Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Effect of Fibular Fixation on Ankle Function in Intramedullary Nailing for Distal Tibiofibular Fractures

원위 경비골 골절에 대한 골수강내 금속정술에서 비골 고정이 족근 관절 기능에 미치는 영향

  • Suh, Byung-Ho (Department of Orthopaedic Surgery, Sunlin Hospital) ;
  • Lee, Soo-Won (Department of Orthopaedic Surgery, Sunlin Hospital) ;
  • Kong, Gyu-Min (Department of Orthopaedic Surgery, Sunlin Hospital) ;
  • Kim, Dong-Jun (Department of Orthopaedic Surgery, Sunlin Hospital) ;
  • Oh, Hyun-Keun (Department of Orthopaedic Surgery, Sunlin Hospital)
  • 서병호 (포항 선린 병원 정형외과) ;
  • 이수원 (포항 선린 병원 정형외과) ;
  • 공규민 (포항 선린 병원 정형외과) ;
  • 김동준 (포항 선린 병원 정형외과) ;
  • 오현근 (포항 선린 병원 정형외과)
  • Published : 2009.12.15
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Abstract

Purpose: To evaluate the clinical results between interlocking intramedullary nail with fibular fixation and nail only for treating distal tibiofibular diaphyseal fractures. Materials and Methods: From March 2003 to September 2006, 19 distal tibiofibular fractures were antegrade nailed after anatomical reduction and fixation of fibular fractures, and another 37 fractures fixed with nails only. Average age of patients was 48.6 years. These two groups were compared by VAS (visual analogue scale) & ankle ROM according to degree of comminution and fracture configuration. The statistical analysis was evaluated by t-test. Results: There was no statistical difference between fibular fixation group and non-fixation group in VAS score according to fracture comminution and configuration (p>0.05). However, compared according to fracture configuration, mean ankle eversion of fibular fixation group in oblique fractures was 18.3 degrees, and that of non-fixation group was 12.5 degrees (p<0.05). In addition, mean ankle plantar flexion, dorsiflexion, inversion and total ankle ROM of fibular fixation group in spiral fractures was 40.0, 20.0, 30.0 and 108.3 degrees of each and that of non-fixation group was 38.3, 18.5, 27.0 and 101.7 degrees (p<0.05). Conclusions: In oblique and spiral fractures of distal tibiofibular diaphysis, interlocking intramedullary nail with fibular fixation had the advantage in postoperative ankle ROM. So, it can be a worthy method for the treatment of distal tibiofibular diaphyseal fractures.

Keywords

References

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