Nk. Makwana et al., Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of age - A prospective, randomised study, J BONE-BR V, 83B(4), 2001, pp. 525-529
Citations number
20
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Forty-seven patients over the age of 55 years with a displaced fracture of
the ankle were entered into a prospective, randomised study in order to com
pare open reduction and internal fixation with closed treatment in a plaste
r cast; 36 were reviewed after a mean of 27 months. The outcome was assesse
d clinically, radiologically and functionally using the Olerud score.
The results showed that anatomical reduction was significantly less reliabl
e (p = 0.03) and loss of reduction significantly more common (p = 0.001) in
the group with closed treatment, Those managed by open reduction and inter
nal fixation had a significantly higher functional outcome score (p = 0.03)
and a significantly better range of movement of the ankle (p = 0.044) at r
eview.