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A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Displaced fractures (> 2 mm) of the lateral malleolus, without medial or syndesmotic injuries, are often the subject of controversy regarding the best treatment option. In the past, these fractures were usually treated conservatively using a cast for 6 to 8 weeks without weightbearing. Currently, most of the patients desire a quick return to their previous activities, what makes surgical treatment a reasonable choice. It has benefits as earlier ankle mobilization and weightbearing. It also restores ankle biomechanics, preventing secondary osteoarthritis. However, postoperative complications with the standard lateral incision exist such as implant discomfort, dehiscence and infection. Minimally invasive techniques have been described to help avoiding these complications. This technical note described a short single-incision approach for the surgical treatment of displaced oblique fibular fractures type AO/OTA 44-B1 with an antiglide plate that presents the advantage of less risk of damaging the soft tissues, periosteal stripping and disturbance of the fracture hematoma.

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Abbreviations

MIPPO:

Minimally invasive percutaneous plate osteosynthesis

AO:

Arbeitsgemeinschaft fur Osteosynthesefragen

OTA:

Orthopaedic Trauma Association

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Funding

The authors did not receive any financial benefit in the preparation of this study.

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Authors and Affiliations

  1. Department of Orthopaedics, Foot and Ankle Surgery, University of São Paulo (HC FMRP-USP), Ribeirão Preto, SP, Brazil

    Rogério Carneiro Bitar

  2. Department of Orthopaedics, Foot and Ankle Surgery, Hospital of the Municipal Public Servant of São Paulo (HSPM), São Paulo, SP, Brazil

    Danilo Ryuko Cândido Nishikawa

  3. Department of Orthopaedics, Foot and Ankle Surgery, University of Iowa, Iowa City, IA, USA

    Cesar de Cesar Netto

  4. Department of Orthopedic Surgery, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil

    Alexandre Leme Godoy-Santos

  5. Department of Locomotor Apparatus, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil

    Robinson Esteves Santos Pires

Authors
  1. Rogério Carneiro Bitar
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  2. Danilo Ryuko Cândido Nishikawa
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  3. Cesar de Cesar Netto
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  4. Alexandre Leme Godoy-Santos
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  5. Robinson Esteves Santos Pires
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Contributions

RCB and DRCN performed the operations and collected data. Material preparation was performed by all authors. First draft of the manuscript was written by RCB and DRCN, and all authors commented for adequate changes of its final version. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Danilo Ryuko Cândido Nishikawa.

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Appropriate consent was obtained from all individual participants included in the study.

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Bitar, R.C., Nishikawa, D.R.C., de Cesar Netto, C. et al. A short single-incision approach for antiglide plate fixation of oblique fractures of the lateral malleolus: a technical tip. Eur J Orthop Surg Traumatol 31, 407–412 (2021). https://doi.org/10.1007/s00590-020-02771-7

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  • DOI: https://doi.org/10.1007/s00590-020-02771-7

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