Review Article
Posterior versus Lateral Plate Fixation of Short Oblique Fractures of the Distal Fibula: A Literature Review
Julia S Sanders1*, James R Bailey3, Ryan R Fader1 and Justin J Mitchell2
1Department of Orthopaedic Surgery, University of Colorado Hospital, Aurora, CO, United States
2The Steadman Clinic and Steadman Philippon Research Institute, Vail, CO, United States
3Naval Hospital - Bremerton, Department of Orthopaedic Surgery, Bremerton, WA
- *Corresponding Author:
- Julia S Sanders
Department of Orthopaedic Surgery, University of Colorado School of Medicine
12631 E. 17th Avenue, Mail Stop B202 Aurora, CO, 80045, United States
Tel: 3037242963
Fax: 303.724.1593
E-mail: julia.sanders@ucdenver.edu
Received date: May 12, 2016; Accepted date: August 27, 2016; Published date: September 02, 2016
Citation: Julia SS, James RB, Ryan RF, Justin JM (2016) Posterior versus Lateral Plate Fixation of Short Oblique Fractures of the Distal Fibula: A Literature Review. Clin Res Foot Ankle 4:200. doi:10.4172/2329-910X.1000200
Copyright: © 2016 Julia SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Oblique spiral fractures of the distal third of the fibula are commonly encountered in any orthopedic practice. Controversy persists over various fixation methods and their corresponding risks and benefits.
Methods: A systematic review of the pertinent literature pertaining to these fractures was performed, and currently published results were summarized.
Results: There are advantages and disadvantages to each fixation method. Supporters of direct lateral plating argue for less peroneal irritation, ease of exposure, and direct fracture reduction. Those in favor of posterior plating report increased biomechanical strength, less lateral skin irritation, infrequent need for hardware removal, and ability to use bicortical fixation in the distal fragment. Modern implant advances and minimally invasive approaches have added complexity to fixation choices.
Conclusion: Presently there is insufficient evidence to support either posterior or lateral fibular plating as a gold standard. Choice of approach and surgical technique should be individually based on fracture pattern, patient characteristics and surgeon experience.
