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Journal Article
Observational Study
Intramedullary fixation of lateral malleolus using Fibula Rod System in ankle fractures in the elderly.
Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons 2018 October
BACKGROUND: Operative management of ever increasing ankle fractures in the elderly need a reliable system of internal fixation. We present results of one such fixation, Fibula Rod System.
METHODS: Patients who underwent Fibula Rod System were included. Fracture union rate, complications, time to weight bearing and patient satisfaction using FAAM score were studied.
RESULTS: The mean age of the fifteen patients included was 74 years. Satisfactory reduction was achieved and maintained in all. All fractures united. There were no infections. Complications included lack of purchase of distal AP screw (n=1), fracture of fibula shaft (n=1), failure to insert syndesmotic screws through zig (n=2), delayed secondary wound healing (n=1) and removal of metal ware (n=2). At a mean follow-up of 12 months (n=10 responses), median FAAM score was 91% (Interquartile range of 62%-99%).
CONCLUSION: Fibula Rod System providing good stability and union, is a reliable operation for ankle fractures in the elderly.
METHODS: Patients who underwent Fibula Rod System were included. Fracture union rate, complications, time to weight bearing and patient satisfaction using FAAM score were studied.
RESULTS: The mean age of the fifteen patients included was 74 years. Satisfactory reduction was achieved and maintained in all. All fractures united. There were no infections. Complications included lack of purchase of distal AP screw (n=1), fracture of fibula shaft (n=1), failure to insert syndesmotic screws through zig (n=2), delayed secondary wound healing (n=1) and removal of metal ware (n=2). At a mean follow-up of 12 months (n=10 responses), median FAAM score was 91% (Interquartile range of 62%-99%).
CONCLUSION: Fibula Rod System providing good stability and union, is a reliable operation for ankle fractures in the elderly.
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