Combined Posteromedial and Posterolateral Approaches for 2-Part Posterior Malleolar Fracture Fixation.

Foot & Ankle International
Yunfeng YangTao Yu

Abstract

This study investigated the clinical efficacy of combined posteromedial and posterolateral approaches for repair of 2-part posterior malleolar fractures associated with medial and lateral malleolar fractures. This case series report included 27 Weber B with Haraguchi type II patients with medial and lateral malleolar fractures combined with 2-part posterior malleolar fractures. Patients were treated with open reduction and internal fixation through a combination of posteromedial and posterolateral approaches from January 2015 to January 2018. There were 11 males and 16 females, with an average age of 61.5 years (range, 53-67 years). The procedures were performed on prone patients under spinal anesthesia. The medial, lateral, and posterior malleolar fractures were exposed through posteromedial and posterolateral approaches performed at the same time. The lateral malleolar fracture was fixed using a plate, the medial malleolar fracture was fixed using screws, and the posterior malleolar fracture was fixed using a plate or cannulated screws according to the size of the fragments. We performed follow-up on 22 patients for an average of 30 months (range, 18-48 months). Primary healing of the incisions was achieved in all cases, and ...Continue Reading

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Citations

Sep 2, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Pierre-Alban BoucheGuillaume Auberger

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Statistical Package for Social Sciences ( SPSS

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