Skip to main content
Log in

The use of T-LCP (locking compression plate) for the treatment of the lateral malleolar fractures

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Background

The authors evaluated results and hardware-related complications after the fixation of Danis-Weber (D-W) types A and B lateral malleolus fractures using a 3.5-mm T-shaped locking compression plate (T-LCP) for distal radius.

Methods

Twenty-six patients with Danis-Weber type A or B lateral malleolar fractures treated between January 2001 and February 2008 were included in this study. Mean age of the patients was 52.6 (28–77) years. All patients were treated using a 3.5-mm T-shaped locking plate for distal radius fractures. The distal fragment was fixed with at least 2 locking screws more. Ankle motion was allowed early after surgery. The authors evaluated serial radiographs, range of motion, skin irritation, and AOFAS scores at final follow-ups.

Results

All fractures united during follow-up. Eight cases were of D-W type A, and 18 were of D-W type B. A mean number of three screws were placed at the distal fragment (2–4). There were 6 cases (23.1%) of implant irritation over the operative site, but no other complications were encountered. At final follow-ups, the AOFAS score of affected ankles was 97.1 ± 4.4.

Conclusion

T-LCP use for type A or B lateral malleolar fractures resulted in low hardware-related complications and produced good results at follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bostman O, Hirvensalo E, Vainionpaa S, Makela A, Vihtonen K, Tormala P, Rokkanen P (1989) Ankle fractures treated using biodegradable internal fixation. Clin Orthop Relat Res 238:195–203

    PubMed  Google Scholar 

  2. Cimino W, Ichtertz D, Slabaugh P (1991) Early mobilization of ankle fractures after open reduction and internal fixation. Clin Orthop Relat Res 267:152–156

    PubMed  Google Scholar 

  3. Day GA, Swanson CE, Hulcombe BG (2001) Operative treatment of ankle fractures: a minimum ten-year follow-up. Foot & Ankle International/American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 22(2):102–106

    CAS  Google Scholar 

  4. Frigg R (2003) Development of the locking compression plate. Injury 34(Suppl 2):B6–B10

    Article  PubMed  Google Scholar 

  5. Hirvensalo E (1989) Fracture fixation with biodegradable rods. forty-one cases of severe ankle fractures. Acta Orthop Scand 60(5):601–606

    Article  PubMed  CAS  Google Scholar 

  6. Lamontagne J, Blachut PA, Broekhuyse HM, O’Brien PJ, Meek RN (2002) Surgical treatment of a displaced lateral malleolus fracture: the antiglide technique versus lateral plate fixation. J Orthop Trauma 16(7):498–502

    Article  PubMed  Google Scholar 

  7. Lee YS, Huang HL, Lo TY, Huang CR (2007) Lateral fixation of AO type-B2 ankle fractures in the elderly: the Knowles pin versus the plate. Int Orthop 31(6):817–821

    Article  PubMed  Google Scholar 

  8. Tornetta P III, Creevy W (2001) Lag screw only fixation of the lateral malleolus. J Orthop Trauma 15(2):119–121

    Article  PubMed  Google Scholar 

  9. Miersch D, Wild M, Jungbluth P, Betsch M, Windolf J, Hakimi M (2011) A transcuneiform fracture-dislocation of the midfoot. Foot (Edinb) 21(1):45–47. doi:10.1016/j.foot.2010.10.001

    Article  Google Scholar 

  10. Kim T, Ayturk UM, Haskell A, Miclau T, Puttlitz CM (2007) Fixation of osteoporotic distal fibula fractures: a biomechanical comparison of locking versus conventional plates. J Foot Ankle Surg 46(1):2–6

    Article  PubMed  Google Scholar 

  11. Snow M, Thompson G, Turner PG (2008) A mechanical comparison of the locking compression plate (LCP) and the low contact-dynamic compression plate (DCP) in an osteoporotic bone model. J Orthop Trauma 22(2):121–125

    Article  PubMed  Google Scholar 

  12. Sommer C (2003) Locking compression plate. Injury 34(Suppl 2):B4–B5

    Article  PubMed  Google Scholar 

  13. Jacobsen S, Honnens de Lichtenberg M, Jensen CM, Torholm C (1994) Removal of internal fixation–the effect on patients’ complaints: a study of 66 cases of removal of internal fixation after malleolar fractures. Foot & Ankle International/American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 15(4):170–171

    CAS  Google Scholar 

  14. Schepers T, Kieboom B, van Diggele P, Patka P, Van Lieshout EM (2010) Pedobarographic analysis and quality of life after Lisfranc fracture dislocation. Foot & Ankle International/American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 31(10):857–864. doi:10.3113/FAI.2010.0857

    Article  Google Scholar 

  15. Scolaro J, Ahn J, Mehta S (2010) In brief: Lisfranc fracture dislocations. Clin Orthop Relat Res. doi:10.1007/s11999-010-1586-z

    PubMed  Google Scholar 

  16. Anderson RB, Hunt KJ, McCormick JJ (2010) Management of common sports-related injuries about the foot and ankle. J Am Acad Orthop Surg 18(9):546–556. doi:18/9/546

    PubMed  Google Scholar 

  17. Minihane KP, Lee C, Ahn C, Zhang LQ, Merk BR (2006) Comparison of lateral locking plate and antiglide plate for fixation of distal fibular fractures in osteoporotic bone: a biomechanical study. J Orthop Trauma 20(8):562–566

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All the authors emphatically state that there is no conflict of interest between the authors, and no fund or grants were received for the work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jong-Keon Oh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kim, H.J., Oh, JK., Hwang, JH. et al. The use of T-LCP (locking compression plate) for the treatment of the lateral malleolar fractures. Eur J Orthop Surg Traumatol 23, 233–237 (2013). https://doi.org/10.1007/s00590-012-0952-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-012-0952-9

Keywords

Navigation