hrvatski

Analiza kasnih rezultata kirurškog liječenja maleolarnih prijeloma

Late results of operatively treated malleolar f ractures were analyzed. 101 patients were opera ted on, 58 (57.4%) were available for follow­ up. There were 5 patients with A­ type fractures according to Weber's classificat ion, 28 with type­B and 25 with type­ C fractures. One year or more after the treatme nt the patients were evaluated on follow­ up checks where ranges of ankle dorsiflexion, p lantar extension, pronation and supination were recorded, circumference of the injured ankle was measured and the patients were interviewed about subjec tive complaints. Normal range of motion of the injured ankle (no rmal range of motion represented by the healthy ankle) was found only in patients with type­ A fractures while in other two groups the patie nts had significantly decreased motility of the injured ankle (P < 0.05). The circumference of the injured ankle was increased in most pat ients with 25.9% patients ankles being 20 mm or more thicker tha n the uninjured side. Only seven patients (12.1 %) were without subjective complaints while other patients expe rienced pain with load, pain with weather chang es, swelling of the ankle etc. Malleolar fractures still represent a significant surgical problem and only an earl y operation, anatomic reduction and fixation as well as proper rehabi litation guarantee good results.

Ozljede gležnja-kirurgija ; Prijelomi-kirurgija ; Rezultati liječenja

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