The American Orthopedic Foot and Ankle Society's (AOFAS) ankle-hindfoot scale was used to assess post-operative function. Ch. A previous study reported that only 79.3% of the optimally reduced fractures show good to excellent long-term outcomes, and those outcomes did not necessarily correlate to the severity of the fracture.[1]. For more information, please refer to our Privacy Policy. In severe cases, a second surgery may be required for desirable results. Although it might seem like common sense, however, Aktas et al[7] reported that the incidence of chondral lesions was significantly higher in single distal fibula fractures than bimalleolar and trimalleolar fractures in their research. Surface anatomy was carefully outlined in all cases, especially when patients presented with swelling of the ankle. A third-party browser plugin, such as Ghostery or NoScript, is preventing JavaScript from running. The biggest advantage of AORIF is an accurate evaluation and proper treatment of the intra-articular lesions without formal arthrotomy. Ono A, Nishikawa S, Nagao A, Irie T, Sasaki M, Kouno T. Arthroscopically assisted treatment of ankle fractures: arthroscopic findings and surgical outcomes. It was a retrospective cohort study. Data of 36 patients were analyzed in the study, including 23 supination-type fractures and 13 pronation-type fractures. © 2020 MangaDex | Path Network | sdbx.moe. 158 - Divine Waltz and the Dark Magician, Ch. Therefore, 36 patients were analyzed in this study, which consisted of 14 male patients and 22 female patients. Ni chang chang yu xi/fu xi/xue xi zhong wen ma? 149 - With the Sun, Moon and Stars Within My Reach, There Is No One Else Like Me. 2, Ying Hua East Street, Chao Yang District, Beijing 10029, China E-Mail: 13051988292@163.com, How to cite this article: Chen XZ, Chen Y, Zhu QZ, Wang LQ, Xu XD, Lin P. Prevalence and associated factors of intra-articular lesions in acute ankle fractures evaluated by arthroscopy and clinical outcomes with minimum 24-month follow-up. In AITFL bony avulsion fracture cases, the stability of the tibiofibular syndesmosis was rechecked after fixation. For the 13 pronation-type fractures, two were PER type II, three PER type III, four PER type IV, two pronation-abduction type II, and two were Maisonneuve fractures. The study was approved by the Ethics Committee of the China-Japan Friendship Hospital (No. Ch. Comparison of concomitant intra-articular lesions between fracture severity in acute ankle fractures. Link to reset your password has been sent to specified email address. All concomitant intra-articular lesions were assessed and documented carefully and prospectively, such as ligament injuries, osteochondral lesions, and tibiofibular syndesmosis injuries. Shaving, ablation, curetting, and microfracture were performed when appropriate. Takao M, Uchio Y, Naito K, Fukazawa I, Kakimaru T, Ochi M. Diagnosis and treatment of combined intra-articular disorders in acute distal fibular fractures. your express consent. Registered users can save articles, searches, and manage email alerts. 11. Size and position of the chondral lesions, as well as the severity of the damage, was documented according to the Outerbridge classification system (grade 0, normal cartilage; grade I, cartilage with softening and swelling; grade II, a partial-thickness defect with fissures on the surface that do not reach subchondral bone or exceed 1.5 cm in diameter; grade III, fissuring to the level of subchondral bone in an area with a diameter more than 1.5 cm; grade IV, exposed subchondral bone). During his journey of wonders and mischief in the world of temples and demons, will he be able to ascend to become the strongest knight and inherit the throne? It was a retrospective cohort study. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. However, there was no statistical difference between chondral lesions and fracture type in the present study. Arthroscopically assisted versus standard open reduction and internal fixation techniques for the acute. From April 2014 to December 2015, we have chosen arthroscopy-assisted open reduction and internal fixation (AORIF) for the treatment of unstable acute ankle fractures. 117 - Descend of the Tower of Eternity (Upper Part), Ch. According to the Lauge-Hansen classification, 23 fractures were supination type, and 13 fractures were pronation type. Interestingly, AITFL injuries were not quite the same between pronation and supination fractures. While the demons were rising, mankind was about to become extinct. Register with us for free 107 - The Saint War triggered by Long Hao Chen, Ch. 7. An email with instructions to reset your password will be sent to that address. Ni you zhong wen xie hai shi you ying wen xie ri ji? For immediate assistance, contact Customer Service: Fractures were classified according to the Lauge-Hansen classification system. Anterior ankle impingement was evaluated by flexion and extension of the joint repeatedly, and a motorized bur was used to remove the presence of any bony spur if impingement existed. Aktas S, Kocaoglu B, Gereli A, Nalbantodlu U, Guven O. Highlight selected keywords in the article text. From April 2014 to December 2015, a total of 37 consecutive patients with acute unstable ankle fractures underwent AORIF. Loren GJ, Ferkel RD. We hypothesized that acute ankle fractures would have a high prevalence of concomitant intra-articular lesions, and chondral lesions were related to the severity of the fractures. 110 - The Bloody Female War God and the Spiritual Holy Maiden, Ch. (A) Chondral lesion in acute. If you don't like a particular user's posts, consider blocking (from their profile page) instead. 