족관절 외과의 Danis-Weber B형 단독 골절에 있어서 활주 방지 금속판고정술과 외측 금속판고정술의 비교
Comparison of Antiglide Plate Fixation and Lateral Plate Fixation for Danis-Weber Type B Isolated Lateral Malleolar Fractures
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study was performed retrospectively and to compare the clinical outcomes of the surgical management using Antiglide plating and lateral plating for Danis-Weber type B isolated lateral malleolar fractures. Materials and Methods: Between March 2004 and March 2009, 92 patients were followed up for more than 6 months after surgical treatment. 49 patients were treated with Antiglide plating, whereas the remaining 43 patients underwent lateral plating. The results of the two groups were analyzed both radiographically and clinically using Ankle scoring system. Results: Both groups were comparable for age, sex distribution, time to surgery, and operation time. Bone union was noted at average of 8 weeks in all fractures. The mean ankle score was similar in both groups (94% versus 93%). Conclusion: Antiglide plating for Danis-Weber type B isolated lateral malleolar fracture is one of the good methods which has some advantages such as early ankle motion, ambulation and smaller operative incision.
Abstract
Purpose: This study was performed retrospectively and to compare the clinical outcomes of the surgical management using Antiglide plating and lateral plating for Danis-Weber type B isolated lateral malleolar fractures. Materials and Methods: Between March 2004 and March 2009, 92 patients were followed up for more than 6 months after surgical treatment. 49 patients were treated with Antiglide plating, whereas the remaining 43 patients underwent lateral plating. The results of the two groups were analyzed both radiographically and clinically using Ankle scoring system. Results: Both groups were comparable for age, sex distribution, time to surgery, and operation time. Bone union was noted at average of 8 weeks in all fractures. The mean ankle score was similar in both groups (94% versus 93%). Conclusion: Antiglide plating for Danis-Weber type B isolated lateral malleolar fracture is one of the good methods which has some advantages such as early ankle motion, ambulation and smaller operative incision.
참고문헌 (20)
- Michelsen JD, "Motion of the ankle in a simulated supination-external rotation fracture model", J Bone Joint Surg Am, 78, pp.1024~1031 (1996)
- Michelson JD, "Examination of the pathologic anatomy of ankle fractures", J Trauma, 32, pp.65~70 (1992)
- Stiehl JB, "Long-term results of pronation-external rotation ankle fracture-dislocations treated with anatomical open reduction, internal fixation", J Orthop Trauma, 4, pp.339~345 (1990)
- Thordarson DB, "The effect of fibular malreduction on contact pressures in an ankle fracture malunion model", J Bone Joint Surg Am, 79, pp.1809~1815 (1997)
- Yablon IG, "The key role of the lateral malleolus in displaced fractures of the ankle", J Bone Joint Surg Am, 59, pp.169~173 (1977)
- Müller ME, "Manual of internal fixation. Techniques recommended by the AO-ASIF Group", pp.606~612 (1991), Springer-Verlag
- Lamontagne J, "Surgical treatment of a displaced lateral malleolus fracture: the antiglide technique versus lateral plate fixation", J Orthop Trauma, 16, pp.498~502 (2002)
- Shin HK, "Comparative study for the fixation method in the Danis-Weber type B lateral malleolar fractures: An antiglide plate fixation versus A lateral plate fixation", J Korean Foot Ankle Soc, 10, pp.201~206 (2006)
- Brunner CF, "Special techniques in internal fixation", pp.123~127 (1982), Springer-Verlag
- Olerud C, "A scoring scale for symptom evaluation after ankle fracture", Arch Orthop Trauma Surg, 103, pp.190~194 (1984)
- Dunn WR, "An augmented fixation method for distal fibular fractures in elderly patients: a biomechanical evaluation", Foot Ankle Int, 25, pp.128~131 (2004)
- Schaffer JJ, "The antiglide plate for distal fibular fixation. A biomechanical comparison with fixation with a lateral plate", J Bone Joint Surg Am, 69, pp.596~604 (1987)
- Beauchamp CG, "Displaced ankle fractures in patients over 50 years of age", J Bone Joint Surg Br, 65, pp.329~332 (1983)
- Broos PL, "Operative treatment of ankle fractures in adults: correlation between types of fracture and final results", Injury, 22, pp.403~406 (1991)
- de Souza LJ, "Results of operative treatment of displaced external rotation-abduction fractures of the ankle", J Bone Joint Surg Am, 67, pp.1066~1074 (1985)
- Park YW, "Treatment of lateral malleolar fractures with cannulated screws in Danis-Weber type B ankle fractures", J Korean Foot Ankle Soc, 5, pp.129~135 (2001)
- Winkler B, "The dorsal antiglide plate in the treatment of Danis-Weber type-B fractures of the distal fibula", Clin Orthop Relat Res, 259, pp.204~209 (1990)
- Weber M, "Peroneal tendon lesions caused by antiglide plates used for fixation of lateral malleolar fractures: the effect of plate and screw position", Foot Ankle Int, 26, pp.281~285 (2005)
- Ostrum RF, "Posterior plating of displaced Weber B fibula fractures", J Orthop Trauma, 10, pp.199~203 (1996)
- Treadwell JR, "The antiglide plate for the Danis-Weber type-B fibular fracture: a review of 71 cases", J Foot Ankle Surg, 32, pp.573~579 (1993)
