Comparison of the direct and indirect reduction techniques during the surgical management of posterior malleolar fractures.

ABSTRACT:

Background

The optimal method for the reduction and fixation of posterior malleolar fracture (PMF) remains inconclusive. Currently, both of the indirect and direct reduction techniques are widely used. We aimed to compare the reduction quality and clinical outcome of posterior malleolar fracture managed with the direct reduction technique through posterolateral approach or the indirect reduction technique using ligamentotaxis.

Methods

Patients with a PMF involving over 25% of the articular surface were recruited and assigned to the direct reduction (DR) group or the indirect reduction (IR) group. Following reduction and fixation of the fracture, the quality of fracture reduction was evaluated in post-operative CT images. Clinical and radiological follow-ups were performed at

SUBMITTER: Shi HF 

PROVIDER: S-EPMC5351253 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature