A comparison of bone union and complication rates between locking and non-locking plates in distal fibular fracture: Retrospective study of 106 cases

Fatayri, Bachar El; Bulaïd, Yassine; Djebara, Az-Eddine; Havet, É.; Mertl, P.; Dehl, Massinissa

doi:10.1016/j.injury.2019.10.001

Cited by 14 publications

(4 citation statements)

References 37 publications

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“…Eleven studies were considered suitable for inclusion in this systematic review and meta-analysis. 4,7,8,11,12,17,20,21,25,26,28 Ten of the included studies were retrospective cohort studies. 4,7,8,11,12,17,20,21,25,26 One of the included studies was a randomized controlled trial.…”

Section: Searchmentioning

confidence: 99%

“…4,7,8,11,12,17,20,21,25,26,28 Ten of the included studies were retrospective cohort studies. 4,7,8,11,12,17,20,21,25,26 One of the included studies was a randomized controlled trial. 28…”

Section: Searchmentioning

confidence: 99%

“…13 In the last decade, the increasing amount of literature on the use of locking plates in ankle fracture surgery suggests an increasing use of this type of plate osteosynthesis in daily practice. 1,2,4,7,8,11,12,17,20,21,23,25,26,28 Plate osteosynthesis can be carried out using conventional nonlocking plates, such as one-third tubular plates or dynamic compression plates, but plate osteosynthesis can also be carried out with a variety of later developed locking plates, such as locking compression plates or anatomical locking compression plates. Locking plates allow the opportunity to combine dynamic compression principles with internal fixation using locking screws.…”

Section: Introductionmentioning

confidence: 99%

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Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis

et al. 2021

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Background: The exact benefit of locking plates over nonlocking plates in patients with lateral malleolus fractures remains unclear. The primary aim of this study was to compare the functional outcome of locking plates vs nonlocking plates in patients with a lateral malleolus fracture. The secondary aims were to compare the number of complications and hardware removals and to compare whether results differed for older patients and for patients treated with anatomical locking plates. Methods: The PubMed/MEDLINE, Embase, Cochrane, and CINAHL databases were searched for studies comparing locking plates with nonlocking plates in patients with fixated lateral malleolus fractures. All included studies were assessed on their methodologic quality using the MINORS. Subgroup analyses were performed on older patients and patients treated with anatomical locking plates. Results: A total of 11 studies were included. The meta-analysis showed that functional outcome did not differ between patients treated with locking plates and nonlocking plates (MD 2.38, 95% CI −2.71 to 7.46). No difference in both complication rate (OR 1.10, 95% CI 0.74-1.63) and the amount of hardware removals (OR 0.77, 95% CI 0.52-1.14) was found. Even after analyzing older patients and patients treated with anatomical locking plates, no benefit was shown. Conclusion: This meta-analysis demonstrates no clear benefit in selecting locking plates over nonlocking plates in the treatment of lateral malleolus fractures. Clinical Relevance: Locking plates are increasingly being used in the treatment of lateral malleolus fractures. Biomechanical studies have shown an increased stability with use of locking vs nonlocking plates. This clinical review does not support a benefit of use of locking plates for these fractures.

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Section: Searchmentioning

confidence: 99%

“…4,7,8,11,12,17,20,21,25,26,28 Ten of the included studies were retrospective cohort studies. 4,7,8,11,12,17,20,21,25,26 One of the included studies was a randomized controlled trial. 28…”

Section: Searchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis

et al. 2021

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“…In the last two decades, several new exciting treatment strategies have been developed. These include anatomical locking plates [12] and intramedullary nails [13] for distal fibular fractures. Locking plates and intramedullary nails were designed predominantly for the elderly population, as they were shown to enhance the biomechanical stability and reduce wound healing problems especially in patients at risk [14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Trends of incidence and treatment strategies for operatively treated distal fibula fractures from 2005 to 2019: a nationwide register analysis

Milstrey

Baumbach²,

Pfleiderer

et al. 2021

Arch Orthop Trauma Surg

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Introduction Valid epidemiological data about distal fibular fractures and their treatment strategies are missing. Innovative osteosynthesis techniques were introduced and improved during the past 15 years. The aim of this study was to investigate the epidemiologic development and the implementation of new treatment strategies in a nationwide register in Germany over a period of 15 years. Materials and methods Data of the German Federal Statistical Office from 2005 until 2019 were screened. Adults with a fracture of the distal fibula were included. Data were separated for gender, age and treatment strategy. Results During the past 15 years, there was a steady annual incidence of distal fibula fractures of 74 ± 32 per 100,000 people without any significant changes (p = 0.436). 60.1% ± 0.6% of all fractures occurred in females. The annual incidence for male was nearly constant over the different age groups, whereas for female, there was a clear increase in incidence above the age of 40. Whereas 66% of fractures in between 20 and 30 years of age occurred in male, approximately 70% of fractures above the age of 60 occurred in females. The relative quantity of locking plates increased from 2% in 2005 to 34% in 2019. In 2019, only 1.02% of the patients were operated with an intramedullary nail. Conclusions Operatively treated distal fibular fractures revealed an age dependent increase in incidence in postmenopausal women compared to younger females. Regarding the treatment strategy, there was an increase in application of locking plates. The data implicate a typical fragility fracture related age and gender distribution for distal fibula fractures.

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A comparison of outcomes of locking versus non-locking plate fixation for the distal fibula fractures: a systematic review and meta-analysis

Dhillon,

Rajnish,

Kumar

et al. 2023

Eur J Orthop Surg Traumatol

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A comparison of bone union and complication rates between locking and non-locking plates in distal fibular fracture: Retrospective study of 106 cases

Cited by 14 publications

References 37 publications

Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis

Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis

Trends of incidence and treatment strategies for operatively treated distal fibula fractures from 2005 to 2019: a nationwide register analysis

A comparison of outcomes of locking versus non-locking plate fixation for the distal fibula fractures: a systematic review and meta-analysis

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