Fibula fractures management.
Ankle
Distal fibula
Fibula fracture
Lateral malleolus
Management
Treatment
Journal
World journal of orthopedics
ISSN: 2218-5836
Titre abrégé: World J Orthop
Pays: United States
ID NLM: 101576349
Informations de publication
Date de publication:
18 May 2021
18 May 2021
Historique:
received:
31
10
2020
revised:
01
02
2021
accepted:
05
04
2021
entrez:
31
5
2021
pubmed:
1
6
2021
medline:
1
6
2021
Statut:
epublish
Résumé
Isolated distal fibula fractures represent the majority of ankle fractures. These fractures are often the result of a low-energy trauma with external rotation and supination mechanism. Diagnosis is based on clinical signs and radiographic exam. Stress X-rays have a role in detecting associated mortise instability. Management depends on fracture type, displacement and associated ankle instability. For simple, minimally displaced fractures without ankle instability, conservative treatment leads to excellent results. Conservative treatment must also be considered in overaged unhealthy patients, even in unstable fractures. Surgical treatment is indicated when fracture or ankle instability are present, with several techniques described. Outcome is excellent in most cases. Complications regarding wound healing are frequent, especially with plate fixation, whereas other complications are uncommon.
Identifiants
pubmed: 34055584
doi: 10.5312/wjo.v12.i5.254
pmc: PMC8152440
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
254-269Informations de copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: Each of the authors declare no conflict of interest.
Références
Am J Roentgenol Radium Ther Nucl Med. 1954 Mar;71(3):456-71
pubmed: 13124631
Phys Sportsmed. 1979 May;7(5):71-8
pubmed: 27448078
J Foot Ankle Surg. 2015 Nov-Dec;54(6):1042-6
pubmed: 26190779
J Bone Joint Surg Br. 2007 Aug;89(8):1055-9
pubmed: 17785745
J Orthop Trauma. 2012 Aug;26(8):e115-22
pubmed: 22198655
J Bone Joint Surg Am. 1989 Apr;71(4):521-7
pubmed: 2703512
J Bone Joint Surg Br. 1990 Jul;72(4):709-13
pubmed: 2116416
Foot Ankle Int. 2000 Apr;21(4):311-9
pubmed: 10808971
Foot Ankle. 1991 Feb;11(4):222-7
pubmed: 1855708
Ann Emerg Med. 1996 Jan;27(1):103-4
pubmed: 8572439
Foot Ankle Surg. 2016 Dec;22(4):278-285
pubmed: 27810029
Arch Orthop Trauma Surg. 1980;96(1):45-9
pubmed: 7377925
Acta Orthop Suppl. 2015 Feb;86(358):1-32
pubmed: 25586467
Clin Orthop Relat Res. 1988 Jan;(226):156-68
pubmed: 3121227
Eur J Trauma Emerg Surg. 2010 Dec;36(6):521-4
pubmed: 26816306
BMJ. 2019 Jan 23;364:k5432
pubmed: 30674451
J Am Acad Orthop Surg. 2019 Jan 15;27(2):50-59
pubmed: 30278012
Acta Orthop Scand. 1985 Apr;56(2):107-9
pubmed: 3925710
Orthop Traumatol Surg Res. 2014 Jun;100(4 Suppl):S255-9
