Isolated medial malleolus fractures: Conventional techniques vs headless compression screw fixation
The Journal of Foot & Ankle Surgery Mar 28, 2018
Bulut T, et al. - Experts herein assessed the clinical and radiologic results of surgically treated isolated medial malleolar fractures and compared the clinical and radiologic results of the fixation methods of headless cannulated fully threaded compression screws and cancellous lag screws and tension band wiring. They noted the interval of fracture healing to be 2.2 ± 0.42 months in patients treated with headless cannulated fully threaded compression screws, 2.5 ± 0.71 months in patients treated with cancellous lag screws and 2.45 ± 0.52 months in patients treated with Kirschner wires and intraosseous tension wiring. In patients treated with headless cannulated fully threaded compression screws, hardware removal was not required but was required in 20% of the patients treated with cancellous lag screws and 27.3% in patients treated with Kirschner wires and intraosseous tension wiring. On palpation at the medial malleolus, the visual analog scale score for pain was significantly lower statistically, in the headless compression screw group
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