Biomechanical Evaluation of Plate Versus Lag Screw Only Fixation of Distal Fibula Fractures

Misaghi, Amirhossein; Doan, Josh; Bastrom, Tracey P.; Pennock, Andrew T.

doi:10.1053/j.jfas.2015.03.011

Cited by 12 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in that study epicondylar screws were analyzed in the same group as plates, whereas we separately analyzed epicondylar screw and epicondylar plates. In a biomechanical evaluation of plate vs lag screw only fixation of oblique distal fibular fractures in man, 32 constructs stabilized with one lag screw were weaker compared with plated constructs for both lateral bending and rotational stiffness.…”

Section: Discussionmentioning

confidence: 98%

Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome

et al. 2020

View full text Add to dashboard Cite

Objective: To report the prevalence, configuration, risk factors, fixation methods and outcomes after repair of humeral condylar fractures (HCF) in dogs. Study design:Retrospective nested cohort study. Sample population: One hundred twelve dogs.Methods: Medical records of dogs referred between January 2010 and August 2018 were searched for HCF. Demographics, fracture configuration, repair, and complications were obtained from medical records. Radiographs were assessed for fracture reduction, implant positioning, and bone healing. Short-term radiographic and clinical outcomes, and long-term owner-assessed outcome was determined. Associations between these variables were statistically analyzed. Results: Dogs with HCF represented 112 of 43 325 (0.26%, 95% CI 0.22-0.31) referrals. French bulldogs and spaniel breeds were predisposed to HCF (P < .02).French bulldogs were 6.58 times (95% CI 1.62-26.7) more likely than other breeds to have a medial HCF (P = .008). Epicondylar plate fixation was associated with reduced complications compared with lag screws and Kirschner wires (P = .009). Lameness was scored as 1 of 5 (median) in the 85 dogs with initial follow-up (median 6 weeks) after HCF repair. Outcome was considered excellent in 26 of 31 dogs with long-term follow-up (median 36 months). Conclusion: French bulldogs and spaniels were predisposed to HCF, and medial HCF were more common in French bulldogs. Epicondylar plate fixation was associated with reduced complications.Clinical significance: French bulldogs are predisposed to HCF, including medial HCF. Epicondylar plate fixation is recommended over other epicondylar fixation methods to reduce complications.

show abstract

Section: Discussionmentioning

confidence: 98%

Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In addition, the single lag screw may not have added that much more stability over that of the locking plate fixation alone, as demonstrated by a prior biomechanical study. 19…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the single lag screw may not have added that much more stability over that of the locking plate fixation alone, as demonstrated by a prior biomechanical study. 19 Importantly, we do not intend for this study to deny the usefulness of interfragmentary lag screw placement for the treatment of a lateral malleolar fracture. Indeed, lag-screw fixation can be used as an alternative means to overcome the potential disadvantage of the plate-only technique.…”

Section: Discussionmentioning

confidence: 99%

Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures

2020

View full text Add to dashboard Cite

Background: Interfragmentary lag screws, protected by a plate, have been applied for many years in the treatment of supination-external rotation (SER) ankle fractures. Recently, similar biomechanical stability was found between fixation completed with a plate and lag screw and a plate alone. The aim of this study was to determine whether interfragmentary lag screws are necessary during precontoured lateral locking plate fixation for SER lateral malleolar fractures. Methods: A prospective randomized controlled trial of 76 patients with unilateral Lauge-Hansen SER lateral malleolar fractures was conducted. The patients were randomly treated either with or without the use of interfragmentary lag screws with precontoured lateral locking plate fixation. Clinical outcomes were assessed using the Olerud-Molander Ankle Score and a visual analog scale for pain. Radiologic outcomes were assessed based on the Kellgren and Lawrence scale score, incongruity of the ankle joint, and type of fracture healing. Sixty-nine patients completed 12 months of follow-up. Results: There was no significant difference between the 2 groups with regard to clinical outcomes at 3 and 12 months after surgery and radiologic outcomes at 12 months after surgery. All patients in both groups achieved primary bone healing. Conclusion: The results of this study suggest that with precontoured lateral locking plate fixation, the use of interfragmentary lag screw is not essential in the treatment SER lateral malleolar fractures. Level of Evidence: Level I, prospective randomized study.

show abstract

“…Intramedullary pinning can be an advantageous repair technique in counteracting bending forces and avoiding damage to the soft tissue. But on the down side, it does not prevent strain from happening on the fracture site nor does it maintain the optimal limb's length 6 …”

Section: Discussionmentioning

confidence: 99%

Fibular and metatarsal osteosynthesis in a southern brown howler monkey (Alouatta guariba clamitans)

Surita

Nicknich

Santos

et al. 2020

J of Medical Primatology

View full text Add to dashboard Cite

Here we describe a successful surgical management of a distal fibular fracture combined with a tarsocrural luxation and multiple metatarsal fractures in the left foot of a southern brown howler monkey (Alouatta guariba clamitans). We achieved satisfactory outcome by applying intramedullary pinning for each of the bone fractures and closed reduction of joint luxation—kept in place only by bone alignment, without further ligament reconstruction. Bone healing occurred uneventfully within eight weeks and the monkey's foot regained its normal function. Therefore, we could properly release the patient back into the wild.

show abstract

Biomechanical Evaluation of Plate Versus Lag Screw Only Fixation of Distal Fibula Fractures

Cited by 12 publications

References 21 publications

Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome

Impact of breed on canine humeral condylar fracture configuration, surgical management, and outcome

Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures

Fibular and metatarsal osteosynthesis in a southern brown howler monkey (Alouatta guariba clamitans)

Contact Info

Product

Resources

About