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KMID : 0896720020060010054
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Journal of the Korean Society of Foot Surgery
2002 Volume.6 No. 1 p.54 ~ p.59
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Comparison between Screw Fixation and Modified Tension Band Wiring for Medial Malleolar Fracture
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Ko Sang-Hun
Park Young-Jun
Jeong You-Young
Kim Woo-Suk
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Abstract
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Purpose:To compare the clinical results between the screw fixation and modified tension bane wiring in the treatment of medial maleolar fracture.
Materials and Methods:From September 1998 to April 2002, 52 patients were treated by screw fixation and 43 patients were treated by modified tension band wiring for medial malleolar fracture.
Results:According to Lauge-Hansen classification, there were 28 cases of supination-external rotation type (53.8%), 9 of supination-adduction type (17.3%), 8 of pronation-external rotation type (15.4%), 7 of pronation-abduction type (13.5%) in screw fixation group and 21 (48.9%), 11 (25.6%), 7 (16.3%). 4(9.3%) of each type in tension band wiring group. The average time to union was 15.7 weeks in screw fixation group and 12.8 weeks in tension band wiring group.(p<0.05) In the functional outcome (according to Meyer and Kumler), 29 patients treated (76.2%) with screw fixation showed excellent results and 34 patients (86.6%) treated with tension band wiring had excellent results (p<0.05)
Conclusions:We concluded that more satisfactory result could be obtained with modified tension band wiring compared with screw fixation in the treatment of the medial malleolar fracture.
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KEYWORD
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medial malleolar fracture, screw fixation, modified tension band wiring
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