KMID : 1207720200120040529
|
|
Clinics in Orthopedic Surgery 2020 Volume.12 No. 4 p.529 ~ p.534
|
|
Fibula Fracture: Plate versus Nail Fixation
|
|
Baecker Henrik Constantin
Vosseller J. Turner
|
|
Abstract
|
|
|
Backgroud: Intramedullary fixation has only uncommonly been used in the fibula although it may confer some advantages. Our goal was to investigate a single surgeon's learning curve with initial usage of an intramedullary device for fibular fixation based on surgical time and quality of reduction.
Methods: Prior to initiation of this study, an experienced ankle fracture surgeon performed fibular nail fixation in a sawbones and a cadaver setting. Between February and August 2018, all patients who suffered from a distal fibula fracture underwent fibula fixation (n = 20) using the Fibulock (Arthrex). Patients were retrospectively investigated and compared with a control of fibular plate fixation. The tourniquet time, time of anesthesia, and surgery time were recorded as well as the quality of reduction.
Results: In the 20 cases, the mean tourniquet time was 68.9 ¡¾ 23.2 minutes for nail fixation, while in the fibular plate fixation group, the mean time was 75.8 ¡¾ 23.9 minutes (p = 0.37). Two patients had slight malreductions (first and third cases): one was corrected with a lag screw outside the nail, the other was an elderly patient with significant blistering in whom an entirely percutaneous reduction was performed.
Conclusions: Intramedullary fixation for fibular fractures does not appear to have a significant learning curve for an experienced ankle fracture surgeon.
|
|
KEYWORD
|
|
Intramedullary, Nail, Rod, Fibula, Fracture, Learning curve
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|