pubmed: 24709304
Acta Orthop Scand. 1971;42(2):187-200
pubmed: 5000187
J Bone Joint Surg Am. 1987 Dec;69(9):1346-52
pubmed: 3440794
Foot Ankle Surg. 2012 Jun;18(2):103-7
pubmed: 22443995
Langenbecks Arch Chir. 1971;328(3):258-71
pubmed: 4996716
Foot Ankle Int. 2014 May 21;35(8):809-815
pubmed: 24850160
Acta Orthop Scand. 1989 Oct;60(5):597-9
pubmed: 2603663
Acta Orthop Scand. 1980 Aug;51(4):695-702
pubmed: 6778066
J Orthop Trauma. 2010 Aug;24(8):477-82
pubmed: 20657256
Injury. 1989 Nov;20(6):323-6
pubmed: 2516838
Foot Ankle Surg. 2018 Feb;24(1):34-39
pubmed: 29413771
BMC Musculoskelet Disord. 2014 Oct 30;15:360
pubmed: 25358474
J Orthop Sports Phys Ther. 2007 May;37(5):253-9
pubmed: 17549954
J Bone Joint Surg Am. 2007 May;89(5):994-9
pubmed: 17473136
Acta Orthop Scand. 1992 Jun;63(3):326-9
pubmed: 1609601
Foot Ankle. 1990 Apr;10(5):280-4
pubmed: 2111269
J Foot Ankle Surg. 2004 Jan-Feb;43(1):20-9
pubmed: 14752760
J Bone Joint Surg Br. 1996 Jul;78(4):568-72
pubmed: 8682822
Acta Orthop Scand. 1992 Aug;63(4):443-6
pubmed: 1529699
J Am Acad Orthop Surg. 2009 Jul;17(7):465-72
pubmed: 19571302
Br J Sports Med. 2012 Sep;46(12):852-3
pubmed: 22844037
J Bone Joint Surg Br. 2012 Aug;94(8):1107-12
pubmed: 22844054
Injury. 2006 Aug;37(8):691-7
pubmed: 16814787
Foot Ankle Int. 2007 Dec;28(12):1249-55
pubmed: 18173987
Clin Orthop Relat Res. 2010 Apr;468(4):969-74
pubmed: 19582527
J Bone Joint Surg Am. 2004 Nov;86(11):2393-8
pubmed: 15523008
J Bone Joint Surg Am. 2000 Jun;82(6):843-8
pubmed: 10859104
Foot Ankle Spec. 2015 Jun;8(3):175-9
pubmed: 25552278
Int Orthop. 2013 Mar;37(3):489-94
pubmed: 23288046
J Orthop Trauma. 2006 Sep;20(8):562-6
pubmed: 16990728
JAMA. 1993 Mar 3;269(9):1127-32
pubmed: 8433468
Injury. 1985 Sep;16(8):545-6
pubmed: 4066016
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD008470
pubmed: 22895975
J Am Podiatr Med Assoc. 1992 Jan;82(1):25-32
pubmed: 1545367
Clin Orthop Relat Res. 2001 Jun;(387):178-82
pubmed: 11400880
Clin Orthop Relat Res. 1986 Dec;(213):125-36
pubmed: 3780081
Injury. 2014 Apr;45(4):780-3
pubmed: 24388418
Cochrane Database Syst Rev. 2012 Nov 14;11:CD005595
pubmed: 23152232
J Bone Joint Surg Am. 2003 May;85(5):820-4
pubmed: 12728031
Radiology. 2000 Jun;215 Suppl:239-41
pubmed: 11037432
Bone Joint J. 2016 Sep;98-B(9):1248-52
pubmed: 27587528
Foot Ankle Surg. 2019 Jun;25(3):366-370
pubmed: 30321977
Skeletal Radiol. 2018 May;47(5):631-648
pubmed: 29188345
Int Orthop. 2013 Dec;37(12):2451-6
pubmed: 24077867
J Bone Joint Surg Am. 1996 Jul;78(7):1024-31
pubmed: 8698719
Iowa Orthop J. 2005;25:44-6
pubmed: 16089071
Injury. 2017 Nov;48 Suppl 6:S60-S65
pubmed: 29162244
Int Orthop. 2012 Jul;36(7):1403-10
pubmed: 22249843
Acta Orthop Scand. 1998 Feb;69(1):43-7
