Healing distinction: New method for unstable trimalleolar fractures with the punch fragment
Healing distinction: New method for unstable trimalleolar fractures with the punch fragment
This research deals with the treatment of complex ankle breaks, more precisely unstable trimalleolar fractures, in which a so-called "punch" break occurs. These breaks are complicated and difficult to treat. The researchers compared two treatment approaches: the homeopathic dislocation of the ankle and conventional treatment.
The study showed that the homeopathic dislocation of the ankle provides better results in terms of function and healing time. Patients who received this treatment showed better physical and general health values and need less time for surgery and healing.
Analysis of possible future results or changes previously used practices:
If the results of this study are confirmed in further investigations, the homeopathic dislocation of the ankle could become a preferred approach to the treatment of unstable trimallelar fractures. This could lead to a standard change in surgical practice and possibly significantly shorten the treatment time and the healing process for patients.
basic terms and concepts:
- trimallleolar fracture: A break that affects three specific areas of the ankle: the inner ankle (media mallous), the outer ankle (lateral malleolus) and the rear part of the shin subspace (posterior malleolus).
- the punch fracture: A break that arises from strong strength and typically causes a break in the joint area.
- homeopathic dislocation: an alternative medical approach that was used here as part of the fracture treatment.
- aofas (American Orthopedic Foot and Ankle Society) Skala: A valuation system that measures the function of the foot and ankle joint.
- VAS (visual analogous scale): a scale for pain evaluation, in which patients classify the pain on a line from 0 (no pain) to 10 (strongest imaginable pain).
- Klags (Kellgren-Lawrence Arthritis Grading Scale): A scale for evaluating the severity of arthritis.
- SF-36 (Short Form Health Survey): A questionnaire that measures general health and well-being.
abbreviations:
- aofas: American Orthopedic Foot and Ankle Society
- vas: visual analog scale
- Klags: Kellgren-Lawrence arthritis grading scale
- SF-36: short form Health Survey
main findings of the study: superiority of homeopathic ankle luxation with unstable trimalleolar fractures
The present research examines the effectiveness of homeopathic ankle luxation during the treatment of unstable trimalleolar fractures, especially if a rear punch fragments are involved. This type of fracture is particularly difficult to treat due to its complexity.
study design and methodology
In retrospect, 124 patients who were diagnosed and treated between June 2008 and June 2020 were evaluated. The patients were divided into two groups: an experimental group that received homeopathic ankle luxation, and a control group that was treated conventionally. The data collected included the healing period of the fracture, wound healing and various scales for evaluating the clinical and functional outputs:- American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS)
- visual analog scale (vas)
- Kellgren-Lawrence Arthritis Grading Scale (Klags)
- Short form 36 (SF-36)
data evaluation
Various tests were used for the statistical evaluation:
- Student T-Test for the healing duration of the fracture
- Mann-Whitney test for wound healing and SF-36
- Repeated Measurement Anova for Aofas and VAS
- χ² test for complaints
results
parameter
| p-value
| | ||
|---|---|---|---|
| aofas | better | worse | 0.001 |
| vas (not stressful) | lower | higher | <0.001 |
| vas (stressful) | lower | higher | <0.001 |
| Operation time | shorter | longer | <0.001 |
| physical function (SF-36) | better | worse | 0.022 |
| roll-physical (SF-36) | better | worse | 0.018 |
| General state of health (SF-36) | better | worse | 0.001 |
| social function (SF-36) | better | worse | 0.042 |
conclusion
The results of the study show that homeopathic ankle luxation is an effective treatment method for unstable trimalleolar fractures with rear punch fragments. Patients in the experimental group showed significantly better functional results (AOFAS) and lower pain values (VAS). They also benefited from a shorter operation period and an improved quality of life (SF-36). This method could thus represent an advantageous alternative to conventional treatment.