Fibular Fixation in Comminuted Distal Tibial Fractures Affecting Ankle Joint
10.4055/jkoa.1989.24.3.970
- Author:
Hak Soon WHANG
;
Yoo Seong SEO
;
Byung Il LEE
;
Soo Kyoon RAH
;
Chang Uk CHOI
- Publication Type:Case Report
- Keywords:
Tibial fracture;
Pilon;
Fibular fixation
- MeSH:
Ankle Joint;
Ankle;
Calcaneus;
Fibula;
Fractures, Comminuted;
Ligaments;
Methods;
Talus;
Tibia;
Tibial Fractures;
Wounds and Injuries
- From:The Journal of the Korean Orthopaedic Association
1989;24(3):970-976
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The primary aims of fracture treatment include the restoration of normal anatomy and a return of function to the injuried as early as possible. In pilon fracture, various methods of treatment were developed to accomplish this purpose. Fibular fixstion is a rarely accepted mehtod in the treatment of pilon fractures because it can't provide rigid internal fixation, But it might be indicated when an open wound was : present medially over the distal tibia, the ligamentous attachments of distal fibula and medial malleolus to talus and calcaneus and of the distal tibiofibular syndesmosis are largely intict. Utilizing these attachment, Fibular fixation can stabilize comminuted fractures of distal tibia affecting ankle joint. This procedure is so effective and simple The author has used this technique in three instances for two years with excellent results. This is not an original method, but worthy of being remindful of the literature.