International Orthopaedics (SICOT) (2017) 41:1935–1943 DOI 10.1007/s00264-016-3388-8 ORIGINAL PAPER The treatment options for posterior malleolar fractures in tibial spiral fractures 1,2 1,2 1,2 1 1,2 Jialiang Guo & Lei Liu & Zongyou Yang & Zhiyong Hou & Wei Chen & 1,2 Yingze Zhang Received: 26 June 2016 /Accepted: 25 December 2016 /Published online: 10 January 2017 SICOT aisbl 2017 Abstract one-fourth to one-third of the fibular notch. However, no ob- Purpose The posterior malleolar fracture (PMF) in tibial spi- vious differences were observed in terms of the clinical out- ral fractures are a common type of complication that occurs in comes in PMF involving one-fourth to one-third of the fibular tibial fractures. However, the indication of fixation for poste- notch. In the treatment of smaller PMF (<25%) of this type, rior fractures is still under debate and varies between different there were no obvious differences in the functional outcomes surgeons’. It is not unusual to find the smaller PMF (<25%), between fixed (SF) and nonfixed PMF (SN). which could be treated conservatively within guidelines, treat- Conclusions Many patients with smaller PMFs were fixated, ed with internal fixation in clinic. The aim of this study is to but functional outcomes
International Orthopaedics – Springer Journals
Published: Jan 10, 2017
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