Surgical Outcomes of Articular Surface Crush Injury of Hawkins Ⅲ Talus Neck and Medial Malleolus Fracture

doi:10.1053/j.jfas.2021.03.007

科研成果详情

题名	Surgical Outcomes of Articular Surface Crush Injury of Hawkins Ⅲ Talus Neck and Medial Malleolus Fracture
作者	Zheng, Yang 1; Zhang, Jiu-Dan 2; Shen, Jian-Jian 3; Li, Xu-Song 4; Huang, Jie-Feng 5
发表日期	2021-09-01
发表期刊	Journal of Foot and Ankle Surgery; 影响因子和分区
语种	英语
原始文献类型	Article
关键词	4 countersunk Kirschner wire Hawkins Ⅲ medial and anterolateral approach medial malleolus fracture talus neck fracture
摘要	The present study was performed to evaluate the effects of the medial and anterolateral approach combined with internal fixation by double head compression screws and countersunk K-wires for Hawkins Ⅲ talus neck and medial malleolus fracture. Eleven patients with articular surface crush injury resulting in Hawkins Ⅲ talus neck fractures accompanied by medial malleolus fractures were reviewed. All patients underwent emergency operations. The fractures were fixed using double head compression screws and countersunk K-wires through combined medial and anterolateral approaches. FAOS, AOFAS ankle-hindfoot scale, and VAS questionnaire scores were recorded. In addition, ROM of the ankle and postoperative complications were assessed. All patients were followed up for a median of 52.45 ± 5.15 months. The multiple scales data of FAOS on the affected side were: pain score 89.14 ± 7.08; activities of daily living score 89.57 ± 8.88; quality-of-life score 89.20 ± 7.44; sports score 75.00 ± 15.49; and other symptoms score 84.74 ± 7.51. The mean overall AOFAS ankle-hindfoot score was 88.36 ± 6.39. The VAS score was 0.72 ± 0.65. Ankle motion included dorsiflexion (13.18° ± 9.02°) and plantar flexion (32.27° ± 12.34°). Subtalar joint motion included eversion (10.91° ± 7.01°) and inversion (11.36° ± 7.45°). All scores of the healthy side were higher than those of the affected side (p < .05). In addition to ROM of the ankle and subtalar joint and sports score, various indicators of recovery rate had scores > 80%. One patient developed skin necrosis, which healed after debridement and wound dressing. Late complications included subtalar and/or ankle traumatic arthritis in six patients, four of whom showed no obvious clinical symptoms. In conclusion, the method of emergency surgery and medial and anterolateral approach combined with countersunk K-wires to fix small bone fragments to restore the integrity of the articular surface is acceptable for Hawkins Ⅲ talus neck with medial malleolus fracture.
资助项目	Zhejiang Provincial Natural Science Foundation[LY20H270012];Zhejiang Administration of Traditional Chinese Medicine[2020ZB090];
出版者	Academic Press Inc.
ISSN	1067-2516
EISSN	1542-2224
卷号	60 期号:5 页码:912-916
DOI	10.1053/j.jfas.2021.03.007
收录类别	SCOPUS ; PUBMED
URL	查看原文
PubMed ID	33836970
SCOPUSEID	2-s2.0-85103722854
通讯作者地址	[Huang, Jie-Feng]Department of Orthopaedics,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,310006,China
Scopus学科分类	Surgery;Orthopedics and Sports Medicine
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/185087
专题	其他_附属慈溪医院（慈溪市人民医院）
通讯作者	Huang, Jie-Feng
作者单位	1.Attending Doctor,Department of Orthopaedics,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,China; 2.Attending Doctor,Department of Endocrinology,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,China; 3.Foot and Ankle Surgeon,Department of Orthopaedics,The Affiliated Cixi Hospital of Wenzhou Medical University,Cixi,China; 4.Chief Physician,Associate Professor,Department of Orthopaedics & Traumatology,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,China; 5.Associate Professor,Department of Orthopaedics,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,China
推荐引用方式 GB/T 7714	Zheng, Yang,Zhang, Jiu-Dan,Shen, Jian-Jian,et al. Surgical Outcomes of Articular Surface Crush Injury of Hawkins Ⅲ Talus Neck and Medial Malleolus Fracture[J]. Journal of Foot and Ankle Surgery;,2021,60(5):912-916.
APA	Zheng, Yang, Zhang, Jiu-Dan, Shen, Jian-Jian, Li, Xu-Song, & Huang, Jie-Feng. (2021). Surgical Outcomes of Articular Surface Crush Injury of Hawkins Ⅲ Talus Neck and Medial Malleolus Fracture. Journal of Foot and Ankle Surgery;, 60(5), 912-916.
MLA	Zheng, Yang,et al."Surgical Outcomes of Articular Surface Crush Injury of Hawkins Ⅲ Talus Neck and Medial Malleolus Fracture".Journal of Foot and Ankle Surgery; 60.5(2021):912-916.