Evaluation of the results of surgical treatment of ankle fractures with the tibiofibular syndesmosis injury

Abstract

Background. Ankle fractures are the most common injuries among the damages of ankle joint. The most common complication in such fractures is the damage of the tibiofi bular joint, leading to increase in the duration of treatment and adverse outcomes. Despite the large number of publications, the problem of this type injury treatment is far from solving it. The questions remain open regarding the method of surgical treatment and results evaluation.Aim. To evaluate the results of surgical treatment of ankle fractures, complicated with tibiofi bular syndesmosis injury with the help of hardware-bazometric complex and make a comparison with the existing methods of assessment, such as AOFAS and OMAS.Materials and methods. This study presents an analysis of 80 patients with mentioned fractures surgical treatment results. Patients were divided into 2 groups. The fi rst group (44 patients) was treated with the help of tension band wiring for fi xing tibiofi bular syndesmosis in combination with the original extramedullary plate with polyaxial insertion and blocking of screw for osteosynthesis of lateral malleolus fractures. The second group (36 patients) was treated according to the AO technique. The analysis of results was performed in 3, 6 and 12 months after surgery use of scales AOFAS and OMAS, as well as bazometric and stabilometric assessment using "Bazometr" complex.Results. In 3 and 6 months AOFAS and OMAS results corresponded to data of bazometric and stabilometric indicators. The analysis showed the best results among the fi rst group of patients, especially in the early stages. In 12 months the difference between indicators reduced, but remained signifi cantly better in the 1 st group. Conclusions. The reported data of clinical observations and their analysis demonstrate the effectiveness of the proposed method of ankle fractures with the tibiofi bular syndesmosis injury surgical treatment.Zaporozhye medical journal 2016; №6 (99): 72-76

Surgical treatment of patients with ankle joint fracture and damage of syndesmosis

“…1). До першої групи увійшли 44 пацієнти, в яких під час проведення хірургічного лікування нестабільних переломів кісточок з ушкодженням МГС застосовано розроблені нами пристрої -накісткові премодельовані пластини з можливістю поліаксіального блокування гвинтів для остеосинтезу зовнішньої кісточки та напружені петлі, за допомогою яких здійснювали позиціонування малогомілкової кістки у вирізці великогомілкової [11].…”

Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries

“…At present, tibiofibular syndesmosis fixation with a position screw has become widespread. However, the use of this method can lead to a narrowing of the tibiofibular fork, limited mobility in the tibiofibular syndesmosis, the development of incongruence of the articular surfaces in the supracalcaneal-shin joint, which in turn can cause the development of arthrosis [13]. In addition, premature or accidental axial loading on the injured extremity can lead to rigid structure destruction.…”