Treatment of Anteroinferior Tibiofibular Ligament Avulsion Fracture Accompanied with Ankle Fracture

족관절 골절과 동반된 전하 경비 인대 견열 골절의 치료

  • Chung, Hyung-Jin (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Bae, Su-Young (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Kim, Man-Young (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 김만영 (인제대학교 의과대학 상계백병원 정형외과)
  • Received : 2011.01.24
  • Accepted : 2011.02.22
  • Published : 2011.03.15

Abstract

Purpose: To evaluate the clinical results of anteroinferior tibiofibular ligament avulsion fracture accompanied ankle fractures treated with anatomical reduction and internal fixation. Materials and Methods: From January 2007 to April 2010, 30 cases with anteroinferior tibiofibular ligament avulsion fracture that treated with anatomical reduction and internal fixation were analyzed. The average follow-up period was 26 months (minimum 6 months). We have reviewed the bony union, complication and subjective satisfaction according to the fracture classification and method of internal fixation. Results: Among 30 cases, 28 cases were occurred in Lauge-Hansen classification supination-external rotation type, one case was fracture-dislocation and one case was Maisonneuve fracture. We have performed internal fixation with Mini screw in 11 cases, K-wire in 10 cases, repair in six cases and Mini screw & K-wire in three cases. In all cases bony union was completed. two cases in Mini screw, one case in K-wire, two cases in repair and one case in Mini screw & K-wire revealed LOM of ankle joint. Skin irritation and superficial peroneal nerve irritation happened in one case each. Other cases show good subjective satisfaction. Conclusion: Anteroinferior tibiofibular ligament avulsion fracture accompanied with ankle fracture is a good clinical outcome with internal fixation. So we should not miss out the anteroinferior tibiofibular ligament avulsion fracture in radiologic evaluation or operation room.

Acknowledgement

Supported by : 인제대학교

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