Surgical Treatment of Lateral Malleolar Fractures Using the Compression Cerclage System
| Autor: | Serkan Gürcan, Mehmet Ünal, Fatih Parmaksizoglu, Eren Cansü |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Joint Instability Male medicine.medical_specialty Ankle Fractures Cohort Studies 03 medical and health sciences Fracture Fixation Internal Young Adult 0302 clinical medicine Injury Severity Score Surgical medicine Humans Kirschner wire Range of Motion Articular Surgical treatment Aged Retrospective Studies Fracture Healing 030222 orthopedics business.industry Fracture line 030229 sport sciences General Medicine Equipment Design Lateral side Middle Aged Compression (physics) Prognosis Internal Fixators Surgery Conservative treatment Treatment Radiography medicine.anatomical_structure Treatment Outcome Orthopedic surgery Female Ankle business Fractures Lateral Malleolar Fractures Bone Wires |
| Zdroj: | Journal of the American Podiatric Medical Association. 106(5) |
| ISSN: | 1930-8264 |
| Popis: | Background Lateral malleolar fractures (Weber type B or OTA 44-B) account for 60% of all ankle fractures. To achieve anatomic restoration, surgical stabilization provides better results than conservative treatment. Various fixation methods are available to treat these fractures; however, the best method is still unknown. Our objectives were to present a new, useful, and efficient surgical technique for stabilizing lateral malleolar fractures and to analyze the outcomes of patients treated with the compression cerclage system. Methods The surgical technique consists of a Kirschner wire that is passed percutaneously and perpendicular to the fracture line, and a cerclage wire that is passed in a semi-circular fashion over the ends of the Kirschner wire on the lateral side of the bone, leaving loops on each side to allow bilateral compression while twisting both wires. We retrospectively evaluated patients treated with this technique, with or without additional fractures. Follow-up of Results At the final follow-up, 15 out of 21 patients (9 women and 6 men; mean age, 48.2 years [range, 19–78 years]) were evaluated. The mean follow-up was 5.16 years (28–129 months). Five patients had an isolated lateral malleolar fracture; eight had lateral and medial malleolar fractures; and two had trimalleolar fractures. At the final follow-up, 11 patients were rated good functionally and four were fair, and all patients were rated good radiographically according to the criteria by McLennon and Ungersma. Mean Olerud and Molander ankle score was 93.3 (range, 80–100). Conclusions The compression cerclage system provides good functional and radiological outcomes in patients with lateral malleolus fractures. This method is useful, safe, and efficient with minimum hardware. It can be applied through limited soft-tissue stripping, which is especially important in patients with a high risk for wound complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|