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A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip.

Publication ,  Journal Article
Bitar, RC; Nishikawa, DRC; de Cesar Netto, C; Godoy-Santos, AL; Pires, RES
Published in: Eur J Orthop Surg Traumatol
February 2021

Displaced fractures (> 2 mm) of the lateral malleolus, without medial or syndesmotic injuries, are often the subject of controversy regarding the best treatment option. In the past, these fractures were usually treated conservatively using a cast for 6 to 8 weeks without weightbearing. Currently, most of the patients desire a quick return to their previous activities, what makes surgical treatment a reasonable choice. It has benefits as earlier ankle mobilization and weightbearing. It also restores ankle biomechanics, preventing secondary osteoarthritis. However, postoperative complications with the standard lateral incision exist such as implant discomfort, dehiscence and infection. Minimally invasive techniques have been described to help avoiding these complications. This technical note described a short single-incision approach for the surgical treatment of displaced oblique fibular fractures type AO/OTA 44-B1 with an antiglide plate that presents the advantage of less risk of damaging the soft tissues, periosteal stripping and disturbance of the fracture hematoma.

Duke Scholars

Published In

Eur J Orthop Surg Traumatol

DOI

EISSN

1432-1068

Publication Date

February 2021

Volume

31

Issue

2

Start / End Page

407 / 412

Location

France

Related Subject Headings

  • Treatment Outcome
  • Orthopedics
  • Humans
  • Fractures, Bone
  • Fracture Fixation, Internal
  • Fibula
  • Bone Plates
  • Ankle Joint
  • Ankle Fractures
  • 3202 Clinical sciences
 

Citation

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Bitar, R. C., Nishikawa, D. R. C., de Cesar Netto, C., Godoy-Santos, A. L., & Pires, R. E. S. (2021). A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip. Eur J Orthop Surg Traumatol, 31(2), 407–412. https://doi.org/10.1007/s00590-020-02771-7
Bitar, Rogério Carneiro, Danilo Ryuko Cândido Nishikawa, Cesar de Cesar Netto, Alexandre Leme Godoy-Santos, and Robinson Esteves Santos Pires. “A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip.Eur J Orthop Surg Traumatol 31, no. 2 (February 2021): 407–12. https://doi.org/10.1007/s00590-020-02771-7.
Bitar RC, Nishikawa DRC, de Cesar Netto C, Godoy-Santos AL, Pires RES. A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip. Eur J Orthop Surg Traumatol. 2021 Feb;31(2):407–12.
Bitar, Rogério Carneiro, et al. “A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip.Eur J Orthop Surg Traumatol, vol. 31, no. 2, Feb. 2021, pp. 407–12. Pubmed, doi:10.1007/s00590-020-02771-7.
Bitar RC, Nishikawa DRC, de Cesar Netto C, Godoy-Santos AL, Pires RES. A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip. Eur J Orthop Surg Traumatol. 2021 Feb;31(2):407–412.
Journal cover image

Published In

Eur J Orthop Surg Traumatol

DOI

EISSN

1432-1068

Publication Date

February 2021

Volume

31

Issue

2

Start / End Page

407 / 412

Location

France

Related Subject Headings

  • Treatment Outcome
  • Orthopedics
  • Humans
  • Fractures, Bone
  • Fracture Fixation, Internal
  • Fibula
  • Bone Plates
  • Ankle Joint
  • Ankle Fractures
  • 3202 Clinical sciences