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Updated: Feb 14, 2026
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Published on: January 24, 2018
Intramedullary fixation of lateral malleolus using Fibula Rod System in ankle fractures in the elderly
Sudhakar Rao Challagundla1, Sandeep Shewale1, Calum Cree1
1Department of Trauma & Orthopaedics, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, United Kingdom.
Background:
Operative management of ever increasing ankle fractures in the elderly need a reliable system of internal fixation. We present results of one such fixation, Fibula Rod System.
Methods:
Patients who underwent Fibula Rod System were included. Fracture union rate, complications, time to weight bearing and patient satisfaction using FAAM score were studied.
Results:
The mean age of the fifteen patients included was 74 years. Satisfactory reduction was achieved and maintained in all. All fractures united. There were no infections. Complications included lack of purchase of distal AP screw (n=1), fracture of fibula shaft (n=1), failure to insert syndesmotic screws through zig (n=2), delayed secondary wound healing (n=1) and removal of metal ware (n=2). At a mean follow-up of 12 months (n=10 responses), median FAAM score was 91% (Interquartile range of 62%-99%).
Conclusion:
Fibula Rod System providing good stability and union, is a reliable operation for ankle fractures in the elderly.
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