The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture
<b>Background:</b> Wagstaffe fracture constitutes an indirect injury to the AITFL and can precipitate syndesmotic instability. The prevailing fixation methods often involve the use of mini-screws or K-wires, with absorbable suture repair reserved for cases with small or comminuted fragme...
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| Format: | Article |
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MDPI AG
2024-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/6/1605 |
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| author | Byung-Ryul Lee Ki-Jin Jung Eui-Dong Yeo Sung-Hun Won Yong-Cheol Hong Chang-Hwa Hong Chang-Hyun Kim Ho-Sung Kim Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim |
| author_facet | Byung-Ryul Lee Ki-Jin Jung Eui-Dong Yeo Sung-Hun Won Yong-Cheol Hong Chang-Hwa Hong Chang-Hyun Kim Ho-Sung Kim Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim |
| author_sort | Byung-Ryul Lee |
| collection | DOAJ |
| description | <b>Background:</b> Wagstaffe fracture constitutes an indirect injury to the AITFL and can precipitate syndesmotic instability. The prevailing fixation methods often involve the use of mini-screws or K-wires, with absorbable suture repair reserved for cases with small or comminuted fragments exhibiting instability. In this study, we devised a mini-plate fixation method capable of securing the fracture fragment irrespective of its size or condition. <b>Methods:</b> A retrospective chart review was conducted on patients who underwent surgery for ankle fractures between May 2022 and October 2023. The surgical technique involved direct fixation of the Wagstaffe fracture using mini-plate fixation. Radiologic evaluation was performed using postoperative CT images, and clinical outcomes were assessed using the OMAS and VAS. <b>Results:</b> Fourteen patients with an average age of 62.5 years were included. Most fractures were associated with the supination-external rotation type. The average preoperative OMAS significantly improved from 5.95 to 83.57 postoperatively. The average VAS score decreased from 7.95 preoperatively to 0.19 postoperatively. <b>Conclusions:</b> The mini-plate technique for Wagstaffe fractures exhibited dependable fixation strength, effective fracture reduction, a minimal complication rate, and judicious surgical procedure duration. |
| first_indexed | 2024-04-24T18:08:56Z |
| format | Article |
| id | doaj.art-36f5a9afe50f44aea13cd92084fb28ae |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T18:08:56Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-36f5a9afe50f44aea13cd92084fb28ae2024-03-27T13:47:49ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136160510.3390/jcm13061605The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle FractureByung-Ryul Lee0Ki-Jin Jung1Eui-Dong Yeo2Sung-Hun Won3Yong-Cheol Hong4Chang-Hwa Hong5Chang-Hyun Kim6Ho-Sung Kim7Jae-Young Ji8Je-Yeon Byeon9Dhong-Won Lee10Woo-Jong Kim11Department of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul 04401, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon 14584, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Plastic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of KoreaDepartment of Orthopaedic Surgery, Konkuk University Medical Center, 120-1, Neungdong-ro, Gwangjin-gu, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of Korea<b>Background:</b> Wagstaffe fracture constitutes an indirect injury to the AITFL and can precipitate syndesmotic instability. The prevailing fixation methods often involve the use of mini-screws or K-wires, with absorbable suture repair reserved for cases with small or comminuted fragments exhibiting instability. In this study, we devised a mini-plate fixation method capable of securing the fracture fragment irrespective of its size or condition. <b>Methods:</b> A retrospective chart review was conducted on patients who underwent surgery for ankle fractures between May 2022 and October 2023. The surgical technique involved direct fixation of the Wagstaffe fracture using mini-plate fixation. Radiologic evaluation was performed using postoperative CT images, and clinical outcomes were assessed using the OMAS and VAS. <b>Results:</b> Fourteen patients with an average age of 62.5 years were included. Most fractures were associated with the supination-external rotation type. The average preoperative OMAS significantly improved from 5.95 to 83.57 postoperatively. The average VAS score decreased from 7.95 preoperatively to 0.19 postoperatively. <b>Conclusions:</b> The mini-plate technique for Wagstaffe fractures exhibited dependable fixation strength, effective fracture reduction, a minimal complication rate, and judicious surgical procedure duration.https://www.mdpi.com/2077-0383/13/6/1605ankle fracturesyndesmosis injuryWagstaffe tubercleavulsion fracturemini-plate fixation |
| spellingShingle | Byung-Ryul Lee Ki-Jin Jung Eui-Dong Yeo Sung-Hun Won Yong-Cheol Hong Chang-Hwa Hong Chang-Hyun Kim Ho-Sung Kim Jae-Young Ji Je-Yeon Byeon Dhong-Won Lee Woo-Jong Kim The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture Journal of Clinical Medicine ankle fracture syndesmosis injury Wagstaffe tubercle avulsion fracture mini-plate fixation |
| title | The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture |
| title_full | The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture |
| title_fullStr | The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture |
| title_full_unstemmed | The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture |
| title_short | The Outcomes of Mini-Plate Fixation for Unstable Wagstaffe Tubercle Fracture, an Indirect Syndesmosis Injury in Rotational Ankle Fracture |
| title_sort | outcomes of mini plate fixation for unstable wagstaffe tubercle fracture an indirect syndesmosis injury in rotational ankle fracture |
| topic | ankle fracture syndesmosis injury Wagstaffe tubercle avulsion fracture mini-plate fixation |
| url | https://www.mdpi.com/2077-0383/13/6/1605 |
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