THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES
Objective: Posterior malleolar fractures (PMF) are common among ankle fractures and their proper management is crucial to maintaining ankle stability. The purpose of this study was to compare the clinical and radiological effects of screw versus support plate fixation in the surgical treatment of PM...
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Istanbul University Press
2023-10-01
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/08AF24427ABC4A2AB88BD757A1388904 |
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| author | İbrahim Sungur Kadri Encu Mahmud Aydın Serkan Sürücü Sercan Çapkın |
| author_facet | İbrahim Sungur Kadri Encu Mahmud Aydın Serkan Sürücü Sercan Çapkın |
| author_sort | İbrahim Sungur |
| collection | DOAJ |
| description | Objective: Posterior malleolar fractures (PMF) are common among ankle fractures and their proper management is crucial to maintaining ankle stability. The purpose of this study was to compare the clinical and radiological effects of screw versus support plate fixation in the surgical treatment of PMF.Material and Methods: Between December 2016 and February 2018, 82 patients who underwent surgical treatment for PMF were analyzed retrospectively. Patients were divided into two groups based on the type of fixation material used: screws and buttress plates. Using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, range of motion measurements, and radiographic evaluations, clinical evaluations were conducted.Results: A total of 60 patients were included in the study, 33 of whom were treated with plate osteosynthesis and 27 with screw osteosynthesis. The demographic and clinical characteristics were similar between the groups. The AOFAS scores, range of motion measurements, and complication rates were comparable between the screw and plate fixation groups. The radiological evaluation showed no significant difference in posttraumatic arthritis levels between the two groups.Conclusion: The screw fixation alone provides similar clinical andmradiological results compared to buttress plate fixation in the surgicaln treatment of PMF. These results are in advance of the growing evidence supporting screw-only osteosynthesis for Haraguchi type 1 and 2 posterior malleolus fractures. |
| format | Article |
| id | doaj-art-a991b99701df43d4bfbbf2afc6724bef |
| institution | DOAJ |
| issn | 2651-4060 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | Sabiad |
| spelling | doaj-art-a991b99701df43d4bfbbf2afc6724bef2025-08-20T02:56:13ZengIstanbul University PressSabiad2651-40602023-10-016323423810.26650/JARHS2023-1320786123456THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURESİbrahim Sungur0https://orcid.org/0000-0001-5950-1713Kadri Encu1https://orcid.org/0009-0009-5992-4930Mahmud Aydın2https://orcid.org/0000-0002-2235-1480Serkan Sürücü3https://orcid.org/0000-0003-1551-4525Sercan Çapkın4https://orcid.org/0000-0001-6957-5927Sultangazi Haseki Egitim ve Araştırma Hastanesi, İstanbul, TürkiyeSultangazi Haseki Egitim ve Araştırma Hastanesi, İstanbul, TürkiyeSultangazi Haseki Egitim ve Araştırma Hastanesi, İstanbul, TürkiyeYale University, New-Haven, United-StatesAksaray Eğitim ve Araştırma Hastanesi, Aksaray, TürkiyeObjective: Posterior malleolar fractures (PMF) are common among ankle fractures and their proper management is crucial to maintaining ankle stability. The purpose of this study was to compare the clinical and radiological effects of screw versus support plate fixation in the surgical treatment of PMF.Material and Methods: Between December 2016 and February 2018, 82 patients who underwent surgical treatment for PMF were analyzed retrospectively. Patients were divided into two groups based on the type of fixation material used: screws and buttress plates. Using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, range of motion measurements, and radiographic evaluations, clinical evaluations were conducted.Results: A total of 60 patients were included in the study, 33 of whom were treated with plate osteosynthesis and 27 with screw osteosynthesis. The demographic and clinical characteristics were similar between the groups. The AOFAS scores, range of motion measurements, and complication rates were comparable between the screw and plate fixation groups. The radiological evaluation showed no significant difference in posttraumatic arthritis levels between the two groups.Conclusion: The screw fixation alone provides similar clinical andmradiological results compared to buttress plate fixation in the surgicaln treatment of PMF. These results are in advance of the growing evidence supporting screw-only osteosynthesis for Haraguchi type 1 and 2 posterior malleolus fractures.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/08AF24427ABC4A2AB88BD757A1388904ankle fracturebone screwposterior malleolar fracturesurgical procedures |
| spellingShingle | İbrahim Sungur Kadri Encu Mahmud Aydın Serkan Sürücü Sercan Çapkın THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES Sabiad ankle fracture bone screw posterior malleolar fracture surgical procedures |
| title | THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES |
| title_full | THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES |
| title_fullStr | THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES |
| title_full_unstemmed | THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES |
| title_short | THE EFFECT OF SCREW FIXATION AND BUTTRESS PLATE FIXATION ON CLINICAL AND RADIOLOGICAL RESULTS IN THE SURGICAL TREATMENT OF POSTERIOR MALLEOLAR FRACTURES |
| title_sort | effect of screw fixation and buttress plate fixation on clinical and radiological results in the surgical treatment of posterior malleolar fractures |
| topic | ankle fracture bone screw posterior malleolar fracture surgical procedures |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/08AF24427ABC4A2AB88BD757A1388904 |
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