DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES: 15-YEAR FOLLOW-UP OF 88 PATIENTS

D. K. E. van der Schoot; A. J. Den Outer; P. J. Bode; W. R. Obermann; A. B. van Vugt

doi:10.1302/0301-620X.78B5.0780722

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Trauma

DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES

15-YEAR FOLLOW-UP OF 88 PATIENTS

D. K. E. van der Schoot
A. J. Den Outer
P. J. Bode
W. R. Obermann
A. B. van Vugt

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DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES

van der Schoot DKE, Den Outer AJ, Bode PJ, Obermann WR, van Vugt AB. DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES. J Bone Joint Surg Br. 1996;78-B(5):722-725. doi:10.1302/0301-620X.78B5.0780722

van der Schoot, D. K. E., et al. “DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume, vol. 78-B, no. 5, 1996, pp. 722-725., https://doi.org/10.1302/0301-620X.78B5.0780722

van der Schoot, D. K. E., Den Outer, A. J., Bode, P. J., Obermann, W. R., & van Vugt, A. B. (1996). DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES. The Journal of Bone & Joint Surgery British Volume, 78-B(5), 722-725. https://doi.org/10.1302/0301-620X.78B5.0780722

van der Schoot, D. K. E., Den Outer, A. J., Bode, P. J., Obermann, W. R. and van Vugt, A. B. (1996) “DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume, 78-B(5), pp. 722-725. Available at: https://doi.org/10.1302/0301-620X.78B5.0780722

van der Schoot, D. K. E., A. J. Den Outer, P. J. Bode, W. R. Obermann, and A. B. van Vugt. “DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES.” The Journal of Bone & Joint Surgery British Volume 78-B, no. 5 (1996): 722-725. https://doi.org/10.1302/0301-620X.78B5.0780722

van der Schoot DKE, Den Outer AJ, Bode PJ, Obermann WR, van Vugt AB. DEGENERATIVE CHANGES AT THE KNEE AND ANKLE RELATED TO MALUNION OF TIBIAL FRACTURES. J Bone Joint Surg Br. 1996 Sep 1;78-B(5):722-725. https://doi.org/10.1302/0301-620X.78B5.0780722

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Abstract

We re-examined clinically and radiologically 88 patients with a fracture of the lower leg at a mean follow-up of 15 years. Forty-three fractures (49%) had healed with malalignment of at least 5°. More arthritis was found in the knee and ankle adjacent to the fracture than in the comparable joints of the uninjured leg. Malaligned fractures showed significantly more degenerative changes.

Eighteen patients (20%) had symptoms in the fractured leg. There was a significant correlation between symptoms in the knee and arthritis but not between symptoms and ankle arthritis or malalignment.

We conclude that fractures of the lower leg should be managed so that the possibility of angular deformity and thereby late arthritis is minimised.

Correspondence should be sent to Dr A. J. Den Outer at the Department of Surgery, Rijnland Hospital, PO Box 4220, 2350 CC Leiderdorp, The Netherlands.

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