Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Comparison of Antiglide Plate Fixation and Lateral Plate Fixation for Danis-Weber Type B Isolated Lateral Malleolar Fractures

족관절 외과의 Danis-Weber B형 단독 골절에 있어서 활주 방지 금속판고정술과 외측 금속판고정술의 비교

  • Ha, Joong-Won (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Kim, Hyoung-Bok (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Ko, Min-Suk (Department of Orthopedic Surgery, Yonsei University College of Medicine) ;
  • Yoon, Han-Kook (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital)
  • 하중원 (국민건강보험관리공단 일산병원 정형외과) ;
  • 김형복 (국민건강보험관리공단 일산병원 정형외과) ;
  • 고민석 (연세대학교 의과대학 정형외과학교실) ;
  • 윤한국 (국민건강보험관리공단 일산병원 정형외과)
  • Received : 2011.07.18
  • Accepted : 2011.08.16
  • Published : 2011.09.15
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Michelsen JD, Ahn UM, Helgemo SL. Motion of the ankle in a simulated supination-external rotation fracture model. J Bone Joint Surg Am. 1996;78:1024-31. https://doi.org/10.2106/00004623-199607000-00006
  2. Michelson JD, Magid D, Ney DR, Fishman EK. Examination of the pathologic anatomy of ankle fractures. J Trauma. 1992;32:65-70. https://doi.org/10.1097/00005373-199201000-00014
  3. Stiehl JB, Schwartz HS. Long-term results of pronation-external rotation ankle fracture-dislocations treated with anatomical open reduction, internal fixation. J Orthop Trauma. 1990;4:339-45. https://doi.org/10.1097/00005131-199004030-00018
  4. Thordarson DB, Motamed S, Hedman T, Ebramzadeh E, Bakshian S. The effect of fibular malreduction on contact pressures in an ankle fracture malunion model. J Bone Joint Surg Am. 1997;79:1809-15. https://doi.org/10.2106/00004623-199712000-00006
  5. Yablon IG, Heller FG, Shouse L. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg Am. 1977;59:169-73. https://doi.org/10.2106/00004623-197759020-00005
  6. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of internal fixation. Techniques recommended by the AO-ASIF Group. 3rd ed. Berlin: Springer-Verlag; 1991. 606-12.
  7. Lamontagne J, Blachut PA, Broekhuyse HM, O'Brien PJ, Meek RN. Surgical treatment of a displaced lateral malleolus fracture: the antiglide technique versus lateral plate fixation. J Orthop Trauma. 2002;16:498-502. https://doi.org/10.1097/00005131-200208000-00008
  8. Shin HK, Choi JY, Kang DH. 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. 2006;10:201-6.
  9. Brunner CF, Weber BG. Special techniques in internal fixation. New York: Springer-Verlag; 1982. 123-7.
  10. Olerud C, Molander H. A scoring scale for symptom evaluation after ankle fracture. Arch Orthop Trauma Surg. 1984;103: 190-4. https://doi.org/10.1007/BF00435553
  11. Dunn WR, Easley ME, Parks BG, Trnka HJ, Schon LC. An augmented fixation method for distal fibular fractures in elderly patients: a biomechanical evaluation. Foot Ankle Int. 2004;25:128-31. https://doi.org/10.1177/107110070402500303
  12. Schaffer JJ, Manoli A 2nd. The antiglide plate for distal fibular fixation. A biomechanical comparison with fixation with a lateral plate. J Bone Joint Surg Am. 1987;69:596-604. https://doi.org/10.2106/00004623-198769040-00017
  13. Beauchamp CG, Clay NR, Thexton PW. Displaced ankle fractures in patients over 50 years of age. J Bone Joint Surg Br. 1983;65:329-32.
  14. Broos PL, Bisschop AP. Operative treatment of ankle fractures in adults: correlation between types of fracture and final results. Injury. 1991;22:403-6. https://doi.org/10.1016/0020-1383(91)90106-O
  15. de Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of the ankle. J Bone Joint Surg Am. 1985;67:1066-74. https://doi.org/10.2106/00004623-198567070-00010
  16. Park YW, Chung YK, Yoo JH, Park HJ, O YS, Kang KM. Treatment of lateral malleolar fractures with cannulated screws in Danis-Weber type B ankle fractures. J Korean Foot Ankle Soc. 2001;5:129-35.
  17. Winkler B, Weber BG, Simpson LA. The dorsal antiglide plate in the treatment of Danis-Weber type-B fractures of the distal fibula. Clin Orthop Relat Res. 1990;(259):204-9.
  18. Weber M, Krause F. Peroneal tendon lesions caused by antiglide plates used for fixation of lateral malleolar fractures: the effect of plate and screw position. Foot Ankle Int. 2005;26: 281-5. https://doi.org/10.1177/107110070502600403
  19. Ostrum RF. Posterior plating of displaced Weber B fibula fractures. J Orthop Trauma. 1996;10:199-203. https://doi.org/10.1097/00005131-199604000-00008
  20. Treadwell JR, Fallat LM. The antiglide plate for the Danis-Weber type-B fibular fracture: a review of 71 cases. J Foot Ankle Surg. 1993;32:573-9.