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Early Protected Weightbearing After Open Reduction Internal Fixation of Ankle Fractures With Trans-syndesmotic Screws. 2020

Christy M King, and Matthew D Doyle, and Francesca M Castellucci-Garza, and Annie Nguyentat, and David R Collman, and John M Schuberth
Attending Staff and Residency Director, Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Foundation Hospital, Oakland, CA.

Traditional postoperative care after open reduction internal fixation (ORIF) of unstable ankle fractures with syndesmotic instability includes non-weightbearing for 6 to 8 weeks. However, prolonged non-weightbearing may be detrimental. The goal of this case series was to assess the outcomes of early protected weightbearing after operative treatment of acute ankle fractures with syndesmotic instability requiring screw stabilization. Fifty-eight consecutive patients, treated from January 2006 to January 2013, met the inclusion criteria with a minimum follow up of 1 year. Electronic medical records and radiographs were reviewed for patient and surgical characteristics, postoperative complications, and maintenance of reduction. Patients initiated walking at an average of 10 days (range 1 to 15) postoperatively. Surgical treatment consisted of operative reduction with standard fixation devices and 1 or 2 trans-syndesmotic screws that purchased 4 cortices. All 58 patients maintained correction after surgery when allowed to weightbear early in the postoperative recovery. Five complications (8.6%) occurred in the 58 patients, which included 3 superficial infections (5.2%) and 2 cases (3.4%) of neuritis. The maintenance of reduction and low complication rate in this study support the option of early protected weightbearing after ankle fracture ORIF with trans-syndesmotic fixation.

UI MeSH Term Description Entries
D001863 Bone Screws Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures. Bone Screw,Screw, Bone,Screws, Bone
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D016474 Weight-Bearing The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot. Load-Bearing,Axial Loading,Loadbearing,Weightbearing,Axial Loadings,Load Bearing,Weight Bearing
D016512 Ankle Injuries Harm or hurt to the ankle or ankle joint usually inflicted by an external source. Ankle Sprains,Injuries, Ankle,Syndesmotic Injuries,Ankle Injury,Ankle Sprain,Injuries, Syndesmotic,Injury, Ankle,Injury, Syndesmotic,Sprain, Ankle,Sprains, Ankle,Syndesmotic Injury
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D064386 Ankle Fractures Fractures of any of the bones of the ANKLE. Bimalleolar Ankle Fractures,Bimalleolar Equivalent Ankle Fractures,Bimalleolar Equivalent Fractures,Bimalleolar Fractures,Lateral Malleolus Fractures,Medial Malleolus Fractures,Posterior Malleolus Fractures,Trimalleolar Ankle Fractures,Trimalleolar Fractures,Ankle Fracture,Ankle Fracture, Bimalleolar,Ankle Fracture, Trimalleolar,Bimalleolar Ankle Fracture,Bimalleolar Equivalent Fracture,Bimalleolar Fracture,Equivalent Fracture, Bimalleolar,Fracture, Ankle,Fracture, Bimalleolar,Fracture, Bimalleolar Ankle,Fracture, Bimalleolar Equivalent,Fracture, Lateral Malleolus,Fracture, Medial Malleolus,Fracture, Posterior Malleolus,Fracture, Trimalleolar,Fracture, Trimalleolar Ankle,Lateral Malleolus Fracture,Malleolus Fracture, Lateral,Malleolus Fracture, Medial,Malleolus Fracture, Posterior,Medial Malleolus Fracture,Posterior Malleolus Fracture,Trimalleolar Ankle Fracture,Trimalleolar Fracture

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