The ANK nail method for lateral malleol fracture and syndesmosis injury treatment; clinical outcomes at 10 years follow up


Kahraman S., Ceylan H. H., Tüzüner T., GÜRBÜZ H., Kara A. N.

Eastern Journal of Medicine, cilt.23, sa.2, ss.90-97, 2018 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 2
  • Basım Tarihi: 2018
  • Doi Numarası: 10.5505/ejm.2018.09709
  • Dergi Adı: Eastern Journal of Medicine
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.90-97
  • Anahtar Kelimeler: ANK Nail, Ankle Fracture, Distal Tibiofibular Diastasis, Syndesmosis Injury
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Various surgical implants may be used for management of syndesmosis injury. One of these is ANK nail, which is used more than twenty years. In this study, we aimed to report our results on ANK nail application. This retrospective study was conducted on a total of 48 cases of fractured ankles, accompanying to injury to the syndesmosis, treated with ANK nail and followed up minimum of ten years. Clinical and radiological evaluation was made and AOFAS scores, range of motion and the development of posttraumatic arthritis were evaluated. A significant difference among the preoperative waiting period and posttraumatic arthritis was detected (p<0.05). There were no significant correlation detected between the type of fracture, ethiology of trauma, anatomical reduction of the fibula and posttraumatic arthritis (p>0.05). The ANK nail used for management of ankle fractures may provide both the fracture and syndesmosis stabilities and also a cost effective method as cheap as a cortical screw and a Kirschner wire.