Hodgkins Christopher W, Fleites Jorge
Miami Orthopedics & Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL; and.
Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
J Orthop Trauma. 2022 Jul 1;36(7):366-369. doi: 10.1097/BOT.0000000000002329.
To evaluate the treatment of unstable lateral malleolar fractures using a fibula nail with both proximal and distal locking capabilities.
Retrospective review of 110 single-surgeon consecutive fibula nails.
Single-surgeon, private practice community hospital.
PATIENTS/PARTICIPANTS: One hundred ten fractures, 92 OTA/AO 44B and 18 OTA/AO 44C.
FibuLock fibula nail (Arthrex, Naples, FL).
Demographic, operative, clinical, and radiographic outcome data.
One hundred two patients/102 fractures met criteria. Ninety percent had a f/u of ≥12 months (mean 12.2 months). All fractures healed. There were no superficial or deep infections, no nonunions, or malunions. Two fractures required conversion to plate fixation intraoperatively because of excessive comminution which precluded the use of a nail, while one patient sustained an iatrogenic superficial peroneal nerve neuroma. No patients reported implant irritation, and none have required implant removal.
Fibula nails with proximal locking capabilities offer an alternative to plating with the potential for lower complication rates and lower need for implant removal.
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
评估使用具有近端和远端锁定功能的腓骨钉治疗不稳定型外踝骨折的效果。
对110例由单一外科医生连续使用的腓骨钉进行回顾性研究。
单一外科医生的私立社区医院。
患者/参与者：110例骨折，92例OTA/AO 44B型和18例OTA/AO 44C型。
FibuLock腓骨钉（Arthrex公司，佛罗里达州那不勒斯）。
人口统计学、手术、临床和影像学结果数据。
102例患者/102例骨折符合标准。90%的患者随访时间≥12个月（平均12.2个月）。所有骨折均愈合。无浅表或深部感染、无骨不连或畸形愈合。2例骨折因粉碎严重无法使用髓内钉而在术中改为钢板固定，1例患者发生医源性浅表腓神经神经瘤。无患者报告植入物刺激，且无人需要取出植入物。
具有近端锁定功能的腓骨钉为钢板固定提供了一种替代方法，可能具有更低的并发症发生率和更低的植入物取出需求。
治疗性四级证据。有关证据水平的完整描述，请参阅作者须知。
