Highlights
- •Adolescent transitional ankle fracture is a specific type of fracture that occurs during the adolescent growth phase.
- •Arthrography is an important surgical method in pediatric orthopedic surgery.
- •In order to improve the success rate of closed reduction, we use the joystick technique to transitional ankle fracture.
- •The arthrography-assisted joystick technique provide an important guidance to transitional ankle fracture.
Abstract
Purpose
To investigate the feasibility and short-term clinical efficacy of the arthrography-assisted
joystick technique for the treatment of adolescent transitional ankle fracture.
Methods
A retrospective analysis was performed in 10 adolescent transitional ankle fracture
patients treated with the arthrography-assisted joystick technology. There were 7
male patients and 3 female patients with a mean age of 12.80 ± 1.81 years (range:
10–16 years). All cases were closed fractures, and the operation was performed after
the failure of manual reduction [X-ray or computed tomography (CT) showed that the
fracture gap was > 2 mm]. After the operation, X-ray or CT examination was performed
to assess reduction of the fracture. Ankle function and fracture healing were evaluated
by assessing the imaging indexes and evaluating the American Orthopedic Foot and Ankle
Society (AOFAS) ankle score system.
Results
All patients were followed up for an average period of 12.00 ± 3.40 months (range:
8–20 months). The operation time was 40.50 ± 16.90 min (range: 25–80 min), the number
of intraoperative fluoroscopy sessions was 18.70 ± 5.91 (range: 10–30 sessions), and
the intraoperative blood loss was 5.90 ± 3.38 ml (range: 2–10 ml). X-ray examination
showed that all cases achieved bone healing. The fracture healing time was 11.00 ± 2.45
weeks (range: 8–16 weeks). Four cases showed early closure of the epiphysis. The AOFAS
scoring system evaluation results of these 10 pediatric cases were excellent.
Conclusion
The arthrography-assisted joystick technique for the treatment of adolescent transitional
ankle fracture offers advantages, such as minimal trauma, simple operation, ideal
reduction effect, and the recent curative effect is satisfactory.
Keywords
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Article info
Publication history
Published online: June 02, 2022
Accepted:
May 8,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
