Martínez VNH, Saldívar MA, Sierra MO, Jiménez GE

Language: Spanish
References: 12
Page: 259-264
PDF size: 79.53 Kb.

ABSTRACT

When treating ankle fractures it is needed to have a clinical evaluation based upon the lesion mechanism, as well as x-ray studies in order to decide a conservative or surgical treatment. A comparative, blind, experimental, ambispective and transversal study was designed. Performed since January 2000, it involved both-sex 60 patients ranging from 15 to 80 years old having been diagnosed B Danis-Weber Type B ankle fracture. These fractures were unimalleolar, bimalleolar or trimalleollar, with a less than 15-day evolution period. Two groups were formed, a control one which had been implanted a lateral plaque (LP), and an experimental one with patients having a posterior nonslipping plaque (PNP), assigned in a sequential way. Sixteen patients were taken out of the study because they did not fulfilled the following stage. Weber’s functional assessment reported 3 cases with an excellent result in the LP group (13.63%), 18 with a good result (81.81%), and 1 with a poor result (4.5%). In the PNP group, there were reported 3 cases with an excellent result (13.63%), 18 with a good result (81.81%), and 1 with a poor result (4.5%). So we observed no clinical difference in both treatments between both groups. The osteosynthesis material in group LP bothered 7 patients (31.81%) with the consequence of having it taken out. In the PNP group this happened in 2 cases (9%). No cases of dehiscence, infection or pseudoarthritis were observed. Conclusions: We did not find differences in technical difficulties, surgical time or functional result. The posterior nonslipping plaque technique requires plaques with a less hole number. The posterior nonslipping plaque gets the patient more comfortable.

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