Weber B형 외과골절과 동반된 원위 경비 인대 결합 손상Syndesmosis Injury Associated with the Weber Type B Lateral Malleolar Fracture
- Other Titles
- Syndesmosis Injury Associated with the Weber Type B Lateral Malleolar Fracture
- Authors
- 박시영; 박상원; 한승범; 정웅교; 최근석; 이순혁
- Issue Date
- 2008
- Publisher
- 대한정형외과학회
- Keywords
- Ankle; Syndesmosis; Fracture; Instability; 족근관절; 원위 경비인대결합; 골절; 불안정성
- Citation
- 대한정형외과학회지, v.43, no.3, pp.359 - 365
- Indexed
- KCI
- Journal Title
- 대한정형외과학회지
- Volume
- 43
- Number
- 3
- Start Page
- 359
- End Page
- 365
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/124882
- ISSN
- 1226-2102
- Abstract
- Purpose: We evaluated the syndesmosis instability associated with Weber type B lateral malleolar fractures.
Materials and Methods: Eighty one Weber type B lateral malleolar fractures were evaluated and classified according to the radiologic criteria. Syndesmosis instability was checked with a hook test during operation. The radiological and clinical results were assessed.
Results: Twenty two cases were associated with a widening of the distal tibiofibular distance. Sixteen (73%) had syndesmosis instability confirmed with a hook test and were fixed with a syndesmotic screw. Eight (66%) out of 12 Wagstaffe fractures were fixed with a syndesmotic screw due to the instability. The distal tibiofibular distance was 7.4±2.4 mm, 4.6±1.9 mm and 4.9±1.9 mm preoperatively, postoperatively, and at the final follow up, respectively. All cases achieved union and good clinical results with more than 85 on the AOFAS score were obtained.
Conclusion: Weber type B lateral malleolar fractures can be associated with a syndesmosis injury. An intraoperative hook test should be carried out for accurate diagnosis. Considerable attention needs to be paid to Wagsteffe fractures, because of the high probability of combining syndesmosis instability.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.