지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 107 - 111 (5page)
이용수
초록· 키워드
오류제보하기
Objectives: Fracture of multiple sites can occur by minor trauma because decreased bone quality and bone density in osteoporotic patients. To investigate clinical characteristics of ankle fracture in osteoporotic patients over sixty-five years of age.
Materials and Methods: From January 2009 to December 2011, excluding distal tibial shaft and pilon fracture, 40 patients (over 65 years old) who were diagnosed the osteoporosis and observed over 6 months after ankle surgery. We measured age, gender, body mass index (BMI, kg/m2), bone mineral density (BMD, mg/cm3) and T-score through P-QCT. Type of fracture was classified into Danis-Weber and AO classification and whether or not of syndesmotic injury and concomitant disease. Surgery performed under AO principle. We investigated by wound healing, fixation failure and bone union during follow-up.
Results: The mean age was 70.3 years at surgery, 21 patients were male, and 19 patients were female. Mean BMI was 24.1 kg/m2 (mean weight 63.4 kg/mean height 162.2 cm), mean BMD was 63.6 mg/cm3, and T-score was -3.77. In all cases occurred by low energy rotational injury. Lateral malleolar fracture was 19 cases (48%), bimalleolar fracture was 10 cases, medial malleolar fracture was 7 cases, and trimalleolar fracture was 4 cases. Danis-Weber type B was 28 cases (70%), AO classification type B1 was 18 cases, type B2 was 5 cases, type B3 was 5 cases. In AO classification type A, medial malleolar fracture was 7 cases, bimalleolar fracture was 3 cases, lateral malleolar fracture was 1 case. Type C segmental fibular fracture was only 1 case (C2). There was no case with syndesmotic injuried, there was only 1 case with ankle subluxation in trimalleolar fracture. In case of concomitant disease were 24 cases. There were no wound infection and fixation failure. We obtained bone union in all case after 6 month.
Conclusions: Ankle fracture in osteoporotic patients over sixty-five years of age occurred by minor trauma, in all cases, there were Danis-Weber AO B1 type and there were no syndesmotic injury. Surgery was performed under only AO principles without augmentation method for osteoporosis, and we obtained bone union in all cases without complication like as fixation failure and wound problem.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Dunn WR / 2004 / An augmented fixation method for distal fibular fractures in elderly patients: a biomechanical evaluation / Foot Ankle Int 25 : 128 ~ 131
Fong W / 2007 / The treatment of unstable ankle fractures in patients over eighty years of age / Foot Ankle Int 28 : 1256 ~ 1259
Gnudi S / 2009 / Relationship of body mass index with main limb fragility fractures in postmenopausal women / J Bone Miner Metab 27 : 479 ~ 484
Greenfield DM / 2001 / Risk factors for ankle fracture / Osteoporos Int 12 : 97 ~ 103
Hasselman CT / 2003 / Foot and ankle fractures in elderly white women. Incidence and risk factors / J Bone Joint Surg Am 85 : 820 ~ 824
Fong W / 2007 / The treatment of unstable ankle fractures in patients over eighty years of age / Foot Ankle Int 28 : 1256 ~ 1259
Gnudi S / 2009 / Relationship of body mass index with main limb fragility fractures in postmenopausal women / J Bone Miner Metab 27 : 479 ~ 484
Greenfield DM / 2001 / Risk factors for ankle fracture / Osteoporos Int 12 : 97 ~ 103
Hasselman CT / 2003 / Foot and ankle fractures in elderly white women. Incidence and risk factors / J Bone Joint Surg Am 85 : 820 ~ 824
이 논문의 저자 정보
최근 본 자료
댓글(0)
0