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Percutaneous intramedullary screw fixation in lateral malleolar ankle fractures

Article scientifique 2020 Anglais

Résumé

Abstract Objectives: To evaluate the outcome of percutaneous fixation of lateral malleolar ankle fractures by intramedullary screw.Methods: Twenty-five patients with Weber A and Weber B displaced lateral malleolus fractures were retrospectively reviewed after they had done closed reduction and percutaneous internal fixation with an intramedullary fully threaded screw with a washer. A 3.5-mm, fully threaded, self- tapping bone screw. The length of the screw varies between 90 mm and 110 mm, depending on the fracture location and pattern.Results: All fractures united within an average time to union of 5.86 ± 1.74 weeks. There were no deep wound infections or complaints of painful hardware. At the latest follow-up, functional results were excellent in 16 patients (64%) good in 8 patients (32 %), fair in one patient (4%).Conclusion Percutaneous intramedullary screw fixation is a good technique in the management of lateral malleolar fracture that provides good clinical and radiological results as it is rapid, minimally invasive, and without prominent hardware.

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Abulsoud, M., Sebaie, A., Darwish, A., Moawad, M., Elzahed, E., El-Ghaffar, T., Elmarghany, M., Elgeushy, A. (2020). Percutaneous intramedullary screw fixation in lateral malleolar ankle fractures. https://doi.org/10.21203/rs.3.rs-22058/v2

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Mohamed I. Abulsoud Adnan Al Sebaie Ahmed A Darwish Mohamed A. Moawad Ehab Elzahed Tarek M. Abd El-Ghaffar Mohammed Elmarghany Ahmed Elgeushy

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