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New approaches to osteosynthesis of ankle fractures
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| Author:
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M.AKRAA , E.I SOLOD, N.V.ZAGORODNIY, M.A.ABDULKHABIROV
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| Abstract:
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The results of treatment of 71 patients with ankle fractures are presented. The comparison group consisted of 32 patients whose operations were performed after edema reduction according to the AO / ASIF technique. Thirty-nine patients of the main group were operated according to our minimally invasive technique using V-shaped pins and a pin with a thread the day after hospitalization, regardless of the presence of edema in the ankle joint. All patients were operated on within 1 to 3 weeks from the moment of injury. The period of inpatient treatment of patients in the comparison group averaged 16 days, the main group - 10 days, the restoration period of ankle function - 6 and 2 weeks, respectively. Complications were diagnosed only in the comparison group: marginal skin necrosis in 14 (22.5%) operated, inflammatory complications in 6 (9%), metal fixation migration in 1 (1.6%), fracture failure in 4 (6.4%) . The results were evaluated using the AOFAS Ankle-Hindfoot scale. The average score in the main group was 90.3, in the comparison group - 88.6. In the experimental part of the study, the strength (tensile and shear loads) of three types of osteosynthesis of internal ankle fractures was compared: using two cannulated screws, a V-shaped pin, and two biodegradable screws made of glycosylated lactic acid. Despite the fact that the osteosynthesis of the inner ankle, the V-shaped pin was the least durable, it met all the requirements for submersible osteosynthesis.
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| Keyword:
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fractures, minimally invasive interventions, percutaneous, osteosynthesis, ankle joint, ankles, pin.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.313
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| Download:
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