Anterograde Screw Fixation for Medial Malleolus Fractures
Conditions
Brief summary
The aim of this study is to evaluate the functional and radiological outcomes following of fixation of Herscovici type B and type C medial malleolar fractures with anterograde headless screws.
Detailed description
Ankle fracture is one of the most common orthopaedic injuries\[1\]. Medial Malleolus fractures are Classified According to Herscovici classification Using the anteroposterior (AP) radiograph, he described type A fractures as avulsions of the tip of the malleolus, type B occurring between the tip and the level of the tibial plafond, type C at the level of the plafond, and type D extending vertically above the plafond \[2\]. The aim of operative treatment in ankle fractures is to provide stable internal fixation and allow early movement . Several fixation techniques had been described for the anatomic reduction of fractures, including Kirschner wires (K-wire), tension band method, fixation with suture anchors, bioabsorbable screw fixation, a FiberWire loop with a tension band, and screw fixation\[3\]. In addition to these techniques, fixation with anterograde screws can also be used for medial malleolar fixation. Given that with time the size of the fractured distal fragment in a medial malleolar fracture is insufficient for retrograde fixation as ln Herscovici type B and type C\[4\]. Screws are commonly used to fix medial malleolus fractures , offering advantages like good compression and stability\[5\]. the advantage of the anterograde headless screw fixation technique over the other techniques is that less dissection of the deltoid ligament is required during fixation , no need for screws removal , less soft tissue irritation and less discomfort \[6\].
Interventions
PROCEDUREAnterograde screws for medial Malleolus fractures
Fixation of medial Malleolus fracures by anterograde headless screws
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The aim of this study is to evaluate the functional and radiological outcomes following of fixation of Herscovici type B and type C medial malleolar fractures with anterograde headless screws.
Eligibility
Sex/Gender
ALL
Age
20 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
Patients with Isolted medial malleolar fractures or combined with other fractures \[ bimalleolar or trimalleolar Fractures\] Individuals meeting the following criteria will be included in the study: 1. Patient Age between 20 \_50 Years old. 2. Simple or compound fractures (Grade I). 3. Recent Fractures . 4. Herscovici Type B and C Fractures. a: \-
Exclusion criteria
* Skeletally Immature . Compound fractures ( Grade II,III). Pathological fractures. Diabetic patients .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anterograde Headless Screw Fixation for Treatment of Medial Malleolar Fractures . | 1 year | Ankle fracture is one of the most common orthopaedic injuries\[1\]. Medial Malleolus fractures are Classified According to Herscovici classification Using the anteroposterior (AP) radiograph, he described type A fractures as avulsions of the tip of the malleolus, type B occurring between the tip and the level of the tibial plafond, type C at the level of the plafond, and type D extending vertically above the plafond \[2\]. The aim of operative treatment in ankle fractures is to provide stable internal fixation and allow early movement . Several fixation techniques had been described for the anatomic reduction of fractures, including Kirschner wires (K-wire), tension band method, fixation with suture anchors, bioabsorbable screw fixation, a FiberWire loop with a tension band, and screw fixation\[3\]. In addition to these techniques, fixation with anterograde screws can also be used for medial malleolar fixation. Given that with time the size of the fractured distal fragment in a media |
Countries
Egypt
Outcome results
None listed