Percutaneous Reduction Technique Using a Kirschner Wire for Displaced Posterior Malleolar Fractures

Lee, Han-Jun; Kang, Ki-Ser; Kang, Sang Wook; Lee, Jae-Sung

doi:10.3113/fai.2009.0157

Foot Ankle Int

2009

DOI: 10.3113/fai.2009.0157

|View full text |Cite

Percutaneous Reduction Technique Using a Kirschner Wire for Displaced Posterior Malleolar Fractures

Han-Jun Lee¹,

Ki-Ser Kang²,

Sang Wook Kang³

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2011

2017

Publication Types

Select...

Article4

Relationship

Self Cite0

Independent4

Authors

Journals

Cited by 4 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,8,9,15,18,19 However, a large posterior malleolar fragment with minimal displacement may be reduced indirectly using ligamentotaxis through the intact posterior inferior tibiofibular ligament (PITFL) after anatomic reduction of the lateral malleolar fracture. 13 A percutaneous reduction and screw fixation technique has been used in combination with this indirect reduction technique. 13,17 However, organized hematoma or small bone fragments within the fracture gap may sometimes block closure of the fracture gap and hinder anatomic reduction.…”

mentioning

confidence: 99%

“…13 A percutaneous reduction and screw fixation technique has been used in combination with this indirect reduction technique. 13,17 However, organized hematoma or small bone fragments within the fracture gap may sometimes block closure of the fracture gap and hinder anatomic reduction. 18,22 The percutaneous reduction and fixation technique may not be indicated in such cases as anatomic reduction may not be possible unless these fragments are removed.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Transfibular Approach for Removal of Bone Fragments in Posterior Malleolar Fracture

et al. 2014

View full text Add to dashboard Cite

mentioning

confidence: 99%

mentioning

confidence: 99%

Arthroscopic Transfibular Approach for Removal of Bone Fragments in Posterior Malleolar Fracture

et al. 2014

View full text Add to dashboard Cite

Advancements in Percutaneous Fixation for Foot and Ankle Trauma

McMillen

Gruen

2011

Clinics in Podiatric Medicine and Surgery

View full text Add to dashboard Cite

Comparison of Posteromedial Versus Posterolateral Approach for Posterior Malleolus Fixation in Trimalleolar Ankle Fractures

Zhong

Shen

Zhao

et al. 2017

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective: To compare clinical and radiographic outcomes of posterior malleolar fractures (PMF) treated with lag screws from anterior to posterior versus posterior to anterior approach. Methods:We retrospectively analyzed 48 patients with trimalleolar fractures who underwent open reduction and internal fixation (ORIF) with either posteromedial (PM) or posterolateral (PL) approaches between January 2012 and December 2014. Fixation of the posterior malleolus was made with anteroposterior screws in 20 patients using the PM approach and posteroanterior screws in 28 patients using the PL approach. The American Orthopedic Foot and Ankle Society (AOFAS) scores and range of motion (ROM) of the ankle were used as the main outcome measurements, and results were evaluated at the 6-month, 12-month and final follow-up. Postoperative radiographs and computed tomography scans were used to evaluate the residual gap/step-off. The degree of arthritis was evaluated on final follow-up using Bargon criteria. Other complications were also recorded to compare the clinical outcomes of the two approaches.Result: The mean duration of follow-up regardless of the approaches was 21.1 months (range, 15-54 months). None of the patients developed delayed union or nonunion. Functional bone healing was obtained in all patients at 10.7 weeks (range, 8-16 weeks). The mean AOFAS scores of the PM group at the postoperative 6-mouth, 12-month, and final follow-up were 91.4 (range, 82-100), 92.5 (range, 84-100), and 92.9 (range, 86-100), respectively. In the PL group, the mean AOFAS scores were 89.9 (range, 72-100), 91.4 (range, 77-100), and 91.9 (range, 77-100), respectively. At the final follow-up, the median loss of range of motion (ROM) for dorsiflexion and plantaflexion were 0 (0 , 5 ) and 0 (0 , 0 ), respectively, in both groups. There were no significant differences between the two approaches in AOFAS scores and ROM of the ankle in each period postoperatively (P > 0.05). Two patients in the PL group and 1 in the PM group developed Bargon grade 2 or 3 arthritis. We detected a 2-mm and 3-mm step-off in 1 patient in the PM and PL groups, respectively. Conclusion:Satisfactory results were obtained by using the two approaches for fixation of posterior malleolus, and the approaches have similar clinical and radiographic outcomes. Surgeons should choose the appropriate approach based on their experience.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Percutaneous Reduction Technique Using a Kirschner Wire for Displaced Posterior Malleolar Fractures

Cited by 4 publications

References 4 publications

Arthroscopic Transfibular Approach for Removal of Bone Fragments in Posterior Malleolar Fracture

Arthroscopic Transfibular Approach for Removal of Bone Fragments in Posterior Malleolar Fracture

Advancements in Percutaneous Fixation for Foot and Ankle Trauma

Comparison of Posteromedial Versus Posterolateral Approach for Posterior Malleolus Fixation in Trimalleolar Ankle Fractures

Contact Info

Product

Resources

About