Abstract

YANEZ ARAUZ, Juan; ARZAC ULLA, Ignacio R; FIORENTINI, Gustavo  and  YANEZ ARAUZ, Martín. Fracturas de tobillo: Comparación entre la cirugía abierta y el método mínimamente invasivo. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.1, pp.27-34. ISSN 1852-7434.

Introduction: Ankle fractures are common traumatic injuries. Treatment is usually surgical. Surgery may be open or percutaneous. The aim of this study is to compare the minimally invasive method and the conventional open reduction internal fixation surgery in the treatment of AO type B ankle fractures. Methods: This prospective study included 75 patients with AO type B ankle fracture operated on with MIPO technique and 58 patients operated on by RAFI technique. They were grouped according to the AO classification. Intraoperative characteristics and hospitalization, functional outcomes according to AOFAS and Weber scores, and radiological results were evaluated. The follow-up was 20.4 months for both groups. Results: Comparative results of surgical time, hospital stay, fluoroscopy time, weight load. AOFAS at 3 months: Group A, 96.5 points, and group B, 99 points. Anatomical reduction: 97.4% with MIPO technique and 98.3% using RAFI technique. Return to work activity: Group A, average 3.6 months; Group B: average 2.5 months. Return to sport: in Group A: mean 4.8 months; Group B: mean 3.7 months. Conclusions: It is clear from this study that the MIPO technique for the treatment of syndesmotic fractures is a good choice; the evolution and recovery are faster than with the open surgery, with a low complication rate.

Keywords : Ankle fracture; Transyndesmal lesion; MIPO; Fracture comparison.

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