Post-Traumatic Ankle OA - Andrew Bucknill 4/4/2002

Brief

Lindsjo U, Upsala , Sweden

Clin. Orth & Rel. Res.

1985

Title

Operative Treatment of Ankle Fracture - Dislocations

Authors

Lindsjo U

Reference

Clin. Orth & Rel. Res. 1985, 189, 28 - 38

Summary

306 cases. Incidence 4 “ 34% depending on severity. A: 4%, B: 12%, C: 33%. Women over 35: 35%, Men over 35: 18%. Surface-bearing posterior fragments: 34%, small posterior fragments: 17%, no posterior fragment: 4%. Correlated Radiological arthritis with clinical result.

Critique

Statistics not explained. Extract from main work (below). No non-operative group.

Brief

Lindsjo U, Upsala ,S weden

Acta Ortho Scand

1981

Title

Operative Treatment of Ankle Fractures

Authors

Lindsjo U

Reference

Acta Orth Scand 1981 Suppl 189 vol 52 1-131

Summary

611 cases. No significant difference in incidence of arthritis at 1.5 or 4.1 years. Adverse features: Posterior malleolar fragment, number of injuries women over 50.

Critique

Thesis (131 pages). Statistics not explained.

Brief

Phillips et al, Chicago

JBJS

1985

Title

A prospective, randomised, study of the management of severe ankle #s

Authors

Phillips WA , Schwartz HS, Keller CS, Woodward HR, Rudd WS, Spiegel PG, Laros GS

Reference

JBJS 1985, 67A, 1, 67 - 78

Summary

138 cases. Talocrural angle only significant radiological prognostic indicator. Adequate reduction most important aspect of treatment but open did better.

Critique

Numbers not big enough and too many types of fixation for further conclusions.



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