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A Clinical Evaluation of Alternative Fixation Techniques for Medial Malleolus Fractures by Hayley Barnes; Lisa K. Cannada; J. Tracy Watson is a Medicine article available to read on EtoBox.

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## Background: Medial malleolus fractures have traditionally been managed using partially threaded screws and/or kirschner wire fixation. using these conventional techniques, a non-union rate of as high as 20% has been reported. in addition too many patients complaining of prominent hardware as a source of pain post-fixation. this study was designed to assess the outcomes of medial malleolar fixation using a headless compression screw in terms of union rate, the need for hardware removal, and pain over the hardware site. ## Setting: Saint louis university and mercy medical center, level 1 trauma centers, st. louis, mo. ## Methods: After irb approval, we used billing records to identify all patients with ankle fractures involving the medial malleolus. medical records and radiographs were reviewed to identify patients with medial malleolar fractures treated with headless compression screw fixation. our inclusion criteria included follow-up until full weight bearing and a healed fracture. follow-up clinical records and radiographs were reviewed to determine union, complication rate and perception of pain over the site of medial malleolus fixation. sixty-four ankles were fixed via head

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Author

Hayley Barnes; Lisa K. Cannada; J. Tracy Watson

Publisher

Elsevier BV

Published

2014

Language

EN

Field

Medicine (Health Sciences)