The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa
Abstract Background Lateral malleolus fractures are very common, and the distal fibular geometry is complex. This study aimed to classify the lateral malleolus fossa (MF) into different types by characterizing the lateral MF imaging morphology and exploring the relationship between the lateral MF an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04194-6 |
| _version_ | 1797452051713622016 |
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| author | Gui-xuan You Lei Huang Ming-hui Li Bin Xiong Wan-lin Peng Hou-yin Shi Lei Zhang |
| author_facet | Gui-xuan You Lei Huang Ming-hui Li Bin Xiong Wan-lin Peng Hou-yin Shi Lei Zhang |
| author_sort | Gui-xuan You |
| collection | DOAJ |
| description | Abstract Background Lateral malleolus fractures are very common, and the distal fibular geometry is complex. This study aimed to classify the lateral malleolus fossa (MF) into different types by characterizing the lateral MF imaging morphology and exploring the relationship between the lateral MF and internal fixation position after distal fibula fractures. Methods Anteroposterior CT reconstruction was performed on 248 subjects. After reconstruction, the deepest point of the lateral MF was located, and then, the cross-sectional shape of the lateral MF was observed and classified. Results According to the morphology of the CT cross section, the lateral MF was divided into three types: type C (43.1%), type V (32.2%), and type Flat (24.7%). Type V (3.98 ± 0.82) was significantly longer than type C(2.83 ± 0.54) and type Flat (1.84 ± 0.42) in cd. Similarly, in ∠α, Type Flat(136.31 ± 9.63) was the largest, followed by type C (116.51 ± 8.79), and type V (89.31 ± 9.07) was the smallest. Other measurements were not found any significant differences between the above. Conclusion According to the morphology of the CT cross section, the lateral MF was divided into three types: type C, type V and type Flat. Type V is most likely to be invaded when fixing the distal fibula. Screws less than 9 mm should be selected when fixing, and screws no more than 10 mm should be selected when there are type C and type Flat of MF. |
| first_indexed | 2024-03-09T15:03:10Z |
| format | Article |
| id | doaj.art-9c8ee7b1ba2b4cfc8d15556d881496ef |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-09T15:03:10Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-9c8ee7b1ba2b4cfc8d15556d881496ef2023-11-26T13:49:02ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-011811910.1186/s13018-023-04194-6The safe zone of distal fibula was determined based on the classification of lateral malleolus fossaGui-xuan You0Lei Huang1Ming-hui Li2Bin Xiong3Wan-lin Peng4Hou-yin Shi5Lei Zhang6School of Physical Education, Southwest Medical UniversitySchool of Physical Education, Southwest Medical UniversitySchool of Physical Education, Southwest Medical UniversitySchool of Clinical Medicine, Southwest Medical UniversityDepartment of Medical Imaging, Southwest Medical UniversityDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical UniversityDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical UniversityAbstract Background Lateral malleolus fractures are very common, and the distal fibular geometry is complex. This study aimed to classify the lateral malleolus fossa (MF) into different types by characterizing the lateral MF imaging morphology and exploring the relationship between the lateral MF and internal fixation position after distal fibula fractures. Methods Anteroposterior CT reconstruction was performed on 248 subjects. After reconstruction, the deepest point of the lateral MF was located, and then, the cross-sectional shape of the lateral MF was observed and classified. Results According to the morphology of the CT cross section, the lateral MF was divided into three types: type C (43.1%), type V (32.2%), and type Flat (24.7%). Type V (3.98 ± 0.82) was significantly longer than type C(2.83 ± 0.54) and type Flat (1.84 ± 0.42) in cd. Similarly, in ∠α, Type Flat(136.31 ± 9.63) was the largest, followed by type C (116.51 ± 8.79), and type V (89.31 ± 9.07) was the smallest. Other measurements were not found any significant differences between the above. Conclusion According to the morphology of the CT cross section, the lateral MF was divided into three types: type C, type V and type Flat. Type V is most likely to be invaded when fixing the distal fibula. Screws less than 9 mm should be selected when fixing, and screws no more than 10 mm should be selected when there are type C and type Flat of MF.https://doi.org/10.1186/s13018-023-04194-6Lateral malleolar fossaFibular fractureInternal fixationAnkle |
| spellingShingle | Gui-xuan You Lei Huang Ming-hui Li Bin Xiong Wan-lin Peng Hou-yin Shi Lei Zhang The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa Journal of Orthopaedic Surgery and Research Lateral malleolar fossa Fibular fracture Internal fixation Ankle |
| title | The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| title_full | The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| title_fullStr | The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| title_full_unstemmed | The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| title_short | The safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| title_sort | safe zone of distal fibula was determined based on the classification of lateral malleolus fossa |
| topic | Lateral malleolar fossa Fibular fracture Internal fixation Ankle |
| url | https://doi.org/10.1186/s13018-023-04194-6 |
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