AI Article Synopsis
- Ankle fractures are common, with a significant portion being unstable and requiring surgery. This study compares traditional plate-and-screw fixation with an intramedullary fibula nail for surgical treatment.
- The research involves a review of 203 cases by a skilled surgeon, focusing on complications and the need for hardware removal over an average follow-up of about 18.8 months.
- Results show that all fractures healed with minimal complications, suggesting fibula nails could be a safer alternative to traditional methods, potentially reducing complications and hardware removal needs.
Article Abstract
Background: Ankle fractures are a frequent injury in the adult population and a quarter of all ankle fractures are classified as unstable, requiring surgical intervention. Plate-and-screw construct is the traditionally used fixation method for fibula fractures. The use of an intramedullary nail is an alternative fixation method, with current literature supporting very low complication rates and hardware removal surgeries. The purpose of this study was to evaluate the outcomes, including complication rates and implant removal rates, using a fibula nail with both proximal and distal fixation capabilities by an experienced surgeon.
Methods: We retrospectively reviewed 203 consecutive fibula nail cases from a single surgeon using a mini-open technique for anatomic reduction. Demographic, operative, clinical, and radiographic outcome data were analyzed, specifically examining complication rates and need for implant removal.
Results: The average follow-up was 18.8 months (6-54 months). All fractures healed. We identified 2 cases of superficial wound infection, 1 superficial peroneal nerve irritation, and 1 case of implant removal. In the first 110 cases, 2 fractures were converted to a plate intraoperatively prior to a technique modification which has prevented this occurrence. No deep infection, delayed union, or nonunion occurred.
Conclusion: Our data support that fibula nails with proximal and distal locking capabilities offer an alternative to plating with the potential for lower complication rates and lower need for implant removal.
Level Of Evidence: Level IV, case series.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878224 | PMC |
| http://dx.doi.org/10.1177/24730114241230563 | DOI Listing |
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