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KMID : 0386420130260010077
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Journal of the Korean Fracture Society
2013 Volume.26 No. 1 p.77 ~ p.80
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Surgical Management of Comminuted Avulsion Fracture of the Proximal Fibula with Lateral Collateral Ligament Injury - Technical Note -
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KIm Jong-Min
Park Byeong-Mun
Lee Sang-Hoo
Jeon Seung-Ju
Shin Jun-Beum
Song Kyung-Sub
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Abstract
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Anteromedial force to the knee in an extended position can cause an avulsion fracture of the proximal fibula with combined injuries to the posterolateral ligaments. Avulsion fractures of the proximal fibula are rare and current management of these fractures is based on few descriptions in literature. Various surgical methods of fixation for these fractures have been reported, but there is still no standard treatment modality. Anatomic reduction of these fractures is technically difficult, and failure of reduction may cause posterolateral instability, secondary arthritis and other complications. We present our experience with two such cases of comminuted avulsion fractures of the proximal fibular with posterolateral ligament ruptures surgically fixated with a locking compression hook plate and non absorbable sutures.
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KEYWORD
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Avulsion fracture of fibula head, Lateral collateral ligament injury, Locking compression hook plate
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