Hak Jun Kim1, Jong-Keon Oh, Jin-Ho Hwang, Young Hwan Park. 1. Institute of Trauma Research and Department of Orthopaedic Surgery, Guro Hospital, College of Medicine, Korea University, 80 Gurodong, Gurogu, Seoul, 152-703, Korea.
Abstract
BACKGROUND: The authors evaluated results and hardware-related complications after the fixation of Danis-Weber (D-W) types A and B lateral malleolus fractures using a 3.5-mm T-shaped locking compression plate (T-LCP) for distal radius. METHODS: Twenty-six patients with Danis-Weber type A or B lateral malleolar fractures treated between January 2001 and February 2008 were included in this study. Mean age of the patients was 52.6 (28-77) years. All patients were treated using a 3.5-mm T-shaped locking plate for distal radius fractures. The distal fragment was fixed with at least 2 locking screws more. Ankle motion was allowed early after surgery. The authors evaluated serial radiographs, range of motion, skin irritation, and AOFAS scores at final follow-ups. RESULTS: All fractures united during follow-up. Eight cases were of D-W type A, and 18 were of D-W type B. A mean number of three screws were placed at the distal fragment (2-4). There were 6 cases (23.1%) of implant irritation over the operative site, but no other complications were encountered. At final follow-ups, the AOFAS score of affected ankles was 97.1 ± 4.4. CONCLUSION: T-LCP use for type A or B lateral malleolar fractures resulted in low hardware-related complications and produced good results at follow-up.
BACKGROUND: The authors evaluated results and hardware-related complications after the fixation of Danis-Weber (D-W) types A and B lateral malleolus fractures using a 3.5-mm T-shaped locking compression plate (T-LCP) for distal radius. METHODS: Twenty-six patients with Danis-Weber type A or B lateral malleolar fractures treated between January 2001 and February 2008 were included in this study. Mean age of the patients was 52.6 (28-77) years. All patients were treated using a 3.5-mm T-shaped locking plate for distal radius fractures. The distal fragment was fixed with at least 2 locking screws more. Ankle motion was allowed early after surgery. The authors evaluated serial radiographs, range of motion, skin irritation, and AOFAS scores at final follow-ups. RESULTS: All fractures united during follow-up. Eight cases were of D-W type A, and 18 were of D-W type B. A mean number of three screws were placed at the distal fragment (2-4). There were 6 cases (23.1%) of implant irritation over the operative site, but no other complications were encountered. At final follow-ups, the AOFAS score of affected ankles was 97.1 ± 4.4. CONCLUSION:T-LCP use for type A or B lateral malleolar fractures resulted in low hardware-related complications and produced good results at follow-up.
Authors: Todd Kim; Ugur M Ayturk; Andrew Haskell; Theodore Miclau; Christian M Puttlitz Journal: J Foot Ankle Surg Date: 2007 Jan-Feb Impact factor: 1.286
Authors: O Böstman; E Hirvensalo; S Vainionpää; A Mäkelä; K Vihtonen; P Törmälä; P Rokkanen Journal: Clin Orthop Relat Res Date: 1989-01 Impact factor: 4.176