1. Prone position fibula nail and tibia buttress plate for large Volkmann fracture-dislocations technical note and preliminary results on a short case series.
- Author
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Andrés-Peiró JV, Blasco-Casado F, Piedra-Calle CA, Tomás-Hernández J, Selga-Marsá J, García-Sánchez Y, and Teixidor-Serra J
- Subjects
- Humans, Prone Position, Male, Treatment Outcome, Female, Adult, Middle Aged, Fracture Dislocation surgery, Patient Positioning methods, Tibial Fractures surgery, Bone Screws, Bone Plates, Fibula injuries, Fibula surgery, Fracture Fixation, Intramedullary methods, Fracture Fixation, Intramedullary instrumentation, Bone Nails, Ankle Fractures surgery, Ankle Fractures diagnostic imaging
- Abstract
Large posterolateral tibial fragments, known as Volkmann fractures, are common in ankle fracture-dislocations and typically require open reduction and fixation with interfragmentary screws and often buttress plates using a prone posterolateral approach. In this setting, fibula plating often necessitates dissection of the lateral window between the peroneal tendons and the skin, increasing wound-related complications. In recent years, intramedullary nailing of fibula fractures has gained popularity as a minimally invasive technique that allows load-sharing stabilization. However, this procedure has traditionally been performed in the supine position, which can pose challenges if a Volkmann-type fracture is present, requiring repositioning and losing access to the fibula through the posterolateral approach. Our objective is to describe a technique for fixing ankle fracture-dislocations with large posterolateral fragments using tibial buttress plates and fibula nails through a prone posterolateral approach without dissecting the lateral window. Additionally, we will present a case series with preliminary results., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Published
- 2024
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