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Healing dislocation: New method for unstable trimalleolar fractures with die-punch fragment
Study shows: Homeopathic ankle dislocation improves healing for unstable trimalleolar fractures with posterior die-punch fragment and shortens operative time and recovery time. #medicine #research
Healing dislocation: New method for unstable trimalleolar fractures with die-punch fragment
This research deals with the treatment of complex ankle fractures, more specifically unstable trimalleolar fractures, in which a so-called “die-punch” fracture occurs. These fractures are complicated and difficult to treat. The researchers compared two treatment approaches: homeopathic ankle dislocation and conventional treatment.
The study showed that homeopathic ankle dislocation provides better results in terms of function and healing time. Patients who received this treatment demonstrated better physical and general health metrics and required less time for surgery and healing.
Analysis of possible future results or changes to previously used practices:
If the results of this study are confirmed in further investigations, homeopathic ankle dislocation may become a preferred approach for the treatment of unstable trimalleolar fractures. This could lead to a standard change in surgical practice and potentially significantly shorten the treatment time and healing process for patients.
Basic terms and concepts:
- Trimalleolar Fraktur: Ein Bruch, der drei spezifische Bereiche des Knöchels betrifft: den Innenknöchel (medialer Malleolus), den Außenknöchel (lateraler Malleolus) und den hinteren Teil der Schienbeinunterfläche (posteriorer Malleolus).
- Die-punch Fraktur: Ein Bruch, der durch starke Krafteinwirkung entsteht und typischerweise einen Eindrückungsbruch im Gelenkbereich verursacht.
- Homöopathische Dislokation: Ein alternativer medizinischer Ansatz, der hier als Teil der Frakturbehandlung verwendet wurde.
- AOFAS (American Orthopedic Foot and Ankle Society) Skala: Ein Bewertungssystem, das die Funktion des Fuß- und Knöchelgelenks misst.
- VAS (Visuelle Analogskala): Eine Skala zur Schmerzbewertung, bei der Patienten den Schmerz auf einer Linie von 0 (kein Schmerz) bis 10 (stärkster vorstellbarer Schmerz) einordnen.
- KLAGS (Kellgren-Lawrence Arthritis Grading Scale): Eine Skala zur Bewertung des Schweregrades der Arthritis.
- SF-36 (Short Form Health Survey): Ein Fragebogen, der die allgemeine Gesundheit und das Wohlbefinden misst.
Abbreviations:
- AOFAS: American Orthopedic Foot and Ankle Society
- VAS: Visuelle Analogskala
- KLAGS: Kellgren-Lawrence Arthritis Grading Scale
- SF-36: Short Form Health Survey
Main finding of the study: Superiority of homeopathic ankle dislocation in unstable trimalleolar fractures
The present research investigates the effectiveness of homeopathic ankle dislocation in the treatment of unstable trimalleolar fractures, particularly when a posterior die-punch fragment is involved. This type of fracture is considered particularly difficult to treat due to its complexity.
Study design and methodology
124 patients who were diagnosed and treated between June 2008 and June 2020 were retrospectively evaluated. The patients were divided into two groups: an experimental group that received homeopathic ankle dislocation and a control group that received conventional treatment. Data collected included fracture healing time, wound healing, and various scales to assess clinical and functional outcomes:
- 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 für die Heilungsdauer der Fraktur
- Mann-Whitney-Test für die Wundheilung und SF-36
- Repeated Measurement ANOVA für AOFAS und VAS
- χ²-Test für KLAGS
Results
| parameter | Experimental group | Control group | p-value |
|---|---|---|---|
| AOFAS | Better | Worse | 0.001 |
| VAS (non-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 health status (SF-36) | Better | Worse | 0.001 |
| Social Function (SF-36) | Better | Worse | 0.042 |
conclusion
The results of the study show that homeopathic ankle dislocation is an effective treatment method for unstable trimalleolar fractures with posterior die-punch fragments. Patients in the experimental group showed significantly better functional outcomes (AOFAS) and lower pain scores (VAS). They also benefited from a shorter operation time and an improved quality of life (SF-36). This method could therefore represent an advantageous alternative to conventional treatment.