$minimally displaced lateral malleolus fracture$ $minimally displaced lateral malleolus fracture$

The outcome of the surgical management of a displaced lateral malleolus fracture is comparable with both techniques. The incidence of wound dehiscence and reoperation for hardware removal was slightly higher in the lateral plate group, but the difference was not statistically significant. There was no difference in ankle score, function, and infection rate. We also compared the complication rates, including failure of fixation, infection, wound dehiscence, and need for hardware removal.īoth groups were comparable for age, sex distribution, mechanism of injury, and occupation. The lower leg comprises of 2 long bones, known as the fibula and the tibia, which are situated beside. The majority of respondents 280 (90.03) provided a score of between 1 and 2 to suggest they believed that operative management was the best option for the radiograph demonstrating a displaced Weber B fracture (Question 2, Table 2). Figure 1 Lateral Malleolus Fracture Anatomy. The most effective methods for assessing tibiotalar instability include stress and weight-bearing radiographs. In the setting of an isolated lateral malleolus fracture, identifying injury to this ligament and associated ankle instability influences management. Surgical treatment is indicated when fracture or ankle instability are present, with several techniques described. ment is considered the primary stabilizer of the ankle. Conservative treatment must also be considered in overaged unhealthy patients, even in unstable fractures. The functional results were evaluated with the ankle scoring system described previously. A lateral malleolus fracture is a relatively common condition characterized by a break in the bony prominence situated at the outer aspect of the ankle known as the lateral malleolus (figure 1). For simple, minimally displaced fractures without ankle instability, conservative treatment leads to excellent results. Small nondisplaced avulsion fractures of the tip of the lateral malleolus (Figure 13-4) are best treated with early mobilization similar to treatment of an. The senior surgeons are all orthopaedic trauma subspecialists.Ī total of 193 patients meeting our inclusion criteria, with isolated lateral malleolus fractures surgically treated at the Vancouver General Hospital between 19, were studied.Įighty-five were treated with antiglide plating, whereas the remaining 108 patients underwent traditional lateral plating. The study was carried out at a university teaching hospital that serves as a provincial trauma referral service and provides local community care. This is a retrospective review, being largely a surgeon-randomized comparative study. Isolated fibular fractures comprise the majority of ankle fractures in older women, occurring in approximately 1 to 2 of every 1000 White women each year 1. To assess the outcomes of the surgical management of 'isolated' displaced lateral malleolar fractures, comparing the techniques of lateral plating and antiglide plating as described previously. Fibular fractures in adults are typically due to trauma.

$minimally displaced lateral malleolus fracture$

Minimally displaced lateral malleolus fracture