Reduction of Posterior Malleolus Fractures With Open Fixation Compared to Percutaneous Treatment.

ABSTRACT:

Background

Operative decision making between approaches to posterior malleolus reduction remains a challenge. The purpose of this study is to compare the quality of reduction between percutaneous and open reduction of posterior malleolus fractures and to identify factors associated with malreduction.

Methods

Operatively managed ankle fractures that included posterior malleolus fixation were reviewed. Fracture characteristics were determined on preoperative CT scans. Initial postoperative radiographs were used to measure reduction of the posterior malleolus articular surface and graded as satisfactory (<2 mm step-off) or malreduced (≥2 mm step-off). Final postoperative PROMIS scores and 1-year complications were compared between percutaneous and open cohorts. A multivariate s

SUBMITTER: Haws BE 

PROVIDER: S-EPMC10541751 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature