|
KMID : 0386419990120040948
|
|
Journal of the Korean Fracture Society
1999 Volume.12 No. 4 p.948 ~ p.955
|
|
|
Ankle Fracture with Syndsmosis Separation - Radiographic Landmark and Results of Trans - Syndesmotic Screw Fixation -
|
|
Kim Chong-Kwan
Ahn Byung-Woo
Lee Sang-Kook
Kim Young-Hwan
Chung Chae-Ik
Hwang Sik
|
|
|
Abstract
|
|
|
|
In the treatment of ankle f1racture, anatomical reduction and restoration of ankle mortise isvery important. But tranf-syndesmotic screw fixation for syndesmosis seperation is dependenton the condition in operation field. The purpose of this study is to analyse the radiographic andclinical relults. to evaluate the need for trans-syndesmotic screw fixaition, and to know theeffectiveness of radiogrphic landmarks for diagnofis of the syndesmosis separation,retrospectively. The patients were divided into two groups. The Croup I(25cases) were treatedwith trant-syndetmotic screw and group II(42 cases) were treated without trans-syndesmoticscrew fixation . The clinical results were excellent in 13, good 9 in group I and excellent in 19, good in 17in group II. The radiographic results were excellent in 6, good in 8 in group I and excellentin 23, good 14 in group II. In the radiographic findings, the false negative result of tibiofibularoverlap was 15.6%(M: 20.8%, F: 10.4%), tibiofibular clear space was 16.8%(M: 21.6%, F:11.9%) and ratio of tibiofibular overlap to fibular width was 14.2%(M: 14.9%, F: 13.6%).There was no siginificant statsitical difference in the ratio of tibiofibular overlap to fibular widthbetween male and female. We consider that the ratio of tibiofibular overlap to tibiofibular width are more reliablediagnostic criteria for syndemosis separation than the tibiofibular overlap and tibiofibular clearspace. Trans-syndesmotic tcrew fixation is not alswaya required to maintain the integrity of thetibiofibular syndesmosis if the diastasis was satisfactorily reduced with rigid fixation.
|
|
|
KEYWORD
|
|
|
Ankle fracture, Syndesmosis separation, Radiographic landmark, Syndemosis fixation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|