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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Immediate continuous passive motion after internal fixation of an ankle fracture
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Immediate continuous passive motion after internal fixation of an ankle fracture

机译：踝部骨折内固定后立即连续持续被动运动

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摘要

Background Surgical treatment is usually mandatory in displaced bimalleolar and trimalleolar fractures. Some authors have recommended early mobilization of the ankle joint after surgical treatment of these lesions. In this study, we evaluate the effect of immediate postoperative continuous passive motion in the management of displaced bimalleolar and trimalleolar fractures treated surgically. Materials and methods Two series of 22 patients each, who had had a Weber type A, B or C ankle fracture treated surgically, were followed up at least 10 years after the injury. In the first series, immediately after surgery, a continuous passive motion machine was applied to the operated ankle for 3 weeks, whereas in the second series, after surgery a plaster splint or a plaster cast was applied for 3 weeks. Results At follow-up, all patients were evaluated clinically and radiographically using the AOFAS Ankle Hindfoot Score System (Kitaoka, Foot Ankle 15:349-353, 1994). The average final score for the first series of patients was 95.7 points (range 87-100 points, standard deviation 3.42 points). Of this series, at radiographic examination, in two patients we observed minor signs of osteoarthritis of the ankle joint. The average final score for the second series was 88 points (range 68-100 points, standard deviation 10.60 points). At radiographic examination, in six patients we observed minor signs of osteoarthritis of the ankle joint, whereas in another one the osteoarthritis was severe.Conclusions Continuous passive motion started immediately after surgery seems to be an effective method both for allowing complete and quick recovery of the range of motion of the ankle and for reducing the risk of early degenerative joint disease. Immediate passive ankle motion can be applied only after adequate reduction and stable internal fixation.
机译：背景技术在移位的双侧小骨和三体小骨骨折中，通常必须进行外科手术治疗。一些作者建议对这些病变进行手术治疗后尽快动员踝关节。在这项研究中，我们评估了手术后立即进行的持续被动运动在通过手术治疗的移位的双侧小骨和三趾小骨骨折的处理中的效果。材料和方法接受手术治疗的韦伯A型，B型或C型踝关节骨折的22例患者中的每两个系列，均在受伤后至少10年进行随访。在第一个系列中，在手术后立即将连续被动运动机应用于脚踝，持续3周;而在第二个系列中，在手术后，将石膏夹板或石膏模型应用3周。结果随访时，所有患者均使用AOFAS踝后足评分系统（Kitaoka，Foot Ankle 15：349-353，1994）进行临床和影像学评估。第一组患者的平均最终得分是95.7分（范围87-100分，标准差3.42分）。在这个系列中，在射线照相检查中，我们在两名患者中观察到了踝关节骨关节炎的轻微体征。第二个系列的平均最终得分为88分（范围68-100分，标准差10.60分）。在X光检查中，在6例患者中我们观察到了踝关节骨关节炎的轻微体征，而在另外1例中，我们发现了严重的骨关​​节炎。结论手术后立即开始连续被动运动似乎是使骨骼肌完全和快速恢复的有效方法。踝关节的活动范围，以减少早期退行性关节疾病的风险。仅在适当复位并稳定内固定后才能立即进行被动脚踝运动。

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