[Dual plating fixation for distal fibular comminuted fractures]

Area of Science:

• Orthopedic Surgery
• Traumatology
• Skeletal Repair

Background:

• Distal fibular comminuted fractures present complex challenges in orthopedic treatment.
• Effective stabilization is crucial for optimal functional recovery and minimizing complications.

Purpose of the Study:

• To assess the efficacy and technique of dual plating fixation for distal fibular comminuted fractures.
• To evaluate patient outcomes, including pain, function, and range of motion.

Main Methods:

• A cohort of 16 patients with distal fibular comminuted fractures underwent open reduction and dual plating fixation.
• Patients were assessed using the Visual Analogue Scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores.
• Radiographic evaluation and range of motion measurements were performed during follow-up.

Main Results:

• The mean bone healing time was 12 weeks, with no instances of implant failure, malunion, or nonunion.
• Patients achieved an average AOFAS score of 79.6 and a VAS score of 1.3.
• Good ankle range of motion was recorded, with mean flexion of 70 degrees and extension of 84 degrees.

Conclusions:

• Dual plating fixation provides rigid stabilization for distal fibular comminuted fractures.
• This method is associated with a low incidence of complications, indicating it is safe and effective.