The “epiphysa” fibular nail - 45 Cases during 30 months

Summary

This study is based on 45 observations of lateral malleolus fractures, treated by the epiphysa nail, since May 1994. Material: - 4 isolated fracture of lateral malleolus. - 27 Cases of ankle dislocation with bi or tri malleolar fractures. - 14 cases associated with diaphysal or distal fracture of the tibia, astragalus fracture or medial ligament rupture. The sex ratio was 22 women for 23 men between 17 and 90 years old. Methods: Open reduction with internal fixation by epiphysa nail was used 38 times, and closed reduction and nailing 7 times. Post-operative immobilisation was used in all cases. Weight bearing was allowed on the 40th day. Results: 39 patients were reviewed with a minimum follow up of 6 months and maximum of 18 months. Results were considered excellent or satisfactory in 37 cases. Discussion: The authors report few complications and quick consolidation but they recommend a different procedure from that advised by the originator. They prefer open reduction and post operative immobilisation.