Evolution of a traditional technique: Comparison of a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner technique with anti-gliding miniplate fixation for the treatment of medial malleolar fractures

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dc.authoridCINAROGLU, Selim/0000-0002-4495-6106
dc.contributor.authorAydin, Murat
dc.contributor.authorCinaroglu, Selim
dc.date.accessioned2024-11-07T13:24:27Z
dc.date.available2024-11-07T13:24:27Z
dc.date.issued2022
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBACKGROUND: In this study, we aimed to compare a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner wire (K-wire) technique with additional miniplate fixation for the treatment of medial malleolar fractures. METHODS: A total of 23 patients who were diagnosed with isolated fractures of the medial malleolus and operated in our center were retrospectively analyzed. The patients were divided into two groups: Group A, medial malleolar fracture fixed with a 4-mm cannulated screw and a K-wire (n=11) and Group B, a 4-mm cannulated screw and K-wire used for fixation with miniplate fixation for extra stability (n=12). Clinical outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hind foot Score at 2, 6, 12, and 24 months postoperatively. At 12-24 months, the presence of pain and tenderness in the medial malleolus with palpation was evaluated using the visual analog scale (VAS) pain scores. RESULTS: The mean time to union was 2.23 +/- 0.56 (range, 1.8-2.9) months in Group A and 2.46 +/- 0.45 (range, 1.9-3.1) months in Group B, indicating no statistically significant difference between the two groups (p 0.01). However, there was no statistically significant difference in the mean AOFAS scores at 6 and 12 months between the groups (p 0.05). The mean VAS pain scores at 12-24 months postoperatively did not significantly differ between the groups (p>0.05). CONCLUSION: Our study results suggest that the treatment of medial malleolar fractures with a cannulated screw and K-wire with additional stabilization using a miniplate ensures favorable early outcomes with early return to daily living activities. However, both techniques have similar outcomes in the mid-term.
dc.identifier.doi10.14744/tjtes.2021.49734
dc.identifier.endpage343
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85127499590
dc.identifier.scopusqualityQ2
dc.identifier.startpage336
dc.identifier.trdizinid1137261
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.49734
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1137261
dc.identifier.urihttps://hdl.handle.net/11480/14130
dc.identifier.volume28
dc.identifier.wosWOS:000764975400017
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectKirschner wire
dc.subjectmedial malleolus fractures
dc.subjectmini-plate
dc.subjectopen reduction internal fixation
dc.subjecttrauma
dc.titleEvolution of a traditional technique: Comparison of a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner technique with anti-gliding miniplate fixation for the treatment of medial malleolar fractures
dc.title.alternativeGeleneksel bir tekniğin gelişimi: Medial malleol kırıklarının tedavisinde 4 mm’lik kanüllü vida ve Kirschner teli tekniği ile 4 mm’lik kanüllü vida, Kirschner teli tekniği ve kayma önleyici mini plak tespitinin karşılaştırılması
dc.typeArticle

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