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

Aydin, MuratCinaroglu, Selim2024-11-072024-11-0720221306-696X1307-7945https://doi.org/10.14744/tjtes.2021.49734https://search.trdizin.gov.tr/tr/yayin/detay/1137261https://hdl.handle.net/11480/14130BACKGROUND: 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.eninfo:eu-repo/semantics/closedAccessKirschner wiremedial malleolus fracturesmini-plateopen reduction internal fixationtraumaEvolution 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 fracturesGeleneksel 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 karşılaştırılmasıArticle28333634310.14744/tjtes.2021.497342-s2.0-85127499590Q21137261WOS:000764975400017Q4