Abstract：
BACKGROUND:Percutaneous fixation with cannulated screws is an effective method for treating medial malleolar epiphyseal fractures, which comprise a portion of bimalleolar and trimalleolar fractures. Lateral malleolar fractures also need to be fixed to achieve anatomical reduction and absolute stable fixation of the ankle. However, there are no individual studies in the literature on this topic. METHODS:Thirty-six children (22 boys and 14 girls) aged 8 to 15 years (average, 11.3 years) with medial and lateral epiphyseal fractures were treated by cannulated screw and Kirschner fixation after closed reduction from January 2010 to December 2015 in our hospital. The patients were examined each month postoperatively. Ankle function was assessed using the Baird-Jackson ankle score. RESULTS:The 36 patients were followed up for 18 to 29 months (average, 25 months). No cases of fracture non-union or secondary displacement were observed, and the healing time was 2.8 ± 1.1 months (range, 2-4 months). At the last follow-up visit, the Baird-Jackson ankle score ranged from 83 to 100 (average, 94), including an "excellent" score in 13 cases, a "good" score in 19 cases, a "fair" score in 4 cases, and a "poor" score in 0 cases. The ankle recovered to the pre-injury level of function within 3.5 ± 1.6 months (range, 2-5 months). Dysfunction, pain, instability, and premature epiphyseal closure were not observed during the follow-up of the 36 patients. CONCLUSIONS:Cannulated screw and Kirschner fixation after closed reduction is an effective and readily available method for the treatment of medial and lateral malleolar epiphyseal fractures in children.
journal_name
J Orthop Surg Resjournal_title
Journal of orthopaedic surgery and researchauthors
Jiang L,Wu J,Li M,Liu X,Luo C,Qu Xdoi
10.1186/s13018-019-1287-6subject
Has Abstractpub_date
2019-08-08 00:00:00pages
254issue
1issn
1749-799Xpii
10.1186/s13018-019-1287-6journal_volume
14pub_type
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