Is the use of headless compression screws appropriate in arthroscopic ankle arthrodesis?

Öçgüder, Durmuş Ali; Fırat, Ahmet; Özdemir, Metin; Tecimel, Osman

doi:10.5606/ehc.2017.55466

Cited by 4 publications

(6 citation statements)

References 10 publications

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“…Again, Alam and Parviz [23] achieved 100% union rate in both screw fixation and tension band wiring groups without any case of delayed union. As Öçgüder et al, [8] reported, the high incidence of union and low incidence of non-union in our study might be attributed to stable anatomic reduction, limited soft tissue stripping, and exclusion of open fractures. We also believe that the high rate of achieving good and excellent clinical results and 100% union rate in the current study might be due to exclusion of multi-trauma patients and open fractures, which may adversely affect the outcome, thoroughly applying fracture management principles and paying more attention to anatomic reduction and stable fixation of the fractures, and having more experienced surgeons in a major trauma center in the region.…”

Section: Discussionsupporting

confidence: 69%

“…Alam and Parviz [23] reported a mean time of 12 weeks for malleolar screws and nine weeks for tension-band wiring. The results from Öçgüder et al's study, [8] who compared tension band wiring and screw fixation, were similar. Li et al [22] performed a minimally invasive surgery for medial malleolus fractures and reported a fracture healing time ranging from 8 to 12 weeks, with an mean 11.8±0.9 weeks for the minimally invasive group; and a fracture healing time mean of 15.9 in the control group.…”

Section: Discussionmentioning

confidence: 77%

“…Öçgüder et al, [8] reported only one delayed union out of 20 patients who were operated with malleolar screws and 100% union in the patients operated with tension band wiring. Again, Alam and Parviz [23] achieved 100% union rate in both screw fixation and tension band wiring groups without any case of delayed union.…”

Section: Discussionmentioning

confidence: 99%

“…Weight-bearing following the surgery is another well-documented issue in the literature; Ayyuob et al [8] restricted weight-bearing activity to six weeks. They also kept the joint splinted for six weeks and after splint removal, they initiated only partial weight-bearing activity.…”

Section: Discussionmentioning

confidence: 99%

“…[1,2] Many fixation methods have been described, including Kirschner wire, suture anchors, intraosseous wire loop fixation, antiglide plating, fully threaded headless compression screws, partially threaded compression screws, and tension-bend wiring. [3][4][5][6][7][8] In the current study, we compared three different fixation techniques for medial malleolus fractures. To our knowledge, there is no such study so far comparing the three most commonly used fixation techniques: tensionband wire fixation, partially threaded cannulated compression screws, and fully threaded cannulated headless compression screws.…”

mentioning

confidence: 99%

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A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture

