Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures
Introduction Ankle fractures are one of the common injuries treated by orthopaedic surgeons. The lack of a standard medical care can be associated with poor outcomes, high disability rates with conservative treatments. Reported outcomes following operative fixation vary widely in the literature an...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2025-08-01
|
| Series: | Гений oртопедии |
| Subjects: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849233361773527040 |
|---|---|
| author | Vladimir O. Tsapenko Yuri B. Kashansky Igor P. Kondratyev Anatoly V. Polikarpov Rostislav V. Vashetko |
| author_facet | Vladimir O. Tsapenko Yuri B. Kashansky Igor P. Kondratyev Anatoly V. Polikarpov Rostislav V. Vashetko |
| author_sort | Vladimir O. Tsapenko |
| collection | DOAJ |
| description | Introduction Ankle fractures are one of the common injuries treated by orthopaedic surgeons. The lack
of a standard medical care can be associated with poor outcomes, high disability rates with conservative
treatments. Reported outcomes following operative fixation vary widely in the literature and infectious
complications can complicate the rehabilitation process.
The objective was to show a clinical possibility, safety and feasibility of a new method of fibula fixation
in ankle fractures using necropsy material and to reduce negative consequences after surgical treatment.
Material and methods Major vessels and nerves were isolated in the lower third of tibia in 11 biomannequins,
AO 44C1 and 44C2 fractures obtained mechanically and fibula fixed using the technique offered. Forces were
applied to the injury site through mechanical stress tests.
Results The fixation method did not lead to a conflict between fixing screws and major vessels and nerves.
No visible changes in the fibula position were noted in the biomannequins with the foot brought to extreme
positions of plantar and dorsal flexion, with stress tests causing valgus and varus deformities.
Discussion As opposed to conventional surgical treatments of ankle fractures, no large incisions are required
with the technique to place implants. There is no need to use plates, and the fracture can be fixed using
the paired bone of the injured segment instead. Fixation screws can be inserted transcutaneously through soft
tissue punctures. The new method is associated with less trauma, less quantity of metal needed and reduced
probability of infectious complications. It can be used for AO 44C1 and 44C2 fractures in medical institutions
with different availability of equipment.
Conclusions Ankle fractures can be repaired with the technique offered causing no damage to the major
vessels and nerves at the surgical site. Stress tests showed stable fibula fixation achieved in all cases avoiding
mobility at the fracture site. The new technique can facilitate normal reparative osteogenesis in clinical
practice. |
| format | Article |
| id | doaj-art-e469e734a8814e6ab186d514b2791614 |
| institution | Kabale University |
| issn | 1028-4427 2542-131X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj-art-e469e734a8814e6ab186d514b27916142025-08-20T06:40:03ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2025-08-0131449550110.18019/1028-4427-2025-31-4-495-501Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fracturesVladimir O. Tsapenko0Yuri B. Kashansky1Igor P. Kondratyev2Anatoly V. Polikarpov3Rostislav V. Vashetko4St. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russian FederationSt. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russian FederationSt. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russian FederationSt. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russian FederationSt. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze, Saint Petersburg, Russian FederationIntroduction Ankle fractures are one of the common injuries treated by orthopaedic surgeons. The lack of a standard medical care can be associated with poor outcomes, high disability rates with conservative treatments. Reported outcomes following operative fixation vary widely in the literature and infectious complications can complicate the rehabilitation process. The objective was to show a clinical possibility, safety and feasibility of a new method of fibula fixation in ankle fractures using necropsy material and to reduce negative consequences after surgical treatment. Material and methods Major vessels and nerves were isolated in the lower third of tibia in 11 biomannequins, AO 44C1 and 44C2 fractures obtained mechanically and fibula fixed using the technique offered. Forces were applied to the injury site through mechanical stress tests. Results The fixation method did not lead to a conflict between fixing screws and major vessels and nerves. No visible changes in the fibula position were noted in the biomannequins with the foot brought to extreme positions of plantar and dorsal flexion, with stress tests causing valgus and varus deformities. Discussion As opposed to conventional surgical treatments of ankle fractures, no large incisions are required with the technique to place implants. There is no need to use plates, and the fracture can be fixed using the paired bone of the injured segment instead. Fixation screws can be inserted transcutaneously through soft tissue punctures. The new method is associated with less trauma, less quantity of metal needed and reduced probability of infectious complications. It can be used for AO 44C1 and 44C2 fractures in medical institutions with different availability of equipment. Conclusions Ankle fractures can be repaired with the technique offered causing no damage to the major vessels and nerves at the surgical site. Stress tests showed stable fibula fixation achieved in all cases avoiding mobility at the fracture site. The new technique can facilitate normal reparative osteogenesis in clinical practice.osteosynthesisankle fracturetrauma |
| spellingShingle | Vladimir O. Tsapenko Yuri B. Kashansky Igor P. Kondratyev Anatoly V. Polikarpov Rostislav V. Vashetko Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures Гений oртопедии osteosynthesis ankle fracture trauma |
| title | Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| title_full | Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| title_fullStr | Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| title_full_unstemmed | Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| title_short | Experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| title_sort | experimental topographic and anatomical substantiation of hybrid osteosynthesis of the fibula in patients with ankle fractures |
| topic | osteosynthesis ankle fracture trauma |
| work_keys_str_mv | AT vladimirotsapenko experimentaltopographicandanatomicalsubstantiationofhybridosteosynthesisofthefibulainpatientswithanklefractures AT yuribkashansky experimentaltopographicandanatomicalsubstantiationofhybridosteosynthesisofthefibulainpatientswithanklefractures AT igorpkondratyev experimentaltopographicandanatomicalsubstantiationofhybridosteosynthesisofthefibulainpatientswithanklefractures AT anatolyvpolikarpov experimentaltopographicandanatomicalsubstantiationofhybridosteosynthesisofthefibulainpatientswithanklefractures AT rostislavvvashetko experimentaltopographicandanatomicalsubstantiationofhybridosteosynthesisofthefibulainpatientswithanklefractures |