![]() Levels of Evidence: Level IV: Retrospective, case series.Ĭannulated intramedullary screw distal fibular fracture high-risk wound complication minimally invasive. Conclusion: Cannulated intramedullary screw fixation can serve as a minimally invasive, safe, and satisfactory treatment for distal fibular fractures with resulting high union rates and low complication rates. Average time to union was 10 weeks (range = 8-36 weeks), whereas average time to weight bearing was 14 weeks (range = 8-40 weeks). A low complication rate of 4% was reported. Accordingly, reduction was determined to be good in 25 cases, fair in 15, and poor in 5. As the fracture does not involve the ankle the only option available in ACHI is 47566-01 1510 Open reduction of fracture of shaft of tibia with internal. Results: Reduction quality criteria were collected using previously published guidelines. Finally, fibular nail is reported to be more cost-effective than ORIF and delayed-staged. Average time to union, average time to weight bearing, and complications were monitored. locking plate in non-comminuted lateral malleolar fractures6,7. The Weber classification system was used to assess the type of fracture. All patients included in the cohort had a soft-tissue condition and/or comorbidity. Methods: This retrospective study included 45 patients with distal fibular fractures treated with cannulated intramedullary screw fixation. 27827 - CPT Code in category: Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. This study evaluates the use of a cannulated intramedullary screw as a minimally invasive treatment method for distal fibular fractures, which has not been reported in the current literature. Background: Open reduction and internal fixation (ORIF) methods, primarily plates and screws, remain the standard of treatment for distal fibular fractures. Fractures of the Ankle Joint: Investigation and Treatment Options. Goost H, Wimmer M, Barg A, Kabir K, Valderrabano V, Burger C. Evaluation of the Syndesmotic-Only Fixation for Weber-C Ankle Fractures with Syndesmotic Injury. CURRENT Diagnosis & Treatment in Orthopedics, Fourth Edition. Musculoskeletal Eponyms: Who Are Those Guys? Radiographics. It was later modified and popularized by the Swiss orthopedic surgeon, Bernhard Georg Weber (1929-2002), in 1972 2. direct approach to lateral and medial malleoli. patient supine with feet at end of bed and bump under hip for neutral limb rotation. radiolucent table and C-arm from contralateral side. This classification was first described by the Belgian general surgeon, Robert Danis (1880-1962), in 1949. identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER). Usually associated with an injury to the medial side ![]() Weber C fractures can be further subclassified as 6Ĭ1: diaphyseal fracture of the fibula, simpleĬ2: diaphyseal fracture of the fibula, complexĪ fracture above the syndesmosis results from external rotation or abduction forces that also disrupt the joint Medial malleolus fracture or deltoid ligament injury often presentįracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs ( Maisonneuve fracture) Tibiofibular syndesmosis disruption with widening of the distal tibiofibular articulation Weber B fractures could be further subclassified as 9ī2: associated with a medial lesion (malleolus or ligament)ī3: associated with a medial lesion and fracture of posterolateral tibiaĪbove the level of the syndesmosis (suprasyndesmotic) Variable stability, dependent on the status of medial structures (malleolus/ deltoid ligament) and syndesmosis may require open reduction and internal fixation (ORIF) Tibiofibular syndesmosis usually intact, but widening of the distal tibiofibular joint (especially on stressed views) indicates syndesmotic injuryĭeltoid ligament may be torn, indicated by widening of the space between the medial malleolus and talar dome Usually stable if medial malleolus intact treat with CAM Walker or Moon Boot with crutches and weight bear as tolerated with them for 6 weeksĭistal extent at the level of the syndesmosis (trans-syndesmotic) may extend some distance proximally 1 I have an Op report that states Fracture-dislocation Right ankle- 'the fracture was exposed by sharp dissection and reduced manually.' Later it states a plate was then applied to the posterolateral edge of the fibula and fixed with 5 cortical screws. Below the level of the syndesmosis (infrasyndesmotic) ![]()
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