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Titre : | Unstable fragility fractures of the ankle in the elderly: transarticular Steinmann pin or external fixation |
Type de document : | article de périodique |
Auteurs : | J.A. Halm, Auteur |
Année de publication : | 2017 |
Article en page(s) : | p. 35-38 |
Langues : | Anglais (eng) |
Descripteurs (mots clés) : | [Thésaurus Mesh]Fixateurs externes [Thésaurus Mesh]Fractures de la cheville [Thésaurus Mesh]Sujet âgé
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Mots-clés : | Steinmann pin External fixation Ankle fracture Elderly |
Résumé : | Introduction: Because of poor skin conditions and comorbidity, open reduction and internal fixation in ankle fractures is frequently contra-indicated in the elderly. This study reports the results of two temporary fixation types in fragility fractures in the older patient: transarticular Steinmann pin fixation and external fixation. Methods: Patients aged over 60 treated with a Steinmann pin or external fixation were retrospectively included. Patient, fracture and treatment characteristics were collected. Results: Fifteen patients were included. Nine were managed using a Steinmann pin and six by external fixation. All reached fracture consolidation. Patients treated with a Steinmann pin underwent a median of 2 operations and the pin was left in situ for 80 days. Three patients suffered from superficial wound infection. X-ray showed malreduction in 67% and only two patients returned to pre-injury mobility. A median of 2 operations with 32 fixation days was reported in the external fixation group. This group showed one deep infection. In 50% there was malreduction, one patient experienced disability in ambulation at the end of treatment. Conclusion: Both techniques show few complications, but have, as expected, poor results in fracture reduction and functional outcome. External fixation and subsequent internal fixation could result in better functional outcome |
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