Incidence of Peroneal Tendinopathy After Application of a Posterior Antiglide Plate for Repair of Supination External Rotation Lateral Malleolar Fractures

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Jungtae AhnKi-Sun Sung

Abstract

Posterior antiglide plating is widely used to treat lateral malleolar fractures caused by supination-external rotation injuries. Despite its widespread use, this technique can be associated with postoperative peroneal tendinopathy. The purpose of the present observational review was to report the incidence of peroneal tendinopathy after the use of posterior antiglide plating to treat lateral malleolar fractures caused by a supination-external rotation injury. A total of 70 patients were followed up for a minimum of 12 (mean 55, range 12 to 109) months. Bony union was obtained in all cases after a mean of 57 (range 37 to 81) days. The median number of screw holes in the plate was 4.9 (range 4 to 7), and the median number of screws used to fixate the fibula was 6.58 (range 5 to 10). The mean American Orthopaedic Foot and Ankle Society hindfoot-ankle score at the final follow-up examination was 90.8 (range 55 to 100). Clinically, 3 (4.29%) of the 70 patients had lateral or posterolateral ankle pain indicative of peroneal tendinopathy after the index surgery, without any objective evidence. Of the 70 patients, 41 (58.57%) underwent surgical removal of the fibular hardware, 2 (4.87%) because of lateral ankle discomfort. At removal, ...Continue Reading

References

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Feb 1, 1997·Journal of Orthopaedic Trauma·G L BelcherP G Trafton
Mar 3, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Talal IbrahimDipen K Menon
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Nov 22, 2015·Foot and Ankle Clinics·Alvin W Su, A Noelle Larson

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Citations

Nov 18, 2008·Foot and Ankle Clinics·Michael P Clare
Apr 9, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·Y AsloumC Mabit
Jul 25, 2019·Journal of Orthopaedic Trauma·Chad P ColesUNKNOWN Orthopaedic Trauma Associationʼs Evidence-Based Quality Value and Safety Committee
Aug 18, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Rogério Carneiro BitarRobinson Esteves Santos Pires
Nov 3, 2017·The Bone & Joint Journal·M C Solan, A Sakellariou

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