Comparative Study Show
Surgical treatment of a displaced lateral malleolus fracture: the antiglide technique versus lateral plate fixationJean Lamontagne et al. J Orthop Trauma. 2002 Aug. AbstractObjectives: To assess the outcomes of the surgical management of "isolated" displaced lateral malleolar fractures, comparing the techniques of lateral plating and antiglide plating as described previously. Design: This is a retrospective review, being largely a surgeon-randomized comparative study. Setting: The study was carried out at a university teaching hospital that serves as a provincial trauma referral service and provides local community care. The senior surgeons are all orthopaedic trauma subspecialists. Patients: A total of 193 patients meeting our inclusion criteria, with isolated lateral malleolus fractures surgically treated at the Vancouver General Hospital between 1987 and 1998, were studied. Intervention: Eighty-five were treated with antiglide plating, whereas the remaining 108 patients underwent traditional lateral plating. Main outcome measures: The functional results were evaluated with the ankle scoring system described previously. We also compared the complication rates, including failure of fixation, infection, wound dehiscence, and need for hardware removal. Results: Both groups were comparable for age, sex distribution, mechanism of injury, and occupation. There was no difference in ankle score, function, and infection rate. The incidence of wound dehiscence and reoperation for hardware removal was slightly higher in the lateral plate group, but the difference was not statistically significant. Conclusions: The outcome of the surgical management of a displaced lateral malleolus fracture is comparable with both techniques. Although few studies have reported some advantages using the antiglide technique, our data do not support one technique over the other. Similar articles
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How long does a lateral malleolus fracture take to heal?A lateral malleolus fracture usually requires the person to keep weight off the affected foot for a few weeks. In most cases, people return to normal daily activities within 3 to 4 months.
How serious is a lateral malleolus fracture?Ankle fractures tend to be stable (less serious) or unstable (more serious). Lateral malleolus fractures are stable ankle fractures, and you usually don't need surgery. They can happen when you take an awkward step and roll your ankle. To treat these ankle fractures, aim to reduce pain and swelling.
Does a lateral malleolus fracture require surgery?Lateral malleolus fractures are often stable and can be treated without surgery. When a lateral malleolus fracture is accompanied by a sprain of the ligament on the inside of the ankle (the deltoid ligament), your injury may be unstable and may require surgery.
Can you walk on a broken lateral malleolus?Similar to a nondisplaced medial malleolus fracture, a nondisplaced lateral malleolus fracture can often be treated with a short leg cast or walking boot. Most isolated lateral malleolus fractures are stable enough to allow you to put weight on the ankle.
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Displaced fracture of lateral malleolus of left fibula
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