title: [A comparative research on the treatment of ankle fracture with dislocation between emergency surgery and selective surgery].
abstract: OBJECTIVE
  To investigate the differences between emergency surgery and selective surgery treatment of ankle fractures with dislocation.
  
  
  METHODS
  In the study, 40 patients with ankle fracture and dislocation were treated and followed up from May 2013 to May 2014, and all the data were collected and analyzed. The subjects involved 29 male patients and 11 female patients. The patients were randomly separated into two groups, and the patients in group A were given surgical intervention within 6 hours after injury, while those in group B were initially given close reduction and given selective operation when the soft tissue condition got better. Group A contained 13 male patients and 7 female patients with average age of 37.10; Group B consisted of 15 male and 5 female, with average age of 37.85.
  
  
  RESULTS
  The Baird-Jackson score was applied for assessment of the patients' outcomes. According to the score, the outcomes were classified into excellent, good, fair, and poor. In group A (emergency group), the outcomes were 13 (65.0%), 4 (20.0%), 3 (15.0%), and 0, respectively. In group B (selective group), they were 11 (55.0%), 7 (35.0%), 2 (10.0%), and 0, respectively. The numbers of the patients from excellent to poor were 24 (55.0%), 11 (27.5%), 5 (12.5%), and 0, respectively.
  
  
  CONCLUSIONS
  There is no significant difference in postoperative function between the two groups, however, early surgical intervention can benefit in accomplishing anatomical reduction much easier and shortening the time of hospitalization, which is cost-saving for the patients.
authors.affiliation: Department of Trauma Orthopedic, Beijing Jishuitan Hospital, the 4th Hospital of Peking University, Beijing 100035, China.
authors.forename: Zi-an
authors.initials: ZA
authors.lastname: Zhang
authors.affiliation: Department of Trauma Orthopedic, Beijing Jishuitan Hospital, the 4th Hospital of Peking University, Beijing 100035, China.
authors.forename: Xin-bao
authors.initials: XB
authors.lastname: Wu
authors.affiliation: Department of Trauma Orthopedic, Beijing Jishuitan Hospital, the 4th Hospital of Peking University, Beijing 100035, China.
authors.forename: Man-yi
authors.initials: MY
authors.lastname: Wang
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations; D008297:Male; D011184:Postoperative Period