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[Late results following ankle joint osteosyntheses]
1Chirurgischen Klinik, Bezirks-krankenhauses Plauen.
Zentralblatt Fur Chirurgie
|January 1, 1989
Summary
This study on upper ankle joint osteosynthesis found 57.5% good to very good results. Poor outcomes were linked to surgical errors and delayed treatment, highlighting the need for accurate reduction and timely operations.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Osteosynthesis of the upper ankle joint is a common procedure.
- Assessing long-term outcomes is crucial for patient recovery and surgical technique refinement.
Purpose of the Study:
- To evaluate the long-term results of upper ankle joint osteosynthesis.
- To identify factors influencing patient outcomes after this procedure.
Main Methods:
- A follow-up study involving 106 patients.
- Assessment conducted 4 to 16 years post-osteosynthesis.
- Results evaluated using Weber's criteria.
Main Results:
- 57.5% of patients achieved good to very good results.
- This rate is lower than reported in comparable studies.
- Factors contributing to poor results included malreduction, incorrect osteosynthesis, and delayed treatment.
Conclusions:
- Accurate reduction and osteosynthesis are key to favorable long-term outcomes.
- Distal tibial edge fractures negatively impact prognosis.
- High rates of primary operations are recommended for better results.