Surgical Management of Comminuted Avulsion Fracture of the Proximal Fibula with Lateral Collateral Ligament Injury - Technical Note -

Kim, Jong Min; Park, Byeong Mun; Lee, Sang Hoo; Jeon, Seung Ju; Shin, Jun Beum; Song, Kyeong Seop

doi:10.12671/jkfs.2013.26.1.77

Cited by 3 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study, 6 patients among 7, who underwent anterior cruciate ligament reconstruction; lachman and pivot shift tests were less than grade II and of 7 patients, 5 showed grade I and II on varus stress tests 9 . No lateral instability was noted in other report 15 and in our cases. Follow up period was comparable with published reports.…”

Section: Discussionsupporting

confidence: 53%

“…The integrity of the posterolateral corner in each patient was confirmed intraoperatively. Various surgical methods of fixation for these fractures have been reported [9,14,15] , however; there is still no standard treatment modality. Our one case had avulsion of fibular styloid that was fixed with stainless steel and K wire.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no mentioning of number of suture anchor, required for achieving rigid fixation. In another studies, they were used a locking compression hook plate and non absorbable sutures 15 or a single 4 mm partially threaded screw for fixation 14 .Fibular avulsion fractures are commonly complicated with tibial plateau fractures. Our one case had undisplaced fracture fibular head with grade 1 anterior cruciate ligament injury, was intervened surgically for shaft fracture tibia which was unusual, not reported on literature search.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Presentation and options in management of avulsion fracture fibular head: A prospective study of rare entity

Sharma¹,

Parmar²,

Kapoor³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction: Avulsion fracture of the fibular head is a rare entity. Significance of this entity is lies in association with injuries to the ligaments and neurovascular structures attached to it. Presentation of these injuries is quite variable. Management of this injury is still controversial in spite of various available fixation methods. We report various different presentation and options in management of this rarely reported injury. Material and method: A prospective, single centre study of six patients of fracture fibular head was presented with injury to knee joint. All were male with average age 31 years (range 19-44 years). Left knee joint was involved in the four and right was in the two patients. All cases were of sports injury. Final diagnosis was proved by X-ray, 3D CT and magnetic resonance imaging. Three cases among them had complete avulsion of fibular head, 3 cases had undisplaced fracture fibular head; among one case was complicated by fracture shaft tibia. Patients with complete avulsion were treated by open reduction and fixation by using various methods. Complications and outcome were recorded in follow-up for 6 to 24 months (mean 21 months). Results were evaluated using Lysholm knee scores. Results: The average Lysholm knee score was 91.33 points. Excellent result (score 95-100) was seen in 1 case, good results (score 84-94) were seen in 3 cases and fair result (score 65-83) was seen in 1 case. The excellent and good result was 83%. Conclusions: Our study shows that avulsion of fibular head can present from undisplaced fragment to complete avulsion with grade I to III ligamentous injury or/and with peroneal nerve injury. These injuries can manage with various treatment options from conservative to fixation of avulsed fragment by various devices, depending on severity and combined injury.

show abstract

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Presentation and options in management of avulsion fracture fibular head: A prospective study of rare entity

Sharma¹,

Parmar²,

Kapoor³

et al. 2017

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…The "arcuate" sign is used to describe an avulsed bone fragment related to the insertion site of the arcuate complex, which consists of the fabellofibular, popliteofibular, and arcuate ligaments 4 . Although avulsion fracture of the fibular head associated with ACL, PCL and posterolateral corner injuries, is well described and primary repair has been recommended 4-10 , limited data exist in the literature on surgery techniques and clinical results [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

Isolated avulsion fracture of the fibular head

et al. 2020

View full text Add to dashboard Cite

Introduction. Rupture of lateral collateral ligament of the knee is most often joined with other ligament ruptures. Isolated rupture of this ligament is rare and there are few papers about treatment options and results. Here we reported a case of isolated lateral collateral ligament rupture and the treatment outcome. Case report. A patient, 22 years old male, injured his left knee while playing American football. While landing on the outstretched left leg, he felt a sudden pain in his knee. The patient could not continue the competition. Initial orthopedic examination revealed lateral opening and further diagnostic procedure (magnetic resonance imaging) revealed isolated grade III rupture of lateral collateral ligament with avulsion fracture of the fibular head, and distension of anterior and posterior cruciate ligaments. Patient was surgically treated with metal sutures passed through conjoined tendon and proximal fibula. Postoperatively patient worn above knee cast for 6 weeks and after that he was included in rehabilitation. Three and six years after this injury, the patient has still been professional football player with no symptoms and no clinical instability of the knee despite radiological and computed tomography verified pseudoarthrosis of the fractured fibular head fragment. Conclusion. Early diagnostic and absence of additional injuries of the knee leads to a faster and full functional recovery of patients with isolated avulsion fracture of the fibular head, while surgical treatment provides knee stability with no residual ligament instability during sports activities.Apstrakt lečenje obezbeđuje stabilnost kolena i povratak sportskim aktivnostima.

show abstract

Treatment of Avulsion Fractures around the Knee

Lim

2024

J Korean Fract Soc

View full text Add to dashboard Cite

Surgical Management of Comminuted Avulsion Fracture of the Proximal Fibula with Lateral Collateral Ligament Injury - Technical Note -

Cited by 3 publications

References 8 publications

Presentation and options in management of avulsion fracture fibular head: A prospective study of rare entity

Presentation and options in management of avulsion fracture fibular head: A prospective study of rare entity

Isolated avulsion fracture of the fibular head

Treatment of Avulsion Fractures around the Knee

Contact Info

Product

Resources

About