A Comparative study between percutaneous screws versus plate fixation for weber B lateral malleolus fracture | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 1, January 2024 | ||
| DOI: 10.58675/2682-339X.2293 | ||
| Authors | ||
| Mohamed Khaled Ali Tawfik1; Ali El-Gioshi2; Mahmoud Gaber3 | ||
| 1Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 2Professor Dr. of Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| 3Lecturer of Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: A dislocated ankle fracture is the most frequent fracture among those aged 20 to 65.The Weber classification system, which considers the level of the fracture in respect to the ankle joint, is a straightforward method for categorizing lateral malleolar fractures. It influences the choice of therapy and the terminology used to describe ankle fractures. Aim and objectives: This study's objective is comparing clinical and radiological outcomes in Weber B lateral malleolus fracture managed with percutaneous screw or plate fixation Subjects and methods: This research involves 20 patients with fracture of Weber B lateral malleolus fixation with percutaneous screw or plate. Result: In Percutaneous screws group, the mean age was 40 ± 11.22, 50% were male, 50% were urban, and the mean BMI was 26.25 ± 1.11. In Plate fixation group, the mean age was 39.8 ± 9.96, 60% were male, 40% were urban, the mean BMI was 24.39 ± 0.87. When it came to demographic information, there were no notable differences. There were strong significant correlations between time for complete healing and age, sex, co-morbidities and operative time. Conclusion: For Weber B lateral malleolus fractures, percutaneous fixation with a long intramedullary screw provides equivalent clinical results to internal fixation with a plate and screws and routine open reduction. Only minimum soft-tissue incision is necessary for percutaneous screw fixation of the lateral malleolus. | ||
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