THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES
Objective: Posterior malleolar fractures (PMF) are common among ankle fractures and their proper management is crucial to maintaining ankle stability. The purpose of this study was to compare the clinical and radiological effects of screw versus support plate fixation in the surgical treatment of PM...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Istanbul University Press
2023-10-01
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| Series: | Sabiad |
| Subjects: | |
| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/08AF24427ABC4A2AB88BD757A1388904 |
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| Summary: | Objective: Posterior malleolar fractures (PMF) are common among ankle fractures and their proper management is crucial to maintaining ankle stability. The purpose of this study was to compare the clinical and radiological effects of screw versus support plate fixation in the surgical treatment of PMF.Material and Methods: Between December 2016 and February 2018, 82 patients who underwent surgical treatment for PMF were analyzed retrospectively. Patients were divided into two groups based on the type of fixation material used: screws and buttress plates. Using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, range of motion measurements, and radiographic evaluations, clinical evaluations were conducted.Results: A total of 60 patients were included in the study, 33 of whom were treated with plate osteosynthesis and 27 with screw osteosynthesis. The demographic and clinical characteristics were similar between the groups. The AOFAS scores, range of motion measurements, and complication rates were comparable between the screw and plate fixation groups. The radiological evaluation showed no significant difference in posttraumatic arthritis levels between the two groups.Conclusion: The screw fixation alone provides similar clinical andmradiological results compared to buttress plate fixation in the surgicaln treatment of PMF. These results are in advance of the growing evidence supporting screw-only osteosynthesis for Haraguchi type 1 and 2 posterior malleolus fractures. |
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| ISSN: | 2651-4060 |