Saxena Amol, Yun Andrew
Director, Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.
Fellow, Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA.
J Foot Ankle Surg. 2017 Mar-Apr;56(2):366-370. doi: 10.1053/j.jfas.2016.11.012. Epub 2017 Jan 12.
The purpose of the present study was to describe a minimally invasive percutaneous technique for plating Weber B distal fibular fractures and to evaluate its efficacy by measuring patient outcomes and hardware removal rates. The data from 17 patients undergoing percutaneous plating of a distal fibular (Weber B) fracture were prospectively studied. A 4- to 6-hole semitubular plate with 3 screws was used for percutaneously plating. The Roles and Maudsley score was used to assess the patients' activity level. All fibular fractures had healed clinically and radiographically by 8 weeks after surgery. The postoperative Roles and Maudsley scores had improved significantly. The time required to return to activity was 4.3 ± 2.0 months. Hardware removal was required in 3 patients during the study period, which had an average of almost 4 years postoperatively. The results of the present study have demonstrated that percutaneous plating is an effective surgical option for treating Weber B distal fibular fractures.
本研究的目的是描述一种用于Weber B型腓骨远端骨折钢板固定的微创经皮技术，并通过测量患者的治疗效果和内固定取出率来评估其疗效。对17例行腓骨远端（Weber B型）骨折经皮钢板固定术的患者的数据进行前瞻性研究。使用一块带有3枚螺钉的4至6孔半管状钢板进行经皮钢板固定。采用Roles和Maudsley评分来评估患者的活动水平。所有腓骨骨折在术后8周时均已临床及影像学愈合。术后Roles和Maudsley评分显著改善。恢复活动所需时间为4.3±2.0个月。在研究期间，3例患者需要取出内固定物，平均术后近4年。本研究结果表明，经皮钢板固定术是治疗Weber B型腓骨远端骨折的一种有效手术方式。
