ArticleArchives of orthopaedic and trauma surgery2023
Minifragment plating of the fibula in unstable ankle fractures.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- One-third tubular plates versus anatomical distal fibula plates in ankle fracture fixation: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- Double mini-locking plates for unstable Danis-Weber B distal fibular fractures: superior functional outcomes and lower implant removal rates.Journal of orthopaedic surgery and research · 2026Article
- Biomechanical comparison of double mini-locking plate versus lateral locking plate for Danis-Weber B distal fibula fractures.BMC musculoskeletal disorders · 2025Article
- Functional outcome in mini-fragment plating of the fibula in unstable ankle fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Do mini-fragment T-plates allow for more proximal rafting than pre-contoured anatomic plates in lateral split-depression tibial plateau fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Nutrient foramina of human fibula: morphometric analysis and clinical relevance.Journal of bone and mineral metabolism · 2025Article
- Predicting surgical site infections after open reduction and internal fixation for ankle fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Intercalary fragments in posterior malleolar fractures: incidence, treatment implications, and distribution within CT-based classification systems.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOnly 6.4-17% of the load is transmitted through the fibula when weight-bearing. Plate fixation of distal fibular fractures using minifragments (≤ 2.8 mm) could lead to similar reduction with less implant removal (IR) rates, compared to small-fragment plates (3.5 mm). We hypothesized that the use of minifragment plates is at least similar in unscheduled secondary surgery. MATERIALS AND
methodsIn this retrospective cohort study, all patients with surgically treated distal fibular fractures between October 2015 and March 2021 were included. Patients treated with plate fixation using minifragments and patients treated with small-fragment plates were compared regarding the following outcomes: secondary dislocation, malreduction, implant malposition, nonunion, surgical site infections (SSI) and IR.
resultsSixty-five patients (54.2%) received a minifragment implant (≤ 2.8 mm) and 55 patients (45.8%) received a small-fragment implant (3.5 mm). There were no patients needing secondary surgery in the minifragment group compared to 9 patients following fixation using small-fragment implants (3 with secondary dislocation, 5 with malreduction and 1 with malposition, p = 0.001). SSI rates were 3.1% for minifragment and 9.1% for small-fragment implants (p = 0.161). Implant removal was performed significantly less often following use of minifragment implants (17.8% and 53.2%, p < 0.001).
conclusionsIn this cohort, minifragment plate fixation for distal fibular fractures is an adequate fixation method offering stable fixation with significant lower need for implant removal and comparable complications to small-fragment plates, although an adequately powered randomized controlled study is needed for implementation in a clinical setting. LEVEL OF EVIDENCE: Therapeutic, III.
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