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139641

Evaluation of the Results of Antiglide Plating of Vertical Medial Malleolus Fractures

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Last updated: 30 Jan 2023

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Abstract

Background: Vertical fractures of the medial malleolus are fixed with cancellous screws placed perpendicular to the fracture site. It is important to buttress the fracture by placing a screw with a washer at the proximal apex of the fracture or to use a small tubular plate or T-plate as a buttress. Objective: To assess the radiological and functional outcomes of open reduction and internal fixation with T-shaped plate (antiglide plate) of vertical shear medial malleolus fracture.
Patients and Methods: This was clinical trial study included 22 adult patients with vertical shear medial malleolus fracture who were admitted to Orthopedic Surgery Department, Zagazig University Hospitals in the period from January 2019 to February 2020. They were treated by internal fixation with T-shaped plate (antiglide plate). In this study, we used the Biard and Jackson ankle scoring for assessment of result.
Results: The union duration was 12.1± 2.2 weeks ranged from 9 to 16 weeks, most of the studied group (59.1%) had healing time ranged from 9 to 12 weeks. No complications and only two patients (9.1%) had superficial infection with no other complications. Biard and Jackson score was 95.3 ± 4.9 ranged from 76 to 98. Most of the studied group (68.2%) had excellent outcome, 22.7% of them had good outcome and 9.0% had poor outcome.
Conclusions: Surgical management of vertical shear of medial malleolus fracture give excellent anatomical reduction and rigid fixation to restore articular congruity, help to facilitate early mobilization and hence to achieve optimal ankle function.

DOI

10.21608/ejhm.2021.139641

Keywords

Medial malleolus, Fracture fixation, Fractures

Authors

First Name

Ali

Last Name

El-Alfy

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Ashraf

Last Name

Abd-ELdayem

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt

Email

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City

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Orcid

-

First Name

Ahmed Mashhour

Last Name

Gaber

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Ahmed Mohamed Abdelrahman Ben

Last Name

Alashher

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Tripoli University, Libya.

Email

ahmed.alshher@gmail.com

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Orcid

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Volume

82

Article Issue

1

Related Issue

20276

Issue Date

2021-01-01

Receive Date

2021-01-14

Publish Date

2021-01-01

Page Start

137

Page End

141

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 1_Pages 137-141.pdf

PDF . 576.5kB

Link

https://ejhm.journals.ekb.eg/article_139641.html

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https://ejhm.journals.ekb.eg/service?article_code=139641

Order

23

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023