Double Plating of Distal Fibula Fractures

Vance, Danica D.

doi:10.1177/1938640017692416

Cited by 16 publications

(7 citation statements)

References 22 publications

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“…A literatura mostrou que as estratégias de fixação intramedular ou extramedular são bem-sucedidas. 3,10,[19][20][21][22][23] Estudos demonstraram que a fixação antideslizante posterior fortalece a fixação das placas bloqueadas laterais que, por sua vez, são mais resistentes do que as placas laterais de neutralização sem bloqueio. [24][25][26][27][28] As placas bloqueadas são cada vez mais usadas para fixação de fraturas periarticulares e metafisárias, inclusive fraturas do aspecto distal da fíbula.…”

Section: Discussionunclassified

“…9 A redução anatômica e a estabilização cirúrgica melhoraram os desfechos nas fraturas da fíbula distal com luxação, minimizando o risco de desenvolvimento de artrite pós-traumática. [10][11][12][13] Tradicionalmente, essas fraturas são fixadas com um parafuso interfragmentar e uma placa de neutralização lateral ou posterior com princípio de antideslizamento; há uma crescente tendência de uso de placas bloqueadas e das novas placas anatômicas com pré-contorno, especialmente em fraturas osteoporóticas, que oferecem maior resistência à força de deslocamento e maior número de parafusos no segmento distal. 10,14,15 Até o momento, ainda não há consenso sobre o método ideal de fixação.…”

Section: Introductionunclassified

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Uso de placa retorcida – Um método de fixação da fíbula distal

2020

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Resumo Objetivo A literatura discute diversos métodos intramedulares ou extramedulares para fixação de fraturas da fíbula distal, mas não há consenso acerca do método ideal de fixação. Analisamos retrospectivamente os resultados do uso de uma placa bloqueada de compressão (LCP) de 3,5 mm retorcida e com contorno como placa de apoio posterior. Métodos Dos 62 casos de fraturas de tornozelo tratadas em nosso instituto pelo autor sênior entre 1° de janeiro de 2012 e 31 de dezembro de 2015, 41 pacientes atenderam aos critérios de inclusão (tipos B e C de Danis-Weber). Resultados Todas as 41 fraturas fibulares distais cicatrizaram sem intercorrências, em uma média de 10,4 semanas (8–14 semanas) (Figuras 6 a 9) e sem complicações. A pontuação American Orthopaedic Foot & Ankle Society (AOFAS) média foi de 92,6 (86–100) em um período médio de acompanhamento de 31,5 meses (14–61 meses). Conclusões Obtivemos excelentes resultados clínicos e radiológicos com uso de LCP retorcida de 3,5 mm como apoio posterior ao combinar as vantagens da placa antideslizante posterior e a LCP lateral.

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Section: Discussionunclassified

Section: Introductionunclassified

Uso de placa retorcida – Um método de fixação da fíbula distal

2020

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“…Fractures of the fibula were stabilized with or without a lag screw and a neutralization plate placed either posteriorly, posterolaterally, laterally or with 2 one-third tubular plates depending on fracture configuration, patient factors, and surgeon preference. 15 Fractures of the medial malleolus were stabilized using 2 lag screws. Fractures of the posterior malleolus were stabilized using a posterior buttress plate or screws via a posterolateral approach.…”

Section: Methodsmentioning

confidence: 99%

Functional Outcomes After Fracture-Dislocation of the Ankle

Tantigate

Kirschenbaum

et al. 2019

Foot & Ankle Specialist

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Background. Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Methods. A retrospective chart review of surgically treated ankle fractures over a 3- year period was performed. Demographic data, type of fracture, operative time and complications were recorded. Of 118 patients eligible for analysis, 33 (28%) sustained a fracture-dislocation. Mean patient age was 46.6 years; 62 patients, who had follow-up of at least 12 months, were analyzed for functional outcome assessed by the Foot and Ankle Outcome Score (FAOS). The median follow-up time was 37 months. Demographic variables and FAOS were compared between ankle fractures with and without dislocation. Results. The average age of patients sustaining fracture-dislocation was greater (53 vs 44 years, P = .017); a greater percentage were female (72.7% vs 51.8%, P = .039) and diabetic (24.2% vs 7.1%, P = .010). Wound complications were similar between both groups. FAOS was generally poorer in the fracture-dislocation group, although only the pain subscale demonstrated statistical significance (76 vs 92, P = .012). Conclusion. Ankle fracture-dislocation occurred more frequently in patients who were older, female, and diabetic. At a median of just > 3-year follow-up, functional outcomes in fracture-dislocations were generally poorer; the pain subscale of FAOS was worse in a statistically significant fashion. Levels of Evidence: Therapeutic, Level III

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“…This method is advantageous because it allows for biplanar fixation with the use of non-locking plates. It is a cost-effective method of fixation in a comminuted distal fibula fracture [1,19]. Randall et al found that dual plating is a relatively safe option with functional outcome comparable to the locking plate system, with a low incidence of implant failure [20].…”

Section: Dual Platingmentioning

confidence: 99%