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Treatment of Isolated Lateral Malleolar Fractures Using Locking Compression Plate Fixation and Tension Band Wiring Fixation
Journal of the Korean Fracture Society ; : 16-21, 2020.
Article in Korean | WPRIM | ID: wpr-811285
ABSTRACT

PURPOSE:

The purpose of this study was to compare the clinical and radiological outcomes of locking compression plate (LCP)-screw fixation and tension band wiring (TBW) fixation in isolated lateral malleolar fractures.MATERIALS AND

METHODS:

From May 2016 to August 2018, 52 patients with isolated lateral malleolar fracture were retrospectively reviewed. They were divided into 30 cases of the LCP fixation group (Group I) and 22 cases of the TBW fixation group (Group II). The clinical and radiological results of those groups were compared. Pearson chi-square tests and independent t-tests were used in the statistical analysis.

RESULTS:

The mean length of the surgical incision was 8.3 cm in Group I and 4.9 cm in Group II. Radiological union was obtained at a mean of 8.4 weeks in both groups. The mean American Orthopaedic Foot and Ankle Society score was 90 (range, 85–97) and 92 (range, 85–100) in Groups I and II, respectively, at the last follow up.

CONCLUSION:

Both the LCP-screw and TBW techniques revealed excellent results in isolated lateral malleolar fractures. The tension band technique may be a fine alternative method of fixation in the treatment of isolated lateral malleolar fracture.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Procedures, Operative / Retrospective Studies / Follow-Up Studies / Ankle Fractures / Foot / Ankle / Methods Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Fracture Society Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Procedures, Operative / Retrospective Studies / Follow-Up Studies / Ankle Fractures / Foot / Ankle / Methods Type of study: Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Fracture Society Year: 2020 Type: Article