J Korean Fract Soc.  2020 Jan;33(1):16-21. 10.12671/jkfs.2020.33.1.16.

Treatment of Isolated Lateral Malleolar Fractures Using Locking Compression Plate Fixation and Tension Band Wiring Fixation

• Shin W
• Kim S
• Park J

• KMID: 2468669
• DOI: http://doi.org/10.12671/jkfs.2020.33.1.16

Abstract

PURPOSE
The purpose of this study was to compare the clinical and radiological outcomes of locking compression plate (LCP)-screw fixation and tension band wiring (TBW) fixation in isolated lateral malleolar fractures.
MATERIALS AND METHODS
From May 2016 to August 2018, 52 patients with isolated lateral malleolar fracture were retrospectively reviewed. They were divided into 30 cases of the LCP fixation group (Group I) and 22 cases of the TBW fixation group (Group II). The clinical and radiological results of those groups were compared. Pearson chi-square tests and independent t-tests were used in the statistical analysis.
RESULTS
The mean length of the surgical incision was 8.3 cm in Group I and 4.9 cm in Group II. Radiological union was obtained at a mean of 8.4 weeks in both groups. The mean American Orthopaedic Foot and Ankle Society score was 90 (range, 85-97) and 92 (range, 85-100) in Groups I and II, respectively, at the last follow up.
CONCLUSION
Both the LCP-screw and TBW techniques revealed excellent results in isolated lateral malleolar fractures. The tension band technique may be a fine alternative method of fixation in the treatment of isolated lateral malleolar fracture.

Keyword

Ankle; Lateral malleolus fracture; Operative procedure; Locking plate fixation; Tension band wiring fixation

MeSH Terms

Ankle
Ankle Fractures
Follow-Up Studies
Foot
Humans
Methods
Retrospective Studies
Surgical Procedures, Operative

Figure

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  Fig. 1. (A) A 54-year-old female patient was diagnosed with isolated lateral malleolar fracture according to the simple radiography. (B) Surgical fixation with locking-plate screw on the postoperative radiography. (C) Bone-union was achieved within 12 months of surgery.

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  Fig. 2. (A) A 32-year-old male patient was diagnosed with isolated lateral malleolar fracture according to the simple radiography. (B) Surgical fixation with the tension band wire on the postoperative radiography. (C) Bone-union was achieved within 12 months of surgery.

Reference

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