Impact of early rehabilitation on Weber B ankle fracture anti-glide plate osteosynthesis
DOI:
https://doi.org/10.1016/j.rccot.2016.03.005Keywords:
ankle fractures, Weber B, anti-glide plate, rehabilitationAbstract
Introduction: Weber B ankle fractures are the most common fractures at the ankle joint and constitute the second cause of disability preceded only by ankle sprains. Surgical management of this fracture with posterior anti-glide plate technique allows the initiation of an early rehabilitation.
Materials and methods: A prospective study was made, including 14 patients that underwent surgery with posterior anti-glide plate and subsequent management with early rehabilitation protocol designed by the Department of Physical Medicine.
Results: The estimated time of disability in the study group was 55.3 days (SD = 10.11) That means 51 days. This is considered favorable when we consider a rehabilitation processes over 100 days reported in specialized literature.
Discussion: Anti-glide plate osteosynthesis as well as the rehabilitation protocol should be considered as comprehensive treatment that can positively impact patient overall recovery by reducing disability in Weber type B ankle fractures.
Evidence level: IV.
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References
Salter R. Trastornos y lesiones del sistema musculoesquelético. 2.a edición Barcelona: Salvat; 1986.
Pedraza J, Quintero J. Fracturas del tobillo: evaluación del resultado del tratamiento quirúrgico en el Hospital Clínica San Rafael. Revista Sociedad Colombiana de Cirugía Ortopédica y Traumatología. 1993;7:201-6.
Baird R, Scott T. Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. J. Bone Joint Surg. 1987;69A:1346-52. https://doi.org/10.2106/00004623-198769090-00007
Winkler B, Weber B, Simpson L. The dorsal anti-glide plate in the treatment of Danis-Weber type-B fractures of the distal fibula. Clin Orthop Relat Res. 1990;259:204-9. https://doi.org/10.1097/00003086-199010000-00029
Herrera J. Artroplastia de tobillo: estado del arte. Parte 1. Revista Sociedad Colombiana de Cirugía Ortopédica y Traumatología. 2008;22:247-60.
Horwitz D, Bachus K, Peters C. A biomechanical analysis of internal fixation of complex tibial plateau fractures. J Orthop Trauma. 1999;13:545-54. https://doi.org/10.1097/00005131-199911000-00005
Lamontagne J, Blachut P, Broekhuyse M. Surgical treatment of a displaced lateral malleolus fracture: The anti-glide technique versus lateral plate fixation. J Orthop Trauma. 2002;16:498-502. https://doi.org/10.1097/00005131-200208000-00008
Buscharino B, Moretti R, Soares J, Christian R. Biomechanical study: Resistance comparison of posterior anti-glide plate and lateral plate on synthetic bone models simulating DanisWeber B malleolar fractures. Revista Brasileira de Ortopedia. 2013;48:221-7. https://doi.org/10.1016/j.rbo.2012.09.005
Lin C, Moseley A, Refshauge K. Effects of rehabilitation after ankle fracture: a Cochrane systematic review. Eur J Phys Rehabil Med. 2009;45:431-41. https://doi.org/10.1002/14651858.CD005595.pub2
Zöch C, Fialka-Moser V, Quittan M. Rehabilitation of ligamentous ankle injuries: a review of recent studies. Br J Sports Med. 2003;37:291-5. https://doi.org/10.1136/bjsm.37.4.291
Holguín E, Herrera J, Reyes O, Mesa J. Resultados funcionales de la técnica de placa antideslizante versus técnica de placa lateral para el tratamiento quirúrgico de fracturas del maléolo externo tipo Weber B. Revista Sociedad Colombiana de Cirugía Ortopédica y Traumatología. 2008;22:117-21.
Miller A, Margules A, Raikin S. Risk factors for wound complications after ankle fracture surgery. J Bone Joint Surg. 2012;94A:2047-52. https://doi.org/10.2106/JBJS.K.01088
Charlotte K, Gustaf E, Karl-Åke J. Epidemiology of adult ankle fractures in Sweden between 1987 and 2004. Acta Orthopaedica. 2012;83:276-81. https://doi.org/10.3109/17453674.2012.672091
Martínez N, Saldívar A, Sierra O, Jiménez E. Posterior anti-glide plate vs lateral plate to treat Weber type B ankle fractures. Acta Ortopédica Mexicana. 2004;18 Suppl 1:S39-44.
Kunkel M, Miller S. Return to work after foot and ankle injury. Foot Ankle Clin. 2002;7:421-8. https://doi.org/10.1016/S1083-7515(02)00031-1
Ochoa L. Experiencia y resultado en el tratamiento quirúrgico de las fracturas del tobillo tipo B con el principio antideslizante. Revista Venezolana de Cirugía Ortopédica y Traumatología. 2008;40:31-5.
Quintero J, López J. Conceptos actuales y resultados del tratamiento quirúrgico de las fracturas del cuello del pie. Revista Sociedad Colombiana de Cirugía Ortopédica y Traumatología. 1988;2:49-60.
Vioreanu M, Dudeney S, Hurson B, Kelly E, O'Rourke K, Quinlan W. Early mobilization in a removable cast compared with immobilization in a cast after operative treatment of ankle fractures: a prospective randomized study. Foot Ankle Int. 2007;28: 13-9. https://doi.org/10.3113/FAI.2007.0003
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