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Twisted Plating - A Method of Distal Fibula Fixation / Uso de placa retorcida - Um método de fixação da fíbula distal
Agarwala, Sanjay; Menon, Aditya; Bhadiyadra, Ravi.
  • Agarwala, Sanjay; Hinduja Hospital and Medical Research Centre. Department of Orthopaedics. Mumbai. IN
  • Menon, Aditya; Hinduja Hospital and Medical Research Centre. Department of Orthopaedics. Mumbai. IN
  • Bhadiyadra, Ravi; Hinduja Hospital and Medical Research Centre. Department of Orthopaedics. Mumbai. IN
Rev. bras. ortop ; 55(1): 33-39, Jan.-Feb. 2020. tab, graf
Article in English | LILACS | ID: biblio-1092677
ABSTRACT
Abstract Objective The literature entails various intramedullary and extramedullary methods for distal fibula fracture fixation; with no consensus yet over the ideal method of fixation. We have retrospectively analyzed the results of using a twisted and contoured 3.5 mm locking compression plate (LCP) as a posterior buttress plate. Methods Of the 62 cases with ankle fractures managed at our institute by the senior author from 1st January 2012 to 31st December 2015, 41 patients met our inclusion criteria (Danis-Weber types B and C). Results All 41 distal fibular fractures healed uneventfully, at a mean of 10.4 weeks (8-14 weeks) (Figs. 6, 7, 8 to 9) with no complications. The mean American Orthopaedic Foot & Ankle Society (AOFAS) score was 92.6 (86-100) at a mean follow-up of 31.5 months (14-61 months). Conclusions We have achieved excellent clinical and radiological outcomes using a twisted 3.5 mm LCP as a posterior buttress by combining the advantages of posterior antiglide plating and lateral LCP.
RESUMO
Resumo Objetivo A literatura discute diversos métodos intramedulares ou extramedulares para fixação de fraturas da fíbula distal, mas não há consenso acerca do método ideal de fixação. Analisamos retrospectivamente os resultados do uso de uma placa bloqueada de compressão (LCP) de 3,5 mm retorcida e com contorno como placa de apoio posterior. Métodos Dos 62 casos de fraturas de tornozelo tratadas em nosso instituto pelo autor sênior entre 1° de janeiro de 2012 e 31 de dezembro de 2015, 41 pacientes atenderam aos critérios de inclusão (tipos B e C de Danis-Weber). Resultados Todas as 41 fraturas fibulares distais cicatrizaram sem intercorrências, em uma média de 10,4 semanas (8-14 semanas) (Figuras 6 a 9) e sem complicações. A pontuação American Orthopaedic Foot & Ankle Society (AOFAS) média foi de 92,6 (86-100) em um período médio de acompanhamento de 31,5 meses (14-61 meses). Conclusões Obtivemos excelentes resultados clínicos e radiológicos com uso de LCP retorcida de 3,5 mm como apoio posterior ao combinar as vantagens da placa antideslizante posterior e a LCP lateral.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Bone Plates / Fractures, Bone / Fibula / Ankle Fractures / Fracture Fixation, Internal Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: India Institution/Affiliation country: Hinduja Hospital and Medical Research Centre/IN

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Full text: Available Index: LILACS (Americas) Main subject: Bone Plates / Fractures, Bone / Fibula / Ankle Fractures / Fracture Fixation, Internal Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: India Institution/Affiliation country: Hinduja Hospital and Medical Research Centre/IN