Journal article
External Fixation of Tibial Plafond Fractures: Is Routine Plating of the Fibula Necessary?
Journal of orthopaedic trauma, Vol.12(1), pp.16-20
01/1998
DOI: 10.1097/00005131-199801000-00003
PMID: 9447514
Abstract
OBJECTIVES:To determine the advantages and disadvantages of plating an associated fibula fracture in tibial plafond fractures treated with external fixation that spans the ankle.
STUDY DESIGN:Retrospective clinical review.
METHODS:The incidence of treatment complications and the outcomes achieved were compared between two groups of patients with tibial plafond fractures and associated fractures of the fibula. Both groups were treated by a uniform technique of monolateral external fixation. One group, consisting of twenty-two patients with twenty-two fractures, had plate fixation of the distal fibula and the other group, thirty-one patients with thirty-two fractures, had no fibular fixation.
RESULTS:The demographics of the two groups, including sex, fracture classification, and number of open fractures, were similar. The outcome of the two groups for radiographic arthrosis and clinical ankle score, measured at minimum two-year follow-up, showed no statistically significant difference. The total numbers of complications were not statistically different between the two groups (p = 0.15), but the types of complications varied. Group I had eight complicationsfive fibular wound infections, two fibular nonunions, and one angular nonunion. Group II had seven complicationssix angular malunions and one tibial wound infection.
CONCLUSION:Open reduction and internal fixation of the fibula fracture in tibial plafond fractures treated with external fixation that spans the ankle is associated with a significant rate of complications, and good clinical results may be obtained without fixing the fibula.
Details
- Title: Subtitle
- External Fixation of Tibial Plafond Fractures: Is Routine Plating of the Fibula Necessary?
- Creators
- Todd Williams - University of Iowa Hospitals and Clinics, Iowa City, Iowa, U.S.A.; University of New Mexico, Albuquerque, New Mexico, U.S.A.; †University of Virginia, Charlottesville, Virginia, U.S.A.; and ‡Kansas City, Missouri, U.S.AJ MarshJames NepolaThomas DeCosterShepard HurwitzSusan Bonar
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.12(1), pp.16-20
- Publisher
- Lippincott-Raven Publishers
- DOI
- 10.1097/00005131-199801000-00003
- PMID
- 9447514
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Language
- English
- Date published
- 01/1998
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040497802771
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