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Comparative Analysis of Intramedullary Nail versus Plate Fixation for Fibula Fracture in Supination External Rotation Type IV Ankle Injury.
Chen, Hongfeng; Li, Zhen; Li, Xiaoqi; Lu, Jiongjiong; Chen, Beibei; Wang, Qiongchao; Cao, Pengke.
Afiliación
  • Chen H; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Li Z; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Li X; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Lu J; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Chen B; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Wang Q; Department of Foot and Ankle Surgery, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
  • Cao P; Department of Orthopaedics, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan, China (mainland).
Med Sci Monit ; 30: e941909, 2024 Feb 02.
Article en En | MEDLINE | ID: mdl-38303508
ABSTRACT
BACKGROUND Lateral malleolus fractures, typically from trauma, sports, or accidents, are common, with supination external rotation (SER) injuries being most prevalent. SER injuries involve complex joint mechanics and often necessitate surgical intervention for instability. This study compares intramedullary nail and plate fixation for fibula fractures in SER type IV ankle injuries, considering their biomechanical properties and influence on fracture healing. MATERIAL AND METHODS A prospective, randomized study was conducted between January 2021 and December 2021. A total of 81 patients with SER injuries were included in the study. Surgical procedures were performed using either intramedullary nails or plates. The following parameters were recorded and analyzed postoperative complications, operation times, bone healing times, American Orthopaedic Foot & Ankle Society (AOFAS) scores, visual analog scale (VAS) scores for pain, and ankle range of motion. RESULTS Out of the 81 cases, 42 were treated with intramedullary nails, while 39 received plate fixation. Statistical analysis revealed a significantly lower rate of postoperative complications in the intramedullary nail group than in the the plate fixation group (9.52% vs 30.77%, P<0.0164). However, there were no significant differences between the 2 groups in terms of operation time, bone healing time, AOFAS scores, VAS scores, and functional evaluations (P>0.05). CONCLUSIONS Plate fixation and intramedullary nail fixation are effective techniques for treating fibula fractures in SER type IV injuries. However, intramedullary nail fixation demonstrates a lower rate of complications. Therefore, intramedullary nails may be preferable to plate fixation for the management of fibula fractures in SER type IV ankle injuries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos del Tobillo / Fracturas de Tobillo / Fijación Intramedular de Fracturas / Fracturas de Peroné Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: Med Sci Monit Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos del Tobillo / Fracturas de Tobillo / Fijación Intramedular de Fracturas / Fracturas de Peroné Tipo de estudio: Clinical_trials / Observational_studies Límite: Humans Idioma: En Revista: Med Sci Monit Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos