Treatment of Ankle Lateral Malleolar Fractures Accompanying Osteoporosis using Lag Screw.
- Author:
Jun Young LEE
1
;
Kwang Chul LEE
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Chosun University, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Lateral malleolus;
Danis-Weber type B fracture;
Osteoporosis;
Lag screw
- MeSH:
Ankle*;
Female;
Follow-Up Studies;
Humans;
Male;
Necrosis;
Osteoporosis*;
Skin;
Soft Tissue Injuries;
Supination;
Wound Infection
- From:Journal of Korean Foot and Ankle Society
2006;10(2):207-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of ankle lateral malleolar fractures classified as Danis-Weber type B accompanying osteoporosis that were treated with lag screw. MATERIALS AND METHODS: 15 cases of Danis-Weber type B ankle lateral malleolar fractures that had T score of less than -2.5 in BMD(bone mineral density) test were selected from June 2003 to December 2005. 10 cases were males and 5 cases were females with mean age of 59 years. The main injury mechanism was supination and external rotation. Mean follow-up period was 16 months. Clinical and radiologic evaluation was done according to Meyer and Kumler's criteria. RESULTS: All cases showed satisfying result and mean radiologic bone union period was 3 months. Anatomic reduction and bone union was acquired in all cases without complications including wound infection, skin necrosis, delayed union and nonunion CONCLUSIONS: Lag screw fixation seem to be excellent treatment of Danis-Weber type B lateral malleolar fractures with osteoporosis as it can minimize soft tissue injury and enable anatomic reduction with firm fixation.
