Comparison of tension band wire and cancellous bone screw fixation for medial malleolar fractures

1997 ◽  
Vol 36 (4) ◽  
pp. 284-289 ◽  
Author(s):  
Brent A. Johnson ◽  
Lawrence M. Fallat
2013 ◽  
Vol 16 (4) ◽  
pp. 443-450 ◽  
Author(s):  
C. J. Brown ◽  
R. A. Sinclair ◽  
A. Day ◽  
B. Hess ◽  
P. Procter

2013 ◽  
Vol 26 (06) ◽  
pp. 445-452 ◽  
Author(s):  
C. S. Knudsen ◽  
M. Gosling ◽  
M. McKee ◽  
R. G. Whitelock ◽  
G. I. Arthurs ◽  
...  

SummaryObjective: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-ofeight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.Methods: Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.Results: Seventy-four procedures were undertaken in 61 dogs. There were 58 arthrodeses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).Clinical significance: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.


2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Hiroaki Sakai ◽  
Naoya Takada ◽  
Gen Kuroyanagi ◽  
Takuya Usami ◽  
Yoshino Ueki ◽  
...  

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Elizabeth Cypher ◽  
Sarel Amstel ◽  
Rachel Lyons ◽  
David E Anderson

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902199799
Author(s):  
Tianming Yu ◽  
Jichong Ying ◽  
Jianlei Liu ◽  
Dichao Huang ◽  
Hailin Yan ◽  
...  

Purpose: The study described a novel surgical treatment of Haraguchi type 1 posterior malleolar fracture in tri-malleolar fracture and patient outcomes at intermediate period follow-up. Methods: All patients from January 2015 to December 2017 with tri-malleolar fracture of which posterior malleolar fractures were Haraguchi type 1, were surgically treated in this prospective study. Lateral and medial malleolar fractures were managed by open reduction and internal fixation through dual incision approaches. 36 cases of Haraguchi type 1 posterior malleolar fractures were randomly performed by percutaneous posteroanterior screw fixation with the aid of medial exposure (group 1). And 40 cases were performed by percutaneous anteroposterior screw fixation (group 2). Clinical outcomes, radiographic outcomes and patient-reported outcomes were recorded. Results: Seventy-six patients with mean follow-up of 30 months were included. There were no significant differences in the mean operation time (81.0 ± 11.3 vs. 77.2 ± 12.4), ankle function at different periods of follow-up, range of motions and visual analog scale (VAS) at 24 months between the two groups ( p > 0.05). However, the rate of severe post-traumatic arthritis (Grade 2 and 3) and the rate of step-off rather than gap in radiological evaluation were lower in group 1 than that in group 2 ( p < 0.05). Conclusion: Using our surgical technique, more patients had good outcome with a lower rate of severe post-traumatic arthritis, compared with the group of percutaneous anteroposterior screw fixation. Percutaneous posteroanterior screw fixation can be a convenient and reliable alternative in treating Haraguchi type 1 posterior malleolar fracture.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Hasan May ◽  
Yusuf Alper Kati ◽  
Gurkan Gumussuyu ◽  
Tuluhan Yunus Emre ◽  
Melih Unal ◽  
...  

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