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Auteur Cengiz Kazdal
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Ajouter le résultat dans votre panier Affiner la rechercheFixation of Posterior Malleolar Fractures with Posterior Plating Through a Posterolateral Approach / Fırat Fidan in Journal of the American Podiatric Medical Association, vol. 111, 02 (Mars-avril 2021)
[article]
in Journal of the American Podiatric Medical Association > vol. 111, 02 (Mars-avril 2021)
Titre : Fixation of Posterior Malleolar Fractures with Posterior Plating Through a Posterolateral Approach Type de document : article de périodique Auteurs : Fırat Fidan ; Abdulkadir Polat ; Mehmet Umit Cetin ; Cengiz Kazdal ; Umut Yavuz ; Osman Lapcin ; Ufuk Ozkaya Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / chirurgie
[Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / thérapie
[Thésaurus Mesh]Diagnostic par imagerie
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Période postopératoire
[Thésaurus Mesh]Plaques orthopédiques
[Thésaurus Mesh]Procédures de chirurgie opératoire
[Thésaurus Mesh]TomodensitométrieMots-clés : fractures de la malléole postérieure classification de Haraguchi Résumé : Background: We aimed to evaluate radiologic and clinical outcomes of ankle fractures involving posterior fragments that were fixed with a posterior plate by the posterolateral approach. Methods: Sixty-five patients who were followed for at least 12 months and were older than 18 years were included. The posterior malleolus fractures were classified according to the Haraguchi classification system with computed tomography (CT). The posterior malleolus fragments were fixed with a plate through a posterolateral approach. Intraarticular step-off, reduction of the posterior malleolar fragment, and fibular position in the incisura were evaluated by early postoperative CT. American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analog scale pain score were used for clinical assessment. Results: The posterior malleolus fractures were classified as Haraguchi type 1 in 45 patients (69.2%), Haraguchi type 2 in 12 patients (18.5%), and Haraguchi type 3 in eight patients (12.3%). No patients showed signs of instability or loss of reduction on direct radiographs during follow-up. Postoperative CT showed no loss of reduction in the posterior malleolus and tibiofibular alignment. On evaluation, there was no intra-articular step-off (,1) in any of the patients. The mean AOFAS score was calculated to be 91.6. The mean visual analog scale score was 1.2. Conclusions: We conclude that direct posterior fixation with the posterolateral approach can be a good option for ankle fractures involving posterior malleolar fragments.
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