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. 2016 Apr 18;7(4):258-64.
doi: 10.5312/wjo.v7.i4.258.

Ankle fracture configuration following treatment with and without arthroscopic-assisted reduction and fixation

Chayanin Angthong  1
Affiliations

Ankle fracture configuration following treatment with and without arthroscopic-assisted reduction and fixation

Chayanin Angthong. World J Orthop. .

Abstract

Aim: To report ankle fracture configurations and bone quality following arthroscopic-assisted reduction and internal-fixation (ARIF) or open reduction and internal-fixation (ORIF).

Methods: The patients of ARIF (n = 16) or ORIF (n = 29) to treat unstable ankle fracture between 2006 and 2014 were reviewed retrospectively. Baseline data, including age, sex, type of injury, immediate postoperative fracture configuration (assessed on X-rays and graded by widest gap and largest step-off of any intra-articular site), bone quality [assessed with bone mineral density (BMD) testing] and arthritic changes on X-rays following surgical treatments were recorded for each group.

Results: Immediate-postoperative fracture configurations did not differ significantly between the ARIF and ORIF groups. There were anatomic alignments as 8 (50%) and 8 (27.6%) patients in ARIF and ORIF groups (P = 0.539) respectively. There were acceptable alignments as 12 (75%) and 17 (58.6%) patients in ARIF and ORIF groups (P = 0.341) respectively. The arthritic changes in follow-up period as at least 16 wk following the surgeries were shown as 6 (75%) and 10 (83.3%) patients in ARIF and ORIF groups (P = 0.300) respectively. Significantly more BMD tests were performed in patients aged > 60 years (P < 0.001), ARIF patients (P = 0.021), and female patients (P = 0.029). There was no significant difference in BMD test t scores between the two groups.

Conclusion: Ankle fracture configurations following surgeries are similar between ARIF and ORIF groups, suggesting that ARIF is not superior to ORIF in treatment of unstable ankle fractures.

Keywords: Ankle; Arthroscopy; Bone densitometry reports; Fracture fixation; Fractures.

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Figures

Figure 1
Figure 1
The immediate-postoperative fracture configuration via the radiograph in the arthroscopic-assisted reduction and internal fixation group.
Figure 2
Figure 2
The immediate-postoperative fracture configuration via the radiograph in the open reduction and internal fixation group.
Figure 3
Figure 3
The initially postoperative radiograph revealed the non-anatomic reduction of medial malleolar fracture with a fracture gap around 1.4 mm which was missed during the primary procedure in the open reduction and internal fixation group.
See this image and copyright information in PMC

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