Related Experiment Video
Updated: Feb 13, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Comparing different fixation methods for medial malleolar ankle fractures
Stein B M van den Heuvel1, Thomas A H Steunenberg1, Diederick Penning1
1Department of Surgery, Amsterdam UMC location University of Amsterdam, Meibergdreef, 9 1105 AZ Amsterdam, the Netherlands.
Plate fixation for medial malleolus fractures shows higher complication rates, especially deep infection, compared to other methods. Less invasive techniques may reduce postoperative issues in treating these common ankle injuries.
Area of Science:
- Orthopedic surgery
- Trauma care
- Surgical outcomes
Background:
- Medial malleolus fractures are frequent injuries.
- Optimal surgical fixation techniques are debated.
- Current methods include plate, screw, and wire fixation.
Purpose of the Study:
- Compare complication rates of different medial malleolus fracture fixation techniques.
- Evaluate the impact of fracture classification, implant size, and screw number on outcomes.
- Identify factors influencing surgical success in medial malleolus fracture repair.
Main Methods:
- Retrospective cohort study of 82 ankles in 80 patients.
- Analysis of clinical and radiographic data from a level 1 trauma center.
- Comparison of complication rates (nonunion, infection, dislocation, wound dehiscence) across fixation groups.
Main Results:
- Overall complication rate was 12.2%.
- Plate fixation had a significantly higher complication rate (27.3%) including deep infection (18.2%) compared to other methods (p=0.012).
- No significant differences in complications were found based on Herscovici classification, implant size, or screw number.
Conclusions:
- Plate fixation is linked to a higher risk of complications, particularly deep infection.
- Less invasive fixation techniques are recommended to minimize postoperative morbidity.
- Choosing appropriate fixation methods is crucial for successful medial malleolus fracture treatment.
More Related Videos
15:11Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
Published on: January 5, 2015
06:59Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
Related Concept Videos
01:10Ankle Joint
01:03Fixation and Sectioning
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:28Carbon-dioxide Fixation
02:26Comparing Copy Number Variations and SNPs
Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...
02:24Comparative Excretory Systems