Frühfunktionelle Behandlung und Vollbelastung operativ versorgter isolierter Außenknöchelfrakturen beim älteren Patienten View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-04

AUTHORS

A. Partenheimer, J. Geerling, C. Voigt, H. Lill

ABSTRACT

QUESTION: Fractures of the ankle joint belong to the most often occurring injuries. The aftercare in plaster lasts several weeks and is problematic especially in elderly patients. METHODS: In a retrospective study patients over the age of 50 years who underwent surgical treatment of ankle fractures and early functional mobilization were examined in a follow-up. The range of motion, the circumferential measurements and the radiological course were examined by comparing preoperative and postoperative X-ray images after 13-24 months. The subjective results were collected using the Olerud-Molander score (OMS). RESULTS: A total of 30 out of 42 patients who qualified for the follow-up were included in the study. The distribution of the gender was equal as was the right/left distribution and the mean age was 68 years. The magnitude of movement and comparison between the two sides showed no significant differences. The average score for subjective satisfaction was 90 in the OMS. The radiological results showed few changes and no deviations from the axis. No redislocations or implant fractures could be observed. Early functional full weight-bearing showed satisfactory preliminary results. CONCLUSION: This treatment concept can be recommended because patient comfort is increased and the risk of immobilization is excluded. More... »

PAGES

308-312

References to SciGraph publications

  • 1987. Classification AO des fractures in NONE
  • 2003-07. Diagnostik und Therapie der Osteoporose in DER UNFALLCHIRURG
  • 1994. Chirurgie des Fußes in NONE
  • 2003-07. Management der manifesten Osteoporose—eine neue Verantwortung für den Unfallchirurgen! in DER UNFALLCHIRURG
  • 2004-10. Fraktur des oberen Sprunggelenks in TRAUMA UND BERUFSKRANKHEIT
  • 2005-02. Unfallchirurgie im Alter in DER CHIRURG
  • 1968-09. Erfahrungen mit der konservativen Behandlung der Malleolarfrakturen in ARCHIV FÜR ORTHOPÄDISCHE UND UNFALL-CHIRURGIE
  • 1984. Traumatic Disorders of the Ankle in NONE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00113-009-1724-9

    DOI

    http://dx.doi.org/10.1007/s00113-009-1724-9

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20195841


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