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Twisted Plating - A Method of Distal Fibula Fixation

Objective  The literature entails various intramedullary and extramedullary methods for distal fibula fracture fixation; with no consensus yet over the ideal method of fixation. We have retrospectively analyzed the results of using a twisted and contoured 3.5 mm locking compression plate (LCP) as a...

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Detalles Bibliográficos
Autores principales: Agarwala, Sanjay, Menon, Aditya, Bhadiyadra, Ravi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048577/
https://www.ncbi.nlm.nih.gov/pubmed/32123444
http://dx.doi.org/10.1055/s-0039-1700820
Descripción
Sumario:Objective  The literature entails various intramedullary and extramedullary methods for distal fibula fracture fixation; with no consensus yet over the ideal method of fixation. We have retrospectively analyzed the results of using a twisted and contoured 3.5 mm locking compression plate (LCP) as a posterior buttress plate. Methods  Of the 62 cases with ankle fractures managed at our institute by the senior author from 1 (st) January 2012 to 31 (st) December 2015, 41 patients met our inclusion criteria (Danis-Weber types B and C). Results  All 41 distal fibular fractures healed uneventfully, at a mean of 10.4 weeks (8–14 weeks) (Figs. 6, 7, 8 to 9) with no complications. The mean American Orthopaedic Foot & Ankle Society (AOFAS) score was 92.6 (86–100) at a mean follow-up of 31.5 months (14–61 months). Conclusions  We have achieved excellent clinical and radiological outcomes using a twisted 3.5 mm LCP as a posterior buttress by combining the advantages of posterior antiglide plating and lateral LCP.