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KMID : 0896720010050010018
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Journal of the Korean Society of Foot Surgery
2001 Volume.5 No. 1 p.18 ~ p.22
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The Anti-glide Plate in the Treatment of Lateral malleloar fracture
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Kim Do-Young
Shin Joo-Ho
Cho Won-Ho
Hwang Hyun-Chull
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Abstract
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Most of Danis-Weber type B fracture has an oblique fracture plane proximal posteriorly to distal anteriorly. In these cases, the lateral plate has become widely accepted. However some limitation to the use of the lateral plate exist. The plate must be bent accurately and the screws in the distal fragment must be unicortical to avoid penetration into the joint, predisposing it to poor fixation in the osteoporotic bone. In 1982, Brunner and Weber introduced the antiglide plate for fixation of the shaft oblique fracture of the distal fibula, but it has not widely used. The author reviewed 21 cases treated by antiglide plate fixation from March, 1995 to March, 1999 which could be follow-up more than 1 year. We analysed the result radiographically and clinically using Ankle-Hindfoot scale(100% total) of the American Orthopedic Foot and Ankle Society.
The results obrained were as follow:
1. All fracture were united at average 8 weeks clinically and radiographically.
2. According to the Ankle-Hindfoot scale, 8 cases were above 90 points, 11 cases were between 80 and 89 points and two cases were below 80 points.
3. One case had an injury to intermediate dorsal cutaneous nerve.
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KEYWORD
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Lateral malleolus, Fracture, Anti-glide plate
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