Arthroscopic-assisted reduction plus internal fixation and traditional open reduction plus internal fixation for talus fractures: a comparative study

Dong Yan; Hua Li; Botian Shao; Ge Jiang; Junpeng Yang; Dehu Liu; Miao Zhang; Lei Fu

Arthroscopic-assisted reduction plus internal fixation and traditional open reduction plus internal fixation for talus fractures: a comparative study

Am J Transl Res. 2022 May 15;14(5):3261-3268. eCollection 2022.

Authors

Dong Yan¹, Hua Li², Botian Shao³, Ge Jiang⁴, Junpeng Yang⁵, Dehu Liu⁶, Miao Zhang⁷, Lei Fu⁸

Affiliations

¹ First District of Orthopedics Department, The 960th Hospital of Joint Logistic Support Force of PLA Zibo 255300, Shandong, China.
² Fifth Department of Surgery, Penglai People's Hospital Yantai 265600, Shandong, China.
³ Department of Hand and Foot Surgery, The Eighth People's Hospital of Qingdao Qingdao 266000, Shandong, China.
⁴ Department of Emergency, Yantai Penglai Traditional Chinese Medicine Hospital Yantai 264000, Shandong, China.
⁵ Department of Orthopedics, Yantai Penglai Traditional Chinese Medicine Hospital Yantai 264000, Shandong, China.
⁶ Department of Orthopedics, Tai'an Traditional Chinese Medicine Hospital Tai'an 271000, Shandong, China.
⁷ Department of Orthopedics, Zhejiang Tianshi Orthopedics Hospital Group Lishui 323000, Zhejiang, China.
⁸ Department of Hand and Foot Micro Orthopedics, The Second People's Hospital of Dongying City Dongying 257335, Shandong, China.

PMID: 35702107
PMCID: PMC9185043

Abstract

Objective: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures.

Methods: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. The operation indices, the score of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scoring System (AOFAS-AH), callus growth score, pain score, treatment effect, complications and quality of life score were compared between the two groups.

Results: The research group showed shorter time of fracture healing, hospitalization and less intraoperative blood loss than the control group (all P<0.001). The ankle-hindfoot score in the research group was higher than those in the control group 3 and 6 months after surgery (both P<0.001). The excellent and good rate of treatment in the research group (93.48%) was higher than that in the control group (78.26%; P<0.05). Compared with the control group, the VAS score was lower and the callus growth score was higher in the research group at 1^st, 3^rd and 6^th month after surgery (all P<0.01). The incidence of complications in the research group (2.17%) was lower than that in the control group (13.04%; P<0.05). Six months after surgery, the SF-36 score increased compared with that before surgery, with higher parameters in the research group than in the control group (P<0.001).

Conclusion: ARIF is more effective than traditional open reduction and internal fixation in treating talus fractures, with less complications and higher safety.

Keywords: Arthroscopy; reduction and internal fixation of talus fractures; talus fractures; traditional open reduction and internal fixation.