Antiglide versus lateral plate fixation for Danis-Weber type B malleolar fractures caused by supination-external rotation injury

Kilian, Miroslav; Csörgö, Peter; Vajcziková, S; Luha, Ján; Zamborský, Radoslav

doi:10.1016/j.jcot.2017.06.005

Cited by 27 publications

(13 citation statements)

References 13 publications

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“…This conforms with other workers reported a female predominance such as Gauthe R. et al, [19] in a retrospective study included 477 patients 81% were female and Beris AE et al, [20] where 88% of fractures were in women with male to female ratio (1:1.57), this could be due to underlying osteopenia or osteoporosis in the female population with ages more than 45 years. This was in contrast to the study of Miroslav Kilian et al, [21] reported male predominance (54.2%), with male to female ratio (1.2:1), Rajiv et al, [13] (62.3%) were males, with male to female ratio (1.65:1) and Santosh S. et al, [15] male to female ratio (1.4:1).…”

Section: Discussioncontrasting

confidence: 74%

Extra-Periosteal Plate Fixation of Ankle Fractures

Elfors¹,

Elmehy

2019

The Medical Journal of Cairo University

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Background: Open reduction and internal fixation with plate and screws is the standard operative treatment for displaced or unstable malleolar fractures, as it allows for a stable mechanical environment for healing. However, extensive surgical dissection can lead to devitalization of the fracture fragments and their soft tissue attachments, resulting in delayed union, non-union, and infection. Hence, a balance is necessary between anatomic reduction and soft tissue devitalization. Aim of Study:Was to evaluate the results of extra-periosteal plate fixation in ankle fractures. Patients and Methods:This study was done on 21 patients with closed ankle fractures who were admitted to Department of Orthopaedics, Tanta University Hospitals. The distribution of patients was according to age, sex, side, mode of trauma, lauge hansen classification type of fracture, medical history, smoking, time lag and associated injuries. Fixation was done by extra-periosteal plating technique. Clinical evaluation was according to Baird and Jackson scoring system.Results: There were significant statistical correlation between the time of union and mode of trauma, associated injuries, associated medical condition and Time lag.Conclusion: Extra-periosteal plating of ankle fractures is an effective method of stabilization that leads to predictable union of the fibular fracture. The results of this procedure are at least as good as those of other techniques of open reduction and internal fixation of the ankle.

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Section: Discussioncontrasting

confidence: 74%

Extra-Periosteal Plate Fixation of Ankle Fractures

Elfors¹,

Elmehy

2019

The Medical Journal of Cairo University

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“…A prospective study by Kilian et al [ 18 ] found no significant difference in the AOFAS score of patients who underwent anti-glide (93.7±6.1; range 85-100) or lateral plate fixation of Weber B malleolus fractures (94.5±6.0; range 85-100) (p = 0.37). However, lag screws were applied in some patients who underwent anti-glide operation, which may have confounded the results.…”

Section: Discussionmentioning

confidence: 99%

Anti-Glide Plate Fixation for Lateral Malleolus Fractures by Minimally Invasive Technique in Geriatric Patients

Mooya¹,

Kakakhel²,

El-Amien³

et al. 2022

Cureus

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The objective was to evaluate the functional outcomes of anti-glide fixation by minimally invasive plate osteosynthesis (MIPPO) in lateral malleolus ankle fractures.The study was a retrospective cohort study conducted at a single trauma center. We reviewed 39 patients >60 years old with either isolated or non-isolated lateral malleolus Weber B ankle fractures.The main outcome measures were postoperative functional assessment performed with the American Orthopaedic Foot and Ankle Society (AOFAS) and Short Musculoskeletal Functional Assessment (SMFA) scores. Our results showed that the mean time to surgery was 1 day. Seventeen patients underwent surgery within 24 hours after sustaining the injury. The mean AOFAS and SMFA scores were 87.8 and 209.7, respectively. No patient developed implant failure or wound complications.It was concluded that the anti-glide plating of the lateral malleolus had better functional outcomes compared to lateral plating by open reduction and internal fixation (ORIF), as shown by the higher AOFAS scores and fewer postoperative complications.

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“… 98 Posterolateral and posterior antiglide plate fixation led to satisfactory clinical and radiological outcome comparable to lateral plating. 99 – 101 A significant complication of posterolateral plating is a peroneal tendon lesion, that can lead to high rates of hardware removal. 102 But the more currently conducted studies report a low complication rate, including minimal presence of peroneal lesions.…”

Section: Operative Treatmentmentioning

confidence: 99%

“… 102 But the more currently conducted studies report a low complication rate, including minimal presence of peroneal lesions. 99 , 103 The antiglide plate can be inserted via a lateral or posterolateral approach, depending on the fracture configuration. A posterolateral approach is used in case of a concomitant fracture of the posterior malleolus requiring open reduction and internal fixation.…”

Section: Operative Treatmentmentioning

confidence: 99%

“… 125 The posterolateral approaches allow open reduction and internal fixation of the posterior malleolus as well as the treatment of distal fibular fractures. 99 Open reduction and internal fixation of the posterior malleolus can be performed with posterior screw or plate fixation depending on the fracture configuration and bone quality. 121 There is no uniform recommendation for when to use screws, e.g.…”

Section: Operative Treatmentmentioning

confidence: 99%

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Current management of trimalleolar ankle fractures

et al. 2021

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A trimalleolar ankle fracture is considered unstable and treatment is generally performed operatively. Computed tomography is important for the operative planning by providing an elaborated view of the posterior malleolus. Trimalleolar ankle fractures have a rising incidence in the last decade with up to 40 per 100,000 people per year. With a growing number of elderly patients, trimalleolar ankle injuries will become more relevant in the form of fragility fractures, posing a particular challenge for trauma surgeons. In patients with osteoporotic trimalleolar ankle fractures and relevant concomitant conditions, further evidence is awaited to specify indications for open reduction and internal fixation or primary transfixation of the ankle joint. In younger, more demanding patients, arthroscopic-assisted surgery might improve the outcome, but future research is required to identify patients who will benefit from assisted surgical care. This review considers current scientific findings regarding all three malleoli to understand the complexity of trimalleolar ankle injuries and provide the reader with an overview of treatment strategies and research, as well as future perspectives. Cite this article: EFORT Open Rev 2021;6:692-703. DOI: 10.1302/2058-5241.6.200138

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Antiglide versus lateral plate fixation for Danis-Weber type B malleolar fractures caused by supination-external rotation injury

Cited by 27 publications

References 13 publications

Extra-Periosteal Plate Fixation of Ankle Fractures

Extra-Periosteal Plate Fixation of Ankle Fractures

Anti-Glide Plate Fixation for Lateral Malleolus Fractures by Minimally Invasive Technique in Geriatric Patients

Current management of trimalleolar ankle fractures

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