Document Detail

Using a cervical spine cage to reconstruct malunited fibular fractures.
MedLine Citation:
PMID:  23324898     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Anatomical reduction and fixation of unstable ankle fractures is necessary to prevent post-traumatic arthritis. Malunion of the distal fibula in unstable ankle fractures can lead to late degenerative changes of the ankle. Late reconstruction of the ankle can improve its function and postpone the need for ankle fusion or replacement.
METHODS: We discuss three patients who presented with fibular malunion. All developed medial gutter opening, syndesmotic widening, and lateral shift and/or talar tilt. Surgery involved an anteromedial approach to clean the medial gutter, an anterolateral approach to clean the syndesmotic interval, elongation of the fibula by six to eight millimetres and stabilisation with a cervical spine cage and a locked plate.
RESULTS: After one year, all patients had radiologically demonstrated reduction of the talus in the mortise. Improved function was recorded at final follow up. The cage provides several advantages over other fixation methods, including osteoconductive properties, avoiding bone graft donor site morbidity, and the range of sizes allows the surgeon to adjust the amount of elongation.
CONCLUSIONS: Using spinal cages to treat malunited fibula fractures has several advantages compared to bone graft and good results can be expected.
Yaron S Brin; Ezequiel Palmanovich; Sabri Massarwe; Meir Nyska; Benyamin Kish
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Publication Detail:
Type:  Journal Article     Date:  2013-01-17
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-25     Completed Date:  2013-06-28     Revised Date:  2014-03-06    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  447-50     Citation Subset:  IM    
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MeSH Terms
Ankle Injuries / surgery*
Fibula / injuries,  surgery*
Fracture Fixation, Internal / instrumentation*
Fractures, Malunited / surgery*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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