A comparison of complication rates between locking and non-locking plates in distal fibular fractures - 11/06/18
, C. Ni Fhoghlu, C. Fenelon, J. McKenna
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Abstract |
Background |
Locking compression plates have become increasingly popular in orthopaedic surgery. However, the gold standard of treatment for distal fibular fractures remains fixation with a non-locking one-third tubular plate. It has been reported that locking plates in distal fibular fractures are associated with an increased complication rate.
Hypothesis |
The objective of this study is to assess the complication rates of locking versus non-locking plates in patients who underwent surgical fixation of distal fibular fractures.
Materials & methods |
A retrospective analysis of closed distal fibular fractures that underwent surgical repair over a 2-year period with either a locking or non-locking plate was undertaken, analysing the groups for both wound and overall postoperative complications.
Results |
A total of 160 patients were treated over 2 years, of which 129 and 31 patients were treated with non-locking and locking plates respectively. There was no significant difference between the non-locking and locking plates overall complication rates (13.5% versus 15.4%, p=0.76) or wound complication rates (3.97% versus 3.85%, p=1.00).
Discussion |
Distal fibular fractures managed with locking plates do not have a higher complication rate in comparison to those managed with non-locking plates.
Level of evidence |
III (case control study).
Le texte complet de cet article est disponible en PDF.Keywords : Ankle fracture, Locking plates, Non-locking plates, Complications
Plan
Vol 104 - N° 4
P. 503-506 - juin 2018 Retour au numéro
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