Abstract:
Background: Fracture of the lateral malleolus is one of the most common skeletal injuries encountered in clinical practice. Its incidence has been increasing because of the increased prevalence of osteoporosis and the increasing activity of the population. Within the majority of management of fracture Lateral malleolus, the standard is open reduction and internal fixation (ORIF) with plates and screws.
Purpose: To evaluate the outcome of percutaneous fixation of lateral malleolus by K wire augmented with a syndesmotic screw.
Settings and Design: Prospective cohort study.
Patients and methods: This study was conducted on 18 patients with Weber B and C fracture lateral malleolus were prospectively reviewed after that they had done closed reduction and percutaneous internal fixation by Kirschner wire size 3 augmented with syndesmotic screw 3.5 mm, fully threaded.
Results: Operation time was within 40.83±5.752 minutes with a minimum 30 minutes and a maximum 45 minutes, All fractures united within an average time to a union of 8.44±2.95 weeks, There were no deep wound infections or complaints of painful hardware. at the latest follow-up, the functional results were excellent in 12 cases, good in 4 patients, fair in 2 patients.
Conclusion: Percutaneous intramedullary K.wire fixation augmented with syndesmotic fixation is considered a good easy technique in the management of lateral malleolar fracture that provides good clinical and radiological results because it is rapid, minimally Invasive with minimal soft tissue disruption, low cost, and without prominent hardware