The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study
Joint Authors
Li, Zhen
Chen, Hongfeng
Yang, Dongsong
Niu, Junke
Wang, Pengru
Li, Qidi
He, Xishun
Wu, Guangliang
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-29
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The necessity of the deep deltoid ligament repair in the treatment of supination-external rotation (SER) ankle stage IV fracture with deltoid ligament rupture is highly debated.
We conducted this retrospective research aimed at exploring the curative effect of the deep deltoid ligament repair in treating SER fracture.
Methods.
Sixty-three patients with closed SER stage IV fractures received open reduction and internal fixation (ORIF), using either deep deltoid ligament repair (the DDLR group, 31 patients) or nondeep deltoid ligament repair (the NDDLR group, 32 patients).
The radiographic parameters examined include the talocrural angle (TA), fibular length (FL), tibiomedial malleolar angle (TMMA), medial clear space (MCS), and tibiofibular clear space (TFCS).
The functional performance parameters examined in the study were visual analog scale (VAS) pain score, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scales, and range of motion of bilateral ankles (RMBA).
Complications, including bone nonunion, infection, and fragment displacement, were also recorded and compared.
Results.
Similar basic characteristics were found in both cohorts.
All patients completed follow-up ranging from 12 to 22 months (mean time: 12.41±4.21 months).
The DDLR group had significantly reduced VAS score (p<0.05), with markedly increased RMBA (p<0.05) compared to the NDDLR group.
The two cohorts showed similar follow-up performance at 3 months (p>0.05), 6 months (p>0.05), and 12 months (p>0.05), in terms of parameters including TA, FL, TMMA, MCS, TCS, and AOFAS ankle-hindfoot scales.
Conclusion.
Although similar radiographic performances were achieved in both cohorts, the DDLR group displayed enhanced functional outcome postsurgery, indicating that DDLR may be a better potential for the treatment of SER stage IV fracture with deltoid ligament rupture.
American Psychological Association (APA)
Chen, Hongfeng& Yang, Dongsong& Li, Zhen& Niu, Junke& Wang, Pengru& Li, Qidi…[et al.]. 2020. The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study. BioMed Research International،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1132244
Modern Language Association (MLA)
Chen, Hongfeng…[et al.]. The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study. BioMed Research International No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1132244
American Medical Association (AMA)
Chen, Hongfeng& Yang, Dongsong& Li, Zhen& Niu, Junke& Wang, Pengru& Li, Qidi…[et al.]. The Importance of the Deep Deltoid Ligament Repair in Treating Supination-External Rotation Stage IV Ankle Fracture: A Comparative Retrospective Cohort Study. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1132244
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1132244