ArticleActa bio-medica : Atenei Parmensis2019
When is indicated fibular fixation in extra-articular fractures of the distal tibia?
Article in Acta bio-medica : Atenei Parmensis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Should We Worry About the Inter-Implant Gap in the Tibia? A Finite Element Analysis of Revision TKA and Distal Plating.Medicina (Kaunas, Lithuania) · 2026Article
- Article
- Fixation of Distal Fibula Fractures Associated with Extra-articular Distal One-third Tibia Fractures - Is It Necessary?Journal of orthopaedic case reports · 2025Article
- Low and high body mass index and lower numbers of screws in the articular segment are risk factors for non-union of distal humeral fractures in the elderly: A multi-center retrospective study (TRON study).Shoulder & elbow · 2024Article
- Simulation-based prediction of bone healing and treatment recommendations for lower leg fractures: Effects of motion, weight-bearing and fibular mechanics.Frontiers in bioengineering and biotechnology · 2023Article
- Dair approach in 7 infected total hip arthroplasties: our experience and current concepts of the literature.Acta bio-medica : Atenei Parmensis · 2022Review
- External fixator combined with three different fixation methods of fibula for treatment of extra-articular open fractures of distal tibia and fibula: a retrospective study.BMC musculoskeletal disorders · 2021Article
- The Role of Fibular Fixation in Distal Tibia-Fibula Fractures: A Meta-Analysis.Advances in orthopedics · 2021Review
- Biomechanics of Osteoporotic Fracture Fixation.Current osteoporosis reports · 2019Review
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5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
background and aim of the workThere is no consensus about indications for fibular osteosynthesis in extra-articular fractures of the distal tibia (DTF). This study analyses patients affected by DTF associated to fibular fracture and has the aim to define whether the level of fibular fracture has an influence on bone healing and consequently when its fixation is indicated.
methodsEighty-seven patients were operated from January 2005 to December 2016. Inclusion criteria were: the presence of skeletal maturity, the absence of physical limitations before trauma and a type 43-A AO closed fracture. Clinical outcomes were evaluated using Olerud-Molander Ankle Score (OMAS) and the Disability Rating Index (DRI). Malrotation was also assessed as well as incidence of nonunion and malalignment through x-rays.
resultsNo differences in clinical scores were reported at follow-up between patients in which fibular fixation was performed (Group 1) in comparison with those in which this procedure was not executed (Group 2). Nonunions were registered in 8 cases: four in Group 1 and four in Group 2. A statistically significant difference in incidence of external malrotation and valgus malalignment between the groups was documented, with a higher risk in patients of the second group.
conclusionsThe level of fibular fracture is important to determine when the fixation of this bone is indicated. In supra-syndesmotic fractures osteosynthesis leads to a higher incidence of nonunions. Fibular osteosynthesis could prevent malrotation and malalignment and is advisable in distal metaphyseal fracture of this bone (trans- or infrasyndesmotic lesion) with syndesmotic injury.
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