Lag Screw Only Fixation of the Lateral Malleolus

  title={Lag Screw Only Fixation of the Lateral Malleolus},
  author={Paul Tornetta and William R. Creevy},
  journal={Journal of Orthopaedic Trauma},
Objectives To evaluate the use of lag screw only fixation of noncomminuted oblique fractures of the lateral malleolus in patients younger than fifty years of age. Design Prospective evaluation. Setting Level I trauma center. Patients and Participants Forty-seven ankle fractures with simple oblique patterns and no comminution that were long enough to accept two lag screws placed at least 1 centimeter apart were prospectively evaluated. All patients were younger than fifty years of age. There… 
Less is more: lag screw only fixation of lateral malleolar fractures
Lag screw only fixation of the lateral malleolus is a safe and effective method that has a number of advantages over plate osteosynthesis, in particular less soft tissue dissection, less prominent, symptomatic and palpable hardware and a reduced requirement for secondary surgical removal.
Cerclage wire and lag screw fixation of the lateral malleolus in supination and external rotation fractures of the ankle.
  • A. Bajwa, D. Gantz
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 2005
Evaluating a series of patients with lateral malleolar fractures treated with operative reduction using minimal hardware found that long spiral fractures of the lateralmalleolus of the ankle can be treated successfully with 2 or 3 lag screws and circlage wires without compromising the outcome of the fracture healing.
Functional outcome after lag screw fixation of lateral malleolar fractures
Intra-operative assessment of fracture stability after lag screw fixation should determine the need for additional hardware in footballers aged <30 years, all of who made an excellent functional recovery.
Necessity of Interfragmentary Lag Screws in Precontoured Lateral Locking Plate Fixation for Supination-External Rotation Lateral Malleolar Fractures
The results of this study suggest that with precontoured lateral locking plate fixation, the use of interfragmentary lag screw is not essential in the treatment of SER lateral malleolar fractures.
Plate Versus Lag Screw Only Fixation of Unstable Ankle Fractures Involving the Fibula in Adolescent Patients
L lag screw only fixation is a safe and effective procedure for noncomminuted, oblique fibula fractures in the adolescent population as demonstrated by equivalent fracture healing rates without loss of reduction and similar outcome scores.
Biomechanical Evaluation of Plate Versus Lag Screw Only Fixation of Distal Fibula Fractures.
Evaluating the biomechanical strength of different constructs of lag screw only fixation of unstable Orthopaedic Trauma Association type B/C ankle fractures found that construct stiffness was similar to that of traditional plate and lag screw fixation.
“Weber B” bilateral malleolus fracture and interfragmentary screw placement: a cadaveric study
A study to assess the biomechanical stability of two different ways of interfragmentary screw fixation for lateral malleolus fracture of the ankle found the fixation done in Group II was found to be better.
The use of T-LCP (locking compression plate) for the treatment of the lateral malleolar fractures
T-LCP use for type A or B lateral malleolar fractures resulted in low hardware-related complications and produced good results at follow-up, and the AOFAS score of affected ankles was 97.1 ± 4.4.
Surgical Treatment of Lateral Malleolar Fractures Using the Compression Cerclage System.
The compression cerclage system provides good functional and radiological outcomes in patients with lateral malleolus fractures and can be applied through limited soft-tissue stripping, which is especially important in Patients with a high risk for wound complications.
Results of percutaneous rush pin fixation in distal third fibular fracture: A retrospective study
Close reduction and internal fixation with rush rods is one of the good treatment modalities of distal fibular fracture and did not require secondary surgery to remove the wire, and showed sufficient stability after fixation.


Intramedullary Screw Fixation of Lateral Malleolus Fractures
It is suggested that intramedullary screw fixation of noncomminuted lateral malleolus fractures provides stable fixation with good clinical results and has the advantages of providing dynamic intramingullary fixation with limited surgical dissection and no subcutaneous hardware.
Removal of Internal Fixation—The Effect on Patients’ Complaints: A Study of 66 Cases of Removal of Internal Fixation after Malleolar Fractures
It is concluded that removal of internal fixation after malleolar fractures is indicated when common types of complaints are presented and significantly more complaints associated with the AO mode in the postoperative period are found.
The antiglide plate for distal fibular fixation. A biomechanical comparison with fixation with a lateral plate.
Posterior antiglide plates recently have been introduced as a method of fixation for the short oblique fracture of the distal part of the fibula, which has several advantages over the more commonly used lateral plate for the fixation of this type of fracture, including dissection of a smaller area and less operative time, minimum bending of the plate, and no potential for penetration of a screw into the joint.
Immobilization of operated ankle fractures.
Forty-three patients with stable internal fixation of fresh ankle fractures were treated at random with a plaster cast for 6 weeks without weight bearing or were only immobilized for 3 days, after
Ankle injuries. In: Principles of Orthopaedic Practice, ed by Dee R
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  • M. Erdogan
  • Medicine
    The Nova Scotia medical bulletin
  • 1965