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Operative treatment results of posterior malleolar fractures in trimalleolar fractures with screw fixation and plate fixation: short-term results.
- Source :
-
International journal of burns and trauma [Int J Burns Trauma] 2024 Feb 15; Vol. 14 (1), pp. 14-24. Date of Electronic Publication: 2024 Feb 15 (Print Publication: 2024). - Publication Year :
- 2024
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Abstract
- Background: Ankle fractures are among the most common lower limb fractures. There is no agreement about the best treatment for these fractures. This study compared the short-term results of screw and plate fixation methods.<br />Methods: In this prospective study, 32 patients that underwent screw fixation for posterior malleolar fracture and 32 patients that underwent plate fixation for posterior malleolar fracture were assessed 1, 3, and 6 months after surgery.<br />Results: The mean age in group 1 (screw fixation) and group 2 (plate fixation) was 32.56, and 37.82 ± 9.99, respectively. The frequency of gender in group 1 (screw fixation) and group 2 (plate fixation) for females and males was 20%, 80%, 4%, and 18%, respectively. The mean range of motion (ROM) in month 1 in group 1 was 89.4, in group 2 was 90.22, in month 3 in group 1 was 100.6, in group 2 was 100.36, in month 6 in group 1 was 115.4, and in group 2 was 110.68. The mean visual analog scale (VAS) in month 1 in group 1 was 6.88, in group 2 was 6.09, in month 3 in group 1 was 4.14, in group 2 was 3.63, in month 6 in group 1 was 2.56, and in group 2 was 2.54. In group 1, we had 1 case of nerve injury, 1 case of deep infection, and 3 cases of superficial infection, and in group 2, we had 2 cases of nerve injury, 2 cases of deep infection, and no case of superficial infection. The mean foot and ankle outcome score (FAOS) in group 1 was 75.44, and in group 2 was 74.36.<br />Conclusion: In our study, we were unable to indicate a superior treatment method. More comprehensive studies with larger populations are suggested.<br />Competing Interests: None.<br /> (IJBT Copyright © 2024.)
Details
- Language :
- English
- ISSN :
- 2160-2026
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of burns and trauma
- Publication Type :
- Academic Journal
- Accession number :
- 38505346