog J. et al. Multifragmentary tibial pilon fractures: midterm results after osteosynthesis with external fixation and multiple lag screws [J]. Open Orthop J, 2012, 6: 419-23.
[9]
Tang X. Tang PF. et al. Pilon fractures: a new classification and therapeutic strategies [J]. Chin Med J (Engl), 2012, 125 (14): 2487-92.
[10]
Sedlar M. Chrz K. et al. Pilon fractures of the tibia--a short summary of problems and case reports [J]. Rozhl Chir, 2012, 91 (5): 271-5.
[11]
Mandi DM. Belin RP. et al. Pilon fractures [J]. Clin Podiatr Med Surg, 2012, 29 (2): 243-78.
[12]
Liporace FA. Yoon RS. et al. Decisions and staging leading to definitive open management of pilon fractures: where have we come from and where are we now? [J]. J Orthop Trauma, 2012, 26 (8): 488-98.
[13]
Liporace FA. Mehta S. et al. Staged treatment and associated complications of pilon fractures [J]. Instr Course Lect, 2012, 61: 53-70.
[14]
Hak DJ. Anterolateral approach for tibial pilon fractures [J]. Orthopedics, 2012, 35 (2): 131-3.
[15]
Zhang ZD. Ye XY. et al. Case-control study on minimally invasive percutaneous locking compression plate internal fixation for the treatment of type II and III pilon fractures [J]. Zhongguo Gu Shang, 2011, 12 (24): 1010-2.
[16]
Davidovitch RI. Elkhechen RJ. et al. Open reduction with internal fixation versus limited internal fixation and external fixation for high grade pilon fractures (OTA type 43C) [J]. Foot Ankle Int, 2011, 32 (10): 955-61.
[17]
Liporace FA. Yoon RS. et al. An adjunct to percutaneous plate insertion to obtain optimal sagittal plane alignment in the treatment of pilon fractures [J]. J Foot Ankle Surg, 2012, 51 (2): 275-7.
[18]
Poyanli O. Esenkaya I. et al. Minimally invasive reduction technique in split depression type tibial pilon fractures [J]. J Foot Ankle Surg, 2012, 51 (2): 254-7.
[19]
Zeng XT. Pang GG. et al. Surgical treatment of open pilon fractures [J]. Orthop Surg, 2011, 3 (1): 45-51.
[20]
Crist BD. Khazzam M. et al. Pilon fractures: advances in surgical management [J]. J Am Acad Orthop Surg, 2011, 19 (10): 612-22.
[21]
Mauffrey C. Vasario G. et al. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications [J]. Acta Orthop Belg, 2011, 77 (10): 432-40.
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