New concepts in the treatment of ankle joint fractures

Abstract

The XS nail which is introduced here fulfils the requirements made of an implant as regards maximum protection of soft tissue, secure fracture fixation and early exercise tolerance, including ankle fractures. No implant dislocation, no deep infection and no re-osteosynthesis were observed. Its advantages over conventional techniques lie precisely in the treatment of complex fractures and for patients with poor bone, vascular and soft-tissue situations.

The implants used for intramedullary fixation of distal fibula fractures: A review of literature

“…Trial, [6][7][8] and 7 techniques in 9 case series alone. [9][10][11][12][13][14][15][16][17][18] Some techniques were reported in multiple publications.…”

Intramedullärer Verriegelungs-Kompressionsnagel (IP-XS-Nagel®)

“…In the period from 05/2000 to 01/2002, 194 ankle fractures were treated with the IP-XS-Nail ® [2]. The patients were observed prospectively and a follow-up examination was carried out after on average 15 months.…”

“…An additional axial screw was used for further compression at the medial malleolus because of the transverse fracture pattern. c) Radiographs after implant removal (1 year after the operation).Im Zeitraum 05/2000-01/2002 wurden 194 Sprunggelenkfrakturen mit dem IP-XS-Nagel ® versorgt[2]. Die Patienten wurden prospektiv beobachtet und durchschnittlich 15 Monate postoperativ nachuntersucht.…”

Intramedullary Fixation for Fractures of the Distal Fibula

“…13 Several studies reviewing intramedullary fixation of fibular fractures have reported significantly lower rates of wound breakdown and hardware irritation than seen traditionally with standard AO techniques. 2,5,8,10,12,14,15 The majority of complications seen in early descriptions of the procedure were minimized as the technique evolved. 2 For example, malunion in early, unlocked designs was as high as 20% compared to 5% in a more contemporary locked design.…”