A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip

Rogerio Carneiro Bitar; Danilo Ryuko Cândido Nishikawa; Cesar de Cesar Netto; Alexandre Leme Godoy-Santos; Robinson Esteves Santos Pires

doi:10.1007/s00590-020-02771-7

$A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip$

Journal article

Peer reviewed

A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip

Rogerio Carneiro Bitar, Danilo Ryuko Cândido Nishikawa, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos and Robinson Esteves Santos Pires

European journal of orthopaedic surgery & traumatology, Vol.31(2), pp.407-412

02/01/2021

DOI: 10.1007/s00590-020-02771-7

PMID: 32804290

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Abstract

Displaced fractures (>2 mm) of the lateral malleolus, without medial or syndesmotic injuries, are often the subject of controversy regarding the best treatment option. In the past, these fractures were usually treated conservatively using a cast for 6 to 8 weeks without weightbearing. Currently, most of the patients desire a quick return to their previous activities, what makes surgical treatment a reasonable choice. It has benefits as earlier ankle mobilization and weightbearing. It also restores ankle biomechanics, preventing secondary osteoarthritis. However, postoperative complications with the standard lateral incision exist such as implant discomfort, dehiscence and infection. Minimally invasive techniques have been described to help avoiding these complications. This technical note described a short single-incision approach for the surgical treatment of displaced oblique fibular fractures type AO/OTA 44-B1 with an antiglide plate that presents the advantage of less risk of damaging the soft tissues, periosteal stripping and disturbance of the fracture hematoma.

Orthopedics

Surgery

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip
Creators: Rogerio Carneiro Bitar - Universidade de São Paulo
Danilo Ryuko Cândido Nishikawa - Hosp Municipal Publ Servant Sao Paulo HSPM, Dept Orthopaed Foot & Ankle Surg, Sao Paulo, SP, Brazil
Cesar de Cesar Netto - University of Iowa
Alexandre Leme Godoy-Santos - Hospital Israelita Albert Einstein
Robinson Esteves Santos Pires - Fed Univ Minas Gerais UFMG, Dept Locomotor Apparat, Belo Horizonte, MG, Brazil
Resource Type: Journal article
Publication Details: European journal of orthopaedic surgery & traumatology, Vol.31(2), pp.407-412
Publisher: Springer Nature
DOI: 10.1007/s00590-020-02771-7
PMID: 32804290
ISSN: 1633-8065
eISSN: 1432-1068
Number of pages: 6
Language: English
Date published: 02/01/2021
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984303980202771

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