Arthroscopic management of intra-articular ankle fractures | ||||
| Zagazig University Medical Journal | ||||
| Article 13, Volume 30, Issue 1.2, January and February 2024, Page 103-108 PDF (382.76 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2021.103948.2397 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
abdelbaset elsayed adaros  1; elsayed abdelmoaty mohamed2; Adel Abdelazeem Ahmed3; mohamed abdallah abdelsalam4
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| 1orthopedic department, faculty of medicine ,zagazig university | ||||
| 2orthopedic deparment ,faculty of medicine ,zagazig university | ||||
| 3Orthopedic Surgery department, Faculty of Medicine, Zagazig University | ||||
| 4orthopaedic departement. faculty of medicine, zagazig university | ||||
| Abstract | ||||
| Abstract: Introduction : The classic operative management of ankle fractures is open reduction- internal fixation (ORIF). Despite radiographic evidence of anatomic reduction, there is a failure to achieve good clinical outcomes. The high incidence of concomitant intra-articular pathology associated with ankle fractures that may go unrecognized using traditional open approaches is possible reason for this . Objective : The main target of this research is to evaluate frequency of cartilage injuries with ankle fracture and its effect on functional outcome. Methods: prospective study was carried out in orthopedic department at zagazig university hospital on 49 patients with ankle fracture managed by fixation with concomitant usage of arthroscopy. Results: In this study 40 patients had cartilage injuries (83%)and 9 cases were free . As regarding syndesmotic injuries , 23patients( 48 % ) had syndesmotic injuries which were complete rupture (13 cases ) and partial injuries involve rupture of anterior tibiofibular ligament rupture (10 cases ). The functional results were graded according AOFAS score as excellent in 16 patients , good in 20 patients , fair in 10 patients , with poor results in 3 patients. Conclusion: the ankle arthroscopy has prognostic and diagnostic advantages that can help to manage ankle fracture . we expect that arthroscopy will be mandatory in dealing with ankle injuries as it is superior to traditional methods in showing hidden side of trauma . | ||||
| Keywords | ||||
| ankle arthroscopy; cartilage injury; ligamentous injury | ||||
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