PMID- 30861646
OWN - NLM
STAT- MEDLINE
DCOM- 20190607
LR  - 20190607
IS  - 0529-5815 (Print)
IS  - 0529-5815 (Linking)
VI  - 57
IP  - 3
DP  - 2019 Mar 1
TI  - [Arthroscopic treatment of avulsion fracture of tibial origin with Ⅰ degree 
      supination and external rotation injury].
PG  - 182-186
LID - 10.3760/cma.j.issn.0529-5815.2019.03.005 [doi]
AB  - Objective: To analyze the clinical effects of all-inside arthroscopic treatment 
      for the patients of avulsion fracture of tibial origin withⅠdegree supination and 
      external rotation injury according to the Lauge-Hansen classification. Methods: A 
      retrospective analysis of 34 patients (34 feet) who had underwent all-inside 
      arthroscopic for avulsion fracture of tibial origin with Ⅰ degree supination and 
      external rotation injury from September 2015 to September 2017 in Department of 
      Hand and Foot Microsurgery, Xuzhou Central Hospital. There were 20 males and 14 
      females, aged (24.7+/-11.3)years (range:14-43 years). The duration from injury to 
      operation was (4.3+/-2.5) d (range: 6 h-7 d). The pro-operation visual analogue 
      scale(VAS) of pain was 6.8+/-1.4(range: 4-8). All the patients were treated with 
      the all-inside arthroscopic procedure by using the anterolateral and 
      near-anterolateral portals and the fractures were fixed with cannulated screws. 
      Main outcome measures included the pain, foot appearance, and patients were 
      scored using the American Orthopaedic Foot & Ankle Society Lesser Toe 
      Metatarsophalangeal-Interphalangeal Scale(AOFAS). Results: Primarily healing of 
      the wound was achieved in all cases without postoperative complications of nerve, 
      vessel and tendon injury. The follow-up period was (16.9+/-6.6)months(range: 8-24 
      months). Postoperatively X-ray films showed complete fracture healing at 
      (11.2+/-2.1)weeks after surgery.At the last follow-up, the ankle movement and 
      appearance were good, and no ankle joint traumatic arthritis were found. The VAS 
      and AOFAS was 0 and 95.7+/-9.4 respectively. Conclusion: The all-inside 
      arthroscopic treatment of Lauge-Hansen type avulsion fracture of tibial origin 
      with Ⅰ degree supination and external rotation injury is an effective and precise 
      method, with accurately outcomes, precise reduction and minimally postoperative 
      complications.
FAU - Feng, S M
AU  - Feng SM
AD  - Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, 
      China.
FAU - Zhang, S C
AU  - Zhang SC
FAU - Wang, A G
AU  - Wang AG
FAU - Zhang, Z Y
AU  - Zhang ZY
LA  - chi
GR  - QNRC2016393/Jiangsu Provincial Medical Youth Talent Program/
GR  - KC18180/Xuzhou Key Research and Development Plan/
PT  - Journal Article
PL  - China
TA  - Zhonghua Wai Ke Za Zhi
JT  - Zhonghua wai ke za zhi [Chinese journal of surgery]
JID - 0153611
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - *Fracture Fixation, Internal
MH  - Humans
MH  - Male
MH  - Retrospective Studies
MH  - Rotation
MH  - Supination
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Anterolateral portals
OT  - Arthroscopy
OT  - Avulsion fracture
OT  - Tibial fractures
OT  - Treatment outcome
EDAT- 2019/03/14 06:00
MHDA- 2019/06/08 06:00
CRDT- 2019/03/13 06:00
PHST- 2019/03/13 06:00 [entrez]
PHST- 2019/03/14 06:00 [pubmed]
PHST- 2019/06/08 06:00 [medline]
AID - 10.3760/cma.j.issn.0529-5815.2019.03.005 [doi]
PST - ppublish
SO  - Zhonghua Wai Ke Za Zhi. 2019 Mar 1;57(3):182-186. doi: 
      10.3760/cma.j.issn.0529-5815.2019.03.005.