Management of Complex Fibular Fractures: Double Plating of Fibular Fractures

Kwaadu, Kwasi Y.; Fleming, Justin J.; Lin, David Y

doi:10.1053/j.jfas.2013.08.002

Cited by 13 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…None were greater than 15 mm in diameter. We excluded 12 patients who sustained severe crushing injuries, 16 pediatric fractures, 7 fractures with concomitant fractures to the ipsilateral limb, 5 patients with previous ankle fractures to the ipsilateral limb, and 10 open fractures (13). Four patients requiring reoperation on the ipsilateral limb for unrelated injuries were excluded by our exclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

Lagged Syndesmotic Fixation: Our Clinical Experience

Kwaadu

Fleming²,

Salmon

2015

The Journal of Foot and Ankle Surgery

Self Cite

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Lagged Syndesmotic Fixation: Our Clinical Experience

Kwaadu

Fleming²,

Salmon

2015

The Journal of Foot and Ankle Surgery

Self Cite

View full text Add to dashboard Cite

“…Compared to an angular stable locking plate, conventional double plating reaches an equal biomechanical stability ( 49 ). The incidence of implant irritation seems not to be increased ( 50 ).…”

Section: Further Optionsmentioning

confidence: 99%

Ankle fractures in the elderly: Do we have new concepts?

2023

View full text Add to dashboard Cite

The relevance of geriatric ankle fractures is continuously increasing. Treatment of these patients remains challenging and requires adapted diagnostic and therapeutic strategies, as compliance to partial weight bearing is difficult to maintain compared to younger patients. In addition, in the elderly even low impact injuries may lead to severe soft tissue trauma, influencing timing and operative strategies. Recently, the direct posterolateral approach and plate fixation techniques, angular stable implants as well as intramedullary nailing of the distal fibula have been found to improve stategical concepts. This article aims to provide a comprehensive overview of the diagnostic and recent aspects with respect to how this difficult entity of injuries should be approached.

show abstract

“…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]. Kwaadu et al demonstrated that dual plating provides additional stability in complex fibular fractures due to advanced age or a higher energy injury and does not appear to increase the incidence of hardware removal due to skin or soft tissue irritation [21]. Also, in comminuted fractures, longer plates should be used to spread the stress load over a longer distance [1].…”

Section: Dual Platingmentioning

confidence: 99%