A Novel Approach to Medial Malleolus Fracture of Ankle using Adjustable Loop Suspensory Fixation
Journal of Clinical Orthopaedics | Vol 9 | Issue 2 | July-December 2024 | page: 132-136 | Sandeep Deore, Sachin Kale, Sunil Shetty, Ajit Chalak, Rohan Jayaram, Roonam Patir
DOI: https://doi.org/10.13107/jcorth.2024.v09i02.698
Submitted Date: 29 Jul 2024, Review Date: 15 Aug 2024, Accepted Date: 18 Sep 2024 & Published Date: 10 Dec 2024
Author: Sandeep Deore [1], Sachin Kale [1], Sunil Shetty [1], Ajit Chalak [2], Rohan Jayaram [1], Roonam Patir [1]
[1] Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India,
[2] Department of Orthopaedics, MGM Medical College, Navi Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Rohan Jayaram,
Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India.
E-mail: drrohanjayaram@gmail.com
Abstract
Medial malleolar fractures are traditionally treated by orthopaedic surgeons using cancellous screws, plates, and tension banding with stainless steel wires. However, a considerable proportion of these patients eventually require revision surgery or implant removal due to complications such as wire migration, impingement, breakage, and infection. Revision surgeries for previously operated malleolar fractures pose challenges due to dilated bone tracks and osteopenia which complicate securing the mechanical hold of the implant. A potential solution to mitigating these factors could be the use of high strength polyethylene suture material such as fibre-wire to fix the fracture fragments which are held in place by a cortical button on either side. This study aims to evaluate the clinical and radiological outcomes in a patient with medial malleolus fracture fixed by fibre-wire fixation as an alternative modality of treatment.
Keywords: Medial malleolar fractures, tension band principle, stainless steel wire, implant breakage, revision surgery, suspensory fixation using fiber-wire, magnetic resonance imaging compatible construct.
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| How to Cite this article: