Functional outcomes of posterior anti-glide plate versus lateral plate for the surgical treatment of Weber type B fractures of the lateral malleolus and a 5-year follow-up
DOI:
https://doi.org/10.1016/j.rccot.2016.02.007Keywords:
ankle fractures, anti-glide plate osteosynthesis, Weber BAbstract
Background: The aim of the study is to evaluate functional outcomes of Weber B ankle fractures by using anti-glide plate osteosynthesis, and compare them with lateral peroneal plate osteosynthesis.
Materials and methods: A prospective blinded uncontrolled clinical trial was conducted on a series of 70 patients. Anti-glide plate osteosynthesis patients were included in the study group, whereas lateral plate osteosynthesis patients were included into the control group. Both groups were followed up for a minimum of 60 months.
Results: A total of 40 patients (57.2%) were included into the study group, whereas 30 patients (42.8%) were included in the control group. Significant short and long-term differences were observed between groups in favour of the anti-glide plate osteosynthesis. In the long-term differences, it was noted that 18 patients of the control group required implant removal after 5 to 50 months of the open reduction and internal fixation.
Discussion: Anti-glide plate osteosynthesis is a cost-advantageous technique, as well as less morbid procedure than lateral plate osteosynthesis for managing Weber B ankle fractures.
Evidence level: II.
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