Kochai

Türker²,

Çiçekli³

et al. 2018

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada medial malleol kırıklarında en çok kullanılan üç farklı tespit yöntemi olan gergi bandı tekniği, kısmi yivli kanüllü kompresyon vida ve tam yivli başsız kanüllü kompresyon vida yöntemleri karşılaştırıldı. Hastalar ve yöntemler:Çalışmaya medial malleol kırığı olan 90 hasta dahil edildi. Hastalar üç gruba ayrıldı. Grup A gergi bandı ile ameliyat edilen hastalar (n=26), grup B kısmen yivli kanüllü kompresyon vidalar (n=32) ve grup C başsız kanüllü kompresyon vidalar ile ameliyat edilen hastalar (n=32) olarak ayrıldı. Kırığın tipi, iyileşme oranları, implanta bağlı komplikasyonlar, enfeksiyon oranı, implant tahliyesi, yükten kısıtlamaları, yaralanmadan cerrahiye kadar olan süre ve hastaların vücut kütle indeksleri (VKİ) araştırıldı. Hastaların standart ön-arka, yan ve Mortis grafileri incelendi. AOFAS (American Orthopedic Foot and Ankle Society) skorlama sistemi klinik değerlendirme için kullanıldı. Bulgular: Üç grup arasında yaş, cinsiyet, VKİ, izleme periyodu ve kırık tipi açısından anlamlı bir fark gözlenmedi. Kaynama süresi grup C'de grup A ve B'ye oranla anlamlı olarak daha kısa idi. Grup C hastalarında implant başarısızlığı veya irritasyonu görülmedi ve bu durum grup A ve B ile kıyaslayınca istatistiksel olarak anlamlı idi (p= 0.037). Ancak bu konuda, grup A ve grup B arasında anlamlı bir fark yoktu (p= 0.41). AOFAS skorlamasına göre üç grup arasında anlamlı bir fark görülmedi. A ve B grubunda VKİ'si düşük olan hastalarda yüksek oranda implanta bağlı komplikasyon görüldü. Düşük VKİ ile implanta bağlı komplikasyon oranı arasında anlamlı ilişki bulundu (p<0.001).Sonuç: Kaynama süresinin tam yivli başsız kanüllü kompresyon vidası ile ameliyat edilen grupta diğer gruplara oranla anlamlı olarak daha kısa olduğu görüldü. Bu çalışma, gergi bandı yöntemi ve kısmi yivli kanüllü kompresyon vida ile medial malleol fiksasyonu yumuşak doku irritasyonuna ve implant bölgesinde ağrıya neden olabileceğini göstermiştir. Düşük VKİ'si olan hastalar implanta bağlı komplikasyonlara daha açıktır.Anahtar sözcükler: Ayak bileği kırığı; vücut kütle indeksi; başsız kanüllü kompresyon vidası; medial malleol kırığı; kısmı yivli kanüllü kompresyon vidası; gergi bandı. ABSTRACT Objectives:This study aims to compare the three most commonly used fixation techniques: tension-band wire fixation, partially threaded cannulated screws, and fully threaded cannulated headless compression screws. Patients and methods:Ninety patients with medial malleolus fractures were included in the study. Patients were divided into three groups. Group A included patients who underwent tension-band wire fixation (n=26), Group B partially threaded cannulated compression screws (n=32), and Group C fully threaded cannulated headless compression screws (n=32). The type of medial malleolus fracture, healing rates, implant-related complications, rate of infection, hardware removal, weight-bearing restrictions, mean interval time from the injury to the surgery, and Body Mass Indexes (BMIs) were investigated. The patients' radiographs (standard anterop...

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture

Kochai

Türker²,

Çiçekli³

et al. 2018

Eklem Hastalik Cerrahisi

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Patient and Surgical Factors Affecting Fusion Rates After Arthroscopic and Open Ankle Fusion: A Review of a High-Risk Cohort

Davis

Littlefield

Young

et al. 2022

JOIO

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Postoperative weightbearing following ankle arthrodesis

Potter

Freeman

2019

The Bone & Joint Journal

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Aims Postoperative rehabilitation regimens following ankle arthrodesis vary considerably. A systematic review was conducted to determine the evidence for weightbearing recommendations following ankle arthrodesis, and to compare outcomes between different regimens. Patients and Methods MEDLINE, Web of Science, Embase, and Scopus databases were searched for studies reporting outcomes following ankle arthrodesis, in which standardized postoperative rehabilitation regimens were employed. Eligible studies were grouped according to duration of postoperative nonweightbearing: zero to one weeks (group A), two to three weeks (group B), four to five weeks (group C), or six weeks or more (group D). Outcome data were pooled and compared between groups. Outcomes analyzed included union rates, time to union, clinical scores, and complication rates. Results A total of 60 studies (2426 ankles) were included. Mean union rates for groups A to D were 93.2%, 95.5%, 93.0%, and 93.0%, respectively. Mean time to union was 10.4 weeks, 14.5 weeks, 12.4 weeks, and 14.4 weeks for groups A to D, respectively. Mean complication rates were 22.3%, 23.0%, 27.1%, and 28.7% for groups A to D, respectively. Reporting of outcome scores was insufficient to conduct meaningful analysis. Conclusion Outcomes following ankle arthrodesis appear to be similar regardless of the duration of postoperative nonweightbearing, although the existing literature is insufficient to make definitive conclusions. Cite this article: Bone Joint J 2019;101-B:1256–1262

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Is the use of headless compression screws appropriate in arthroscopic ankle arthrodesis?

Cited by 4 publications

References 10 publications

A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture

A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture

Patient and Surgical Factors Affecting Fusion Rates After Arthroscopic and Open Ankle Fusion: A Review of a High-Risk Cohort

Postoperative weightbearing following ankle arthrodesis

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