Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 956-959
HAN Jun-zhu, ZHU Xun-bing, ZHANG Zhong-chuan, XU Wen-di, WANG Xu-dong. The effect of old medial malleolus fracture via anterior medial approach with lag screw fixation and autogenous bone graft[J]. Chinese Journal of General Practice, 2022, 20(6): 956-959. doi: 10.16766/j.cnki.issn.1674-4152.002497
Citation: HAN Jun-zhu, ZHU Xun-bing, ZHANG Zhong-chuan, XU Wen-di, WANG Xu-dong. The effect of old medial malleolus fracture via anterior medial approach with lag screw fixation and autogenous bone graft[J]. Chinese Journal of General Practice, 2022, 20(6): 956-959. doi: 10.16766/j.cnki.issn.1674-4152.002497
shu

The effect of old medial malleolus fracture via anterior medial approach with lag screw fixation and autogenous bone graft

doi: 10.16766/j.cnki.issn.1674-4152.002497

  • Department of Orthopaedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China

Funds:

 AHWJ2021a008

 AHWJ2021b126

  • Received Date: 2021-08-08
    Available Online: 2022-09-21
    Abstract
  •   Objective  To explore the effect of old medial malleolus fracture via anterior medial approach with lag screw fixation and autogenous bone graft to provide a reference for the treatment of this kind of clinical problem.  Methods  From January 2018 to December 2019, nine patients with old medial malleolus fracture because of sprain were admitted. They went through non-surgical treatment for different times. The treatment course ranged from 43 to 128 (83.0±34.6) days. The patients were treated with open reduction and lag screw fixation and autogenous cancellous bone graft via anterior medial approach. Three cases with deltoid ligament injury were repaired with suture anchor. Fracture healing time and operative complications were observed after the operation. The medial malleolus gap width and AOFAS score were compared before operation and at the last follow-up.  Results  Nine patients were followed up for 12-36 (24.7±7.6) months. The fracture healing time was 3-5 (3.8±0.7) months. No complications such as blood vessel and nerve injury, unstable ankle and traumatic arthritis were observed. At the last follow-up, the medial malleolus gap width decreased from (4.4±0.9) mm to (2.4±0.3) mm, and the AOFAS score increased from (47.3±6.2) points to (93.4±9.3) points. There were significant differences between preoperative values and values at the last follow-up (all P < 0.01). According to the AOFAS score, six cases were excellent, two cases were good, and one case was fair. The excellent and good rate was 88.9%.  Conclusion  In the treatment of old medial malleolus fracture, lag screw fixation and autogenous bone graft via anterior medial approach have the advantages of high rate of fracture healing, few complications and good recovery of foot-ankle function.

     

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