pubmed: 9524517
Diabetes Metab Res Rev. 2018 Feb;34(2):
pubmed: 29031012
Rev Bras Ortop. 2017 Dec 06;53(1):101-106
pubmed: 29367914
J Orthop Trauma. 2012 Mar;26(3):129-34
pubmed: 22330975
Arch Orthop Trauma Surg. 2010 May;130(5):693-8
pubmed: 20082083
Foot Ankle Int. 2008 Dec;29(12):1184-8
pubmed: 19138481
Foot Ankle Int. 2004 Jul;25(7):488-95
pubmed: 15319107
Foot Ankle Surg. 2019 Feb;25(1):79-83
pubmed: 29409300
J Bone Joint Surg Am. 1976 Apr;58(3):356-7
pubmed: 1262367
Am J Sports Med. 2007 Jul;35(7):1144-52
pubmed: 17379919
Injury. 2018 Aug;49(8):1607-1611
pubmed: 29903578
Foot Ankle. 1987 Aug;8(1):19-22
pubmed: 3623356
J Athl Train. 2002 Dec;37(4):406-412
pubmed: 12937562
JAMA. 2015 Oct 6;314(13):1376-85
pubmed: 26441182
Foot Ankle Int. 1995 Apr;16(4):181-6
pubmed: 7787973
J Orthop Trauma. 2007 Apr;21(4):244-7
pubmed: 17414551
Foot Ankle Surg. 2015 Jun;21(2):86-90
pubmed: 25937406
J Clin Diagn Res. 2015 Oct;9(10):TC10-3
pubmed: 26557590
Orthop Traumatol Surg Res. 2016 Jun;102(4 Suppl):S245-8
pubmed: 27033839
J Bone Joint Surg Am. 2012 Nov 21;94(22):2047-52
pubmed: 23172322
Int J Surg. 2018 Aug;56:294-300
pubmed: 29964180
Orthop Rev. 1992 Jun;21(6):741-4
pubmed: 1614720
Acta Orthop Scand. 1985 Apr;56(2):103-6
pubmed: 3925709
Injury. 2016 Aug;47(8):1783-8
pubmed: 27262772
Foot Ankle Int. 2012 Feb;33(2):92-8
pubmed: 22381339
J Trauma. 1991 Jan;31(1):99-102
pubmed: 1986140
BMJ. 1995 Sep 2;311(7005):594-7
pubmed: 7663253
EFORT Open Rev. 2018 May 21;3(5):294-303
pubmed: 29951269
Foot Ankle Int. 2013 Nov;34(11):1588-95
pubmed: 23818460
Injury. 1991 Sep;22(5):403-6
pubmed: 1806506
J Orthop Traumatol. 2014 Dec;15(4):245-54
pubmed: 25304004
J Bone Joint Surg Am. 2014 Nov 19;96(22):1855-62
pubmed: 25410502
J Orthop Surg (Hong Kong). 2019 Jan-Apr;27(1):2309499019832420
pubmed: 30803314
Arch Surg. 1950 May;60(5):957-85
pubmed: 15411319
Foot Ankle Spec. 2020 Oct;13(5):378-382
pubmed: 31538819
Foot Ankle Int. 1996 Nov;17(11):679-84
pubmed: 8946182
J Bone Joint Surg Br. 1978 May;60-B(2):150-62
pubmed: 350882
J Foot Ankle Surg. 2018 Jul - Aug;57(4):664-667
pubmed: 29681437
Surgeon. 2013 Feb;11(1):6-9
pubmed: 22459666
Acta Chir Orthop Traumatol Cech. 2002;69(4):243-7
pubmed: 12362627
J Foot Ankle Surg. 2020 Jan - Feb;59(1):105-111
pubmed: 31882132
Radiologe. 1991 Dec;31(12):594-600
pubmed: 1780435
J Trauma. 1992 Jan;32(1):65-70
pubmed: 1732577
J Bone Joint Surg Br. 2007 Oct;89(10):1340-3
pubmed: 17957074
J Bone Joint Surg Br. 1990 Jul;72(4):714-7
pubmed: 2116417
Unfallchirurg. 1989 Apr;92(4):191-4
pubmed: 2727714
Injury. 2011 Oct;42(10):1125-9
pubmed: 21329921
J Bone Joint Surg Am. 2009 May;91(5):1042-9
pubmed: 19411451
Orthop J Sports Med. 2017 Sep 08;5(9):2325967117726515
pubmed: 28959699