Results: Anteroposterior width of male tibia (38.3±3.1 mm) was wider than female tibia (35.3±3.2 mm) (p:
📌 3 Key Takeaways
🎯
Objective & Hypothesis:Objectives: This study aims to determine the secure location and angle of the most distal screw during posterior malleolar (PM) fracture fixation.
📊
Key Findings & Data:Materials and methods: This prospective study was performed on September 15, 2019.
💡
Conclusion & Impact:Results: Anteroposterior width of male tibia (38.3±3.1 mm) was wider than female tibia (35.3±3.2 mm) (p:
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters
Abstract
Objectives: This study aims to determine the secure location and angle of the most distal screw during posterior malleolar (PM) fracture fixation. Materials and methods: This prospective study was performed on September 15, 2019. Distal tibial concave articular depth and PM inclination angle were measured on 100 (50 male and 50 female) dry tibia bones using a digital caliper. A comparative analysis between male and female tibias was performed. Results: Anteroposterior width of male tibia (38.3±3.1 mm) was wider than female tibia (35.3±3.2 mm) (p:
🔖
Cite This Article
AKKURT, M. O., SİNDEL, M., KÖSE, Ö., MAY, H., KASTAN, Ö., EMRE, T. Y. (2022). Is there a safe place for posterior malleolar screw fixation? An anatomic study on dry bones. Joint diseases and related surgery, Cilt: 31 - Sayı: 3, 476–479. https://ajindex.com/articles/559333
Juto H, Nilsson H, Morberg P. Epidemiology of Adult Ankle Fractures: 1756 cases identified in Norrbotten County during 2009-2013 and classified according to AO/OTA. BMC Musculoskelet Disord 2018;19:441
Elsoe R, Ostgaard SE, Larsen P. Population-based epidemiology of 9767 ankle fractures. Foot Ankle Surg 2018;24:34-9
Jaskulka RA, Ittner G, Schedl R. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. J Trauma 1989;29:1565-70
Kochai A, Türker M, Çiçekli Ö, Özdemir U, Bayam L, Erkorkmaz Ü, et al. A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture. Eklem Hastalik Cerrahisi 2018;29:104-9
Bartoníček J, Rammelt S, Tuček M, Naňka O. Posterior malleolar fractures of the ankle. Eur J Trauma Emerg Surg 2015;41:587-600
Ogilvie-Harris DJ, Reed SC, Hedman TP. Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. Arthroscopy 1994;10:558-60
Gardner MJ, Brodsky A, Briggs SM, Nielson JH, Lorich DG. Fixation of posterior malleolar fractures provides greater syndesmotic stability. Clin Orthop Relat Res 2006;447:165-71
Miller AN, Carroll EA, Parker RJ, Helfet DL, Lorich DG. Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation. Clin Orthop Relat Res 2010;468:1129-35
Odak S, Ahluwalia R, Unnikrishnan P, Hennessy M, Platt S. Management of posterior malleolar fractures: A systematic review. J Foot Ankle Surg 2016;55:140-5
Anwar A, Lv D, Zhao Z, Zhang Z, Lu M, Nazir MU, et al. Finite element analysis of the three different posterior malleolus fixation strategies in relation to different fracture sizes. Injury 2017;48:825-32
Anwar A, Zhang Z, Lv D, Lv G, Zhao Z, Wang Y, et al. Biomechanical efficacy of AP, PA lag screws and posterior plating for fixation of posterior malleolar fractures: a three dimensional finite element study. BMC Musculoskelet Disord 2018;19:73
Hoogendoorn JM. Posterior Malleolar Open Reduction and Internal Fixation Through a Posterolateral Approach for Trimalleolar Fractures. JBJS Essent Surg Tech 2017;7:e31.