Martínez VN, Saldívar MA, Sierra MO, Jiménez GE

Language: English
References: 12
Page: 39-44
PDF size: 80.41 Kb.

ABSTRACT

In ankle fractures a clinical evaluation based on the injury mechanism is necessary. It is also necessary to have X-ray imaging to decide on whether to use conservative or surgical treatment. A comparative, blind, experimental, ambispective, cross section study was designed for 60 patients beginning January 2000, involving patients older than 15 years of age and younger than 80 years, of both genders, with Danis-Weber Type B ankle fracture. Fractures involved one, two or three malleoli less than 15 days old. Two groups were made: one control group with patients operated and using a lateral plate and an experimental group with patients operated using a posterior antiglide plate. Patients were sequentially distributed. Sixteen patients were excluded from the study since they did not meet the follow up requirements. Weber’s functional assessment reported 3 cases (13.63%) with excellent results, 18 (81.81%) with good results and one (4.5%) with a poor result for the lateral plate group. No differences were seen in the clinical outcome of both groups. The osteosynthesis material in the lateral plate group caused discomfort to 7 (31.81%) patients and in 2 cases, it had to be removed. In the posterior antiglide plate group two patients complained about it. No dehiscences, infections or pseudoarthrosis were seen in some of the groups. Our conclusions: we found no differences in terms of technical difficulty, duration of surgery or functional outcome. The posterior antiglide plate requires plates with a smaller number of wholes. The posterior antiglide plate was less uncomfortable for the patient.

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