124 - The Death of The Demon God of Clear Vision, Ch. 132 - The Dragon Knight Demon God Asmodeus, Ch. Unstable ankle fractures are generally treated with open reduction and internal fixation (ORIF). Intra-articular lesions might be one of the leading reasons that caused this post-operative ankle pain. 103 - The Snake Demon God and the King of Anacondas, Ch. View Xing Zuo’s profile on LinkedIn, the world's largest professional community. doi: 10.1097/CM9.0000000000000342, This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The severity of the lacerations of the anterior capsule and the presence of loose bodies were documented [Figure 1B]. Ch. 10. The single notable occurrence was that one patient suffered from temporary superficial peroneal nerve irritation, which resolved within 7 days spontaneously. Informed written consent was obtained from all the patients. We also sought to analyze the relationship between intra-articular lesions and the fracture type, as well as the severity of the fracture. Chinese Medical Journal132(15):1802-1806, August 5, 2019. Comparison of concomitant intra-articular lesions between fracture types in acute ankle fractures. 星座 [xing-zuo] aufwickeln running hot tilleul dejecta Dürer purkaa, hajottaa, ratkoa hun computing environment inane (adj.) 137 - Re-encounter with Demon God Emperor, Ch. Our research showed that with arthroscopic debridement of the intra-articular lesions, especially the avulsion fractures, a very good AOFAS score was managed to achieve and that was kept to 41 months. Data is temporarily unavailable. Xing has 4 jobs listed on their profile. 105 - Sun and Moon Saint Snail Shield, Ch. They suggested that precisely diagnosing and treating the combined intra-articular disorders were important for gaining satisfactory clinical results. In this study, the incidence of tibiofibular syndesmosis injury was as high as 92% (33/36); however, for unstable tibiofibular syndesmosis injury, it was only 42% (15/36). All registration fields are required. Having multiple genres like Action, Adventure, and Supernatural, this manhua brings a whole new fantasy for readers to have. Your message has been successfully sent to your colleague. All the patients were reviewed with a mean follow-up of 41.7 months (range, 33–51 months). However, residual symptoms, such as chronic pain, recurrent swelling, and limited range of motion, continue to occur unpredictably even with anatomical surgical reduction and ideal healing, which can compromise the clinical outcome and patient satisfaction. Utsugi K, Sakai H, Hiraoka H, Yashiki M, Mogi H. Intra-articular fibrous tissue formation following. Ch. The main limitation of the present study was we only detected the anterior and the middle portion of the ankle due to the surgical method. 120 - Reflecting The Forbidden Spell! Leontaritis N, Hinojosa L, Panchbhavi VK. Join Facebook to connect with Xing Zuo and others you may know. In conclusion, acute ankle fractures had an incidence rate of intra-articular lesions equal to 92%. Chin Med J 2019;132:1802–1806. Zuo tain zao shang ba dian, wo zheng zai shui jiao. 8. Chondral lesions are related to the severity of the fractures, but not with the classification of the fractures. Arthroscopic assessment of occult intra-articular injury in acute ankle fractures. Ni shi lao shi/xue sheng / lu shi / yi sheng? Additional information is available in this. Department of Orthopedic Surgery, China-Japan Friendship Hospital, Beijing 10029, China. View the profiles of people named Xing Zuo. Fuchs DJ, Ho BS, LaBelle MW, Kelikian AS. AORIF can be one reliable solution in dealing with the associated injuries seen with acute ankle fractures. Debridement was performed in all cases. The level of clinical significance was set at P = 0.05. Ni de jia you ji ko ren? Standard anteromedial and anterolateral portals were made after fracture fixation. All statistical analyses were performed using SPSS 24.0 (SPSS Inc., Chicago, IL, USA). Chu le zue xi shong wen, wo hai xue xi ying yu. A young boy joins the temple as a knight to save his mother. Add new professional contacts and discover exciting jobs, events, news and groups. Therefore, 21 fractures were classified as severe fracture, and 15 fractures were mild fracture. A total of 18 fractures were left sided, and 18 were right sided. Search for Similar Articles [14,16] Takao et al[9] compared 41 cases of acute ankle fracture treated with AORIF with 31 cases treated with traditional ORIF. Ni de mama piao liang / gao / gao xing ma? All the patients returned to active normal daily lives. The average time from injury to surgery was 4.8 days (range, 6 h to 13.0 days). Osteochondral lesions of the talus: aspects of current management. It was 72% (26/36) in our series. Ni xi huan chi zhong guo cai hai shi mei guo cai? The role of ankle. cmj@cma.org.cn. The mechanism of injury included ankle sprain in 31 patients and traffic accidents in five patients. The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale was used to assess post-operative function. Six temples rose, and protected the last of mankind. The size of the chondral lesions that were larger than 0.5 cm × 0.5 cm was found in 17 of 26 ankles studied. [2,13] A recent published systematic review[14] showed that the incidence of chondral lesions in acute ankle fractures ranged from 20% to 88%. If it was stable, we then removed the bony fragments; otherwise, a trans-osseous screw was used for fixation in these cases. Based on our findings, we suggest if traditional ORIF is chosen for the treatment of acute ankle fractures, a routine anterior ankle joint exploration should be performed especially in supination fractures. You may be trying to access this site from a secured browser on the server. From April 2014 to December 2015, we have chosen arthroscopy-assisted open reduction and internal fixation (AORIF) for the treatment of unstable acute ankle fractures. Enter and submit the email address you registered with. Twenty of 26 ankles had outerbridge grades III to IV chondral lesions.

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