Trauma case reports · 2025
Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Paul Ryan A, Hu Shu Yang, Pathak Ananya, Khan Ryan, Whelan Daniel B
Аннотация
BACKGROUND: Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques.
PURPOSE: This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.
METHODS: Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.
RESULTS: At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to -5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).
CONCLUSION: Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.
PURPOSE: This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.
METHODS: Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.
RESULTS: At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to -5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).
CONCLUSION: Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.