Fibula Fracture: Plate versus Nail Fixation.


Journal

Clinics in orthopedic surgery
ISSN: 2005-4408
Titre abrégé: Clin Orthop Surg
Pays: Korea (South)
ID NLM: 101505087

Informations de publication

Date de publication:
12 2020
Historique:
received: 17 12 2019
accepted: 08 03 2020
entrez: 4 12 2020
pubmed: 5 12 2020
medline: 1 9 2021
Statut: ppublish

Résumé

Intramedullary fixation has only uncommonly been used in the fibula although it may confer some advantages. Our goal was to investigate a single surgeon's learning curve with initial usage of an intramedullary device for fibular fixation based on surgical time and quality of reduction. Prior to initiation of this study, an experienced ankle fracture surgeon performed fibular nail fixation in a sawbones and a cadaver setting. Between February and August 2018, all patients who suffered from a distal fibula fracture underwent fibula fixation (n = 20) using the Fibulock (Arthrex). Patients were retrospectively investigated and compared with a control of fibular plate fixation. The tourniquet time, time of anesthesia, and surgery time were recorded as well as the quality of reduction. In the 20 cases, the mean tourniquet time was 68.9 ± 23.2 minutes for nail fixation, while in the fibular plate fixation group, the mean time was 75.8 ± 23.9 minutes ( Intramedullary fixation for fibular fractures does not appear to have a significant learning curve for an experienced ankle fracture surgeon.

Identifiants

pubmed: 33274031
doi: 10.4055/cios19177
pmc: PMC7683182
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

529-534

Informations de copyright

Copyright © 2020 by The Korean Orthopaedic Association.

Déclaration de conflit d'intérêts

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

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Auteurs

Henrik Constantin Bäcker (HC)

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.

J Turner Vosseller (JT)

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY, USA.

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Classifications MeSH