Posterior malleolus fixation in trimalleolar fractures: comparison of functional outcomes of plate and screw methods

Umut Öktem; Muhammed Cihan Daştan; İzzet Bingöl; Gülfem Ezgi Özaltın

Makale detayları

Posterior malleolus fixation in trimalleolar fractures: comparison of functional outcomes of plate and screw methods

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | İzzet Bingöl | Gülfem Ezgi Özaltın

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.7 Issue 4, pp.442-446

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355612

pISSN:

2718-0115

Anahtar kelimeler:

Özet:

 Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus PM component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function. Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw n19 and plate n25, with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society AOFAS ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery 24 vs. 24 hours were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point p0.05. However, patients with dislocation had significantly lower scores at all follow-ups p0.05. Timing of surgery had no significant effect on outcomes. Loss of reduction was rare n2. Conclusion: Plate and screw fixation yield comparable functional outcomes in PM fractures. Dislocation negatively impacts recovery, while surgical timing does not. Emphasis should be placed on anatomical reduction and addressing prognostic factors for optimal results.

 Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus PM component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function. Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw n19 and plate n25, with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society AOFAS ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery 24 vs. 24 hours were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point p0.05. However, patients with dislocation had significantly lower scores at all follow-ups p0.05. Timing of surgery had no significant effect on outcomes. Loss of reduction was rare n2. Conclusion: Plate and screw fixation yield comparable functional outcomes in PM fractures. Dislocation negatively impacts recovery, while surgical timing does not. Emphasis should be placed on anatomical reduction and addressing prognostic factors for optimal results.

 Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus PM component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function. Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw n19 and plate n25, with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society AOFAS ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery 24 vs. 24 hours were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point p0.05. However, patients with dislocation had significantly lower scores at all follow-ups p0.05. Timing of surgery had no significant effect on outcomes. Loss of reduction was rare n2. Conclusion: Plate and screw fixation yield comparable functional outcomes in PM fractures. Dislocation negatively impacts recovery, while surgical timing does not. Emphasis should be placed on anatomical reduction and addressing prognostic factors for optimal results.

 Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus PM component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function. Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw n19 and plate n25, with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society AOFAS ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery 24 vs. 24 hours were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point p0.05. However, patients with dislocation had significantly lower scores at all follow-ups p0.05. Timing of surgery had no significant effect on outcomes. Loss of reduction was rare n2. Conclusion: Plate and screw fixation yield comparable functional outcomes in PM fractures. Dislocation negatively impacts recovery, while surgical timing does not. Emphasis should be placed on anatomical reduction and addressing prognostic factors for optimal results.

Makale detayları

Posterior malleolus fixation in trimalleolar fractures: comparison of functional outcomes of plate and screw methods

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | İzzet Bingöl | Gülfem Ezgi Özaltın

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.7 Issue 4, pp.442-446

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355612

pISSN:

2718-0115

Cannulated screw

plate fixation

posterior malleolus

trimalleolar fractureCannulated screw

plate fixation

posterior malleolus

trimalleolar fracture

Sayı

Makale detayları

Yazarlar: Umut Öktem | Muhammed Cihan Daştan | İzzet Bingöl | Gülfem Ezgi Özaltın

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ortopedi

Dergi: Anatolian Current Medical Journal Vol.7 Issue 4, pp.442-446

Belge Tipi: Makale

Yayın Tarihi: 7/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001355612

pISSN: 2718-0115

Sayı

Yazarlar:

Umut Öktem | Muhammed Cihan Daştan | İzzet Bingöl | Gülfem Ezgi Özaltın

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.7 Issue 4, pp.442-446

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355612

pISSN:

2718-0115