Comparison of three posterior malleolar fixation methods in trimalleolar ankle fractures

KALEM M., ŞAHİN E., SONGÜR M., Keser S., KINIK H. H.

ACTA ORTHOPAEDICA BELGICA, cilt.84, sa.2, ss.203-212, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 84 Sayı: 2
  • Basım Tarihi: 2018
  • Dergi Adı: ACTA ORTHOPAEDICA BELGICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.203-212
  • Anahtar Kelimeler: Trimalleolar fractures, posterolateral incision, posterior malleolar fixation, POSTEROLATERAL APPROACH, OPERATIVE TREATMENT, SCAPHOID NONUNION, BONE-GRAFT, STABILIZATION, DISLOCATIONS, EPIDEMIOLOGY, FRAGMENT
  • Ankara Üniversitesi Adresli: Evet

Özet

This study aimed to compare the results of AP screws, PA screws and posterior buttress plate used in posterior malleolar fixation of trimalleolar fractures. In this study, the data of 104 trimalleolar fracture cases treated surgically between October 2011 and January 2014 were extracted from hospital records. Patient demographics (age, gender, body mass index), the presence of syndesmotic injury, fracture type (according to the Lauge-Hansen classification), the size of posterior malleolar fragment (measured on lateral radiographs) were recorded. The patients requiring postoperative care for at least a year were invited to attend an evaluation of functional and radiological outcomes. At the final follow-up examination the functional evaluation was made by using AOFAS scores, VAS scores during walking, and dorsiflexion restrictions as compared with the unaffected side. As for the radiological evaluation, the patients were assessed according to the presence of a gap or step by the direct use of graphies following the fixation and with regard to the osteoarthritic development in alignment with the Bargon criteria.