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· DOS Abstracts
Clinical outcome after fibula rod osteosynthesis as
a salvage procedure in bi- or trimalleolar ankle frac-
ture. A retrospective study.
Veronika Murlasits, Michelle Fog Andersen, Andreas Hermann, Lasse Bayer, Jes-
per Sonntag
Department of orthopedic surgery, Nordsjælland hospital, Hillerød, Denmark
Background:
Ankle fractures are one of the most common skeletal injuries and
increasing in the elderly population. Controversy remains concerning the choice
of optimal treatment of unstable ankle fractures in patients with vulnerable soft
tissue.
Purpose / Aim of Study:
To investigate the functional and radiological out-
come after isolated osteosynthesis of lateral malleolus with Fibula Rod after
bi- or trimalleolar ankle fracture in this selected patient group.
Materials and Methods:
We performed a retrospective review of all patients
who underwent primary surgery for an unstable bi- or trimalleolar ankle frac-
ture and were treated with isolated osteosynthesis of lateral malleolus using the
Fibula Rod System (Acumed®) at Nordsjaellands Hospital between 01.01.12–
31.12.16. A total of 62 patients were included. Demographic- and fracture-
dependent data, function, x-ray and postoperative complications where evalu-
ated (mean follow up 10,5 months).
Findings / Results:
97,4% of fractures of the lateral malleolus and 53,9% of
fractures of the medial malleolus where healed at last x-ray. In total, 11,3% of
them had pain ad last follow up. There was no significant connection between
postoperative pain and healing of the medial malleolus. The complication rate
was 19,2% caused by infection, screw migration and fracture dislocation. The
postoperative function was significant (p<0,00) dependent on the preoperative
function.
Conclusions:
Fibula Rod as a salvage procedure in high-risk patients, where
soft tissue is too vulnerable for common osteosythesis after AO-principles,
gives acceptable functional and radiological outcome.
No conflicts of interest reported
166.