Percutaneous Intramedullary Screw Fixation of Distal Fibula Fractures: A Case Series and Systematic Review
| Autor: | Siem A. Dingemans, Tim Schepers, Merel F. N. Birnie, Vincent M. de Jong, Vladimir V. Loukachov |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Joint Instability Male medicine.medical_specialty Percutaneous medicine.medical_treatment Nonunion Bone Screws Ankle Fractures law.invention Intramedullary rod Cohort Studies 03 medical and health sciences Fractures Bone 0302 clinical medicine law medicine Internal fixation Humans Orthopedics and Sports Medicine Fibula Range of Motion Articular Reduction (orthopedic surgery) Aged Aged 80 and over Fracture Healing 030222 orthopedics business.industry 030229 sport sciences Middle Aged medicine.disease Prognosis Surgery Fracture Fixation Intramedullary Dissection medicine.anatomical_structure Female Ankle business |
| Zdroj: | The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 56(5) |
| ISSN: | 1542-2224 |
| Popis: | The current reference standard for unstable ankle fractures is open reduction and internal fixation using a plate and lag screws. This approach requires extensive dissection and wound complications are not uncommon. The use of intramedullary screw fixation might overcome these issues. The aim of our study was to provide an overview of the published data regarding intramedullary screw fixation of fibula fractures combined with a small consecutive case series. We performed a search of published studies to identify the studies in which fibula fractures were treated with percutaneous intramedullary screw fixation. Additionally, all consecutive patients treated for an unstable ankle fracture in a level 1 trauma center using an intramedullary screw were retrospectively included. The literature search identified 6 studies with a total of 180 patients. Wound infection was seen in 1 patient (0.6%), anatomic reduction was achieved in 168 patients (93.3%), and a loss of reduction was seen in 2 patients (1.1%). Implant removal was deemed necessary in 3 patients (1.7%) and nonunion was seen is 2 patients (1.1%). A total of 11 patients, in whom no wound complications occurred, were included in our study. The follow-up duration was a minimum of 12 months. A secondary dislocation was seen in 1 patient, and delayed union was observed after 7.5 months in 1 other patient. In conclusion, intramedullary screw fixation is a safe and adequate method to use for fibula fractures, with a low risk of wound complications. Additional research regarding functional outcome is warranted. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect