Application of an arched, Ni-Ti shape-memory connector in repairing distal tibiofibular syndesmosis ligament injury.
Objective: To investigate the clinical effect of internal fixation of a Ni-Ti arched shape-memory connector in the treatment of distal tibiofibular syndesmosis ligament injury.Methods: From January 2013 to January 2016, 108 cases of ankle fracture with distal tibiofibular syndesmosis ligament injury...
| Publicado en: | BMC Musculoskeletal Disorders Vol. 23; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
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BioMed Central
5/19/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156971137&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156971137 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712474 1CI5 jtl: BMC Musculoskeletal Disorders issn: 14712474 maglogo: N pubinfo: dt: 5/19/2022 vid: 23 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 156971137 156971137 NLM35590289 10.1186/s12891-022-05449-9 NLM35590289 156971137 ppf: 1 ppct: 9 formats: tig: atl: Application of an arched, Ni-Ti shape-memory connector in repairing distal tibiofibular syndesmosis ligament injury. aug: au: Zhao, Jinbo Zhang, Yuntong Xia, Yan Wang, Xuhui Xu, Shuogui Xie, Yang affil: Department of Orthopedics, The First Affiliated Hospital of Naval Military Medical University, 20000, Shanghai, China sug: subj: Ankle Fractures Surgery Osteoarthritis Ankle Fractures Treatment Outcomes Titanium Ligaments, Articular Ankle Joint Surgery Nickel Ankle Joint Ligaments, Articular Surgery Fracture Fixation Methods Short Form-36 Health Survey (SF-36) ab: Objective: To investigate the clinical effect of internal fixation of a Ni-Ti arched shape-memory connector in the treatment of distal tibiofibular syndesmosis ligament injury.Methods: From January 2013 to January 2016, 108 cases of ankle fracture with distal tibiofibular syndesmosis ligament injury in our hospital were selected, and all of them were fixed with ASCs or screw fixation. The functional evaluation and efficacy evaluation were performed according to the Olerud Molander Ankle Score (Omas) and SF-36. At the same time, follow-ups recorded the incidence of postoperative complications: osteoarthritis, superficial infection, symptomatic hard and soft tissue irritation, early removal and poor reduction of internal fixation, and later loss of reduction.Results: In the ASC(Ni-Ti Arched shape-memory Connector) group, the incidence of symptomatic hardware, soft tissue or superficial infection decreased to 2.77%(from 13.8% or 11.1% in SCREW group). The early removal rate(2.77%) of internal fixation was also lower than that of the screw group. While the incidence of osteoarthritis is 13.8% in SCREW group, the incidence of osteoarthritis in the later follow-up was also as low as 1.38% in ASC group. Loss of fracture reduction due to removal of the fixation device for the distal tibiofibular syndesmosis ligament was not observed in the ASC group. With two postoperative scoring systems (OMAS and SF-36), patients in the ASC group significantly get higher score than that in SCREW group.Conclusion: The design of the Ni-Ti arched shape-memory connector can be adapted to the irregular anatomical structure of the malleolus and the ability to continue to contract by body temperature. The use of ASCs in fixation of articular ligaments can preserve a slight range of motion, and the results suggest that ASCs can effectively reduce the incidence of fixation looseness, fracture, infection and other complications. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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