Comparison of Lag Screw Versus Buttress Plate Fixation of Posterior Malleolar Fractures

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dc.authoridKorkmaz, Mehmet Fatih/0000-0001-7498-6763
dc.authoridErken, H. Yener/0000-0001-7937-7203
dc.authoridErdem, Mehmet Nuri/0000-0001-7377-6393
dc.authorwosidKorkmaz, Mehmet Fatih/AAE-6018-2020
dc.authorwosidErken, H. Yener/AAS-4306-2020
dc.authorwosidErdem, Mehmet Nuri/J-9767-2018
dc.contributor.authorErdem, Mehmet Nuri
dc.contributor.authorErken, H. Yener
dc.contributor.authorBurc, Halil
dc.contributor.authorSaka, Gursel
dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorAydogan, Mehmet
dc.date.accessioned2024-08-04T20:39:55Z
dc.date.available2024-08-04T20:39:55Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: The goal of this study was to report the results of selective open reduction and internal fixation of fractures of the posterior malleolus with a posterolateral approach and to compare the results of the 2 techniques. Methods: We prospectively evaluated 40 patients who underwent posterior malleolar fracture fixation between 2008 and 2012. The patients were treated with a posterolateral approach. We assigned alternating patients to receive plate fixation and the next screw fixation, consecutively, based on the order in which they presented to our institution. Fixation of the posterior malleolus was made with lag screws in 20 patients and a buttress plate in 20 patients. We used American Orthopaedic Foot and Ankle Society (AOFAS) scores, range of motion (ROM) of the ankle, and radiographic evaluations as the main outcome measurements. The mean follow-up was 38.2 (range, 24-51) months. Results: Full union without any loss of reduction was obtained in 38 of the 40 patients. We detected a union with a step-off of 3 mm in 1 patient in the screw group and a step-off of 2 mm in 1 patient in the plate group. At the final follow-up, the mean AOFAS score of the patients regardless of fixation type was 94.1 (range, 85-100). The statistical results showed no significant difference between the patients regardless of the fixation type of the posterior malleolus in terms of AOFAS scores and ROM of the ankle (P > .05). Conclusions: Good (AOFAS score of 94/100) and equivalent (within 3 points) results were obtained using the 2 techniques (screws or plate) for fixation after open reduction of posterior malleolar fragments.en_US
dc.identifier.doi10.1177/1071100714540893
dc.identifier.endpage1030en_US
dc.identifier.issn1071-1007
dc.identifier.issn1944-7876
dc.identifier.issue10en_US
dc.identifier.pmid24962529en_US
dc.identifier.scopus2-s2.0-84910034265en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1022en_US
dc.identifier.urihttps://doi.org/10.1177/1071100714540893
dc.identifier.urihttps://hdl.handle.net/11616/96591
dc.identifier.volume35en_US
dc.identifier.wosWOS:000345189500010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofFoot & Ankle Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectankle fracturesen_US
dc.subjectposterior malleolar fracturesen_US
dc.subjectposterolateral fixationen_US
dc.titleComparison of Lag Screw Versus Buttress Plate Fixation of Posterior Malleolar Fracturesen_US
dc.typeArticleen_US

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