Modified One-third Tubular Plate with Hook for Distal Lateral Malleolus Fracture Fixation
Journal Title: Malaysian Orthopaedic Journal - Year 2019, Vol 13, Issue 1
Abstract
Fracture of the lateral malleolus is a commonly encountered problem in the orthopaedic fraternity. Among the lateral malleolus fractures, Weber type B is the most common injury, accounting for 60% of all ankle fractures. Anatomical reduction and fixation of the distal lateral malleolus fractures are crucial to improve the outcomes in patients. They are normally done with a one-third tubular plate with or without an inter-fragmentary lag screw. One-third tubular plate is a suitable implant as there is limited soft tissue coverage overlying the lateral malleolus. A commonly encountered problem intra-operatively is limited space for distal screw placement. Placement of only one distal screw is insufficient to ensure rotational stability, especially in osteoporotic bone. Locking plate has been proposed to treat these fractures, but a significant increase in wound complications associated with locking compression plate discourage the use of these implants.
Authors and Affiliations
Kow RY, Low CL
Keywords
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- EP ID EP522241
- DOI 10.5704/MOJ.1903.013
- Views 98
- Downloads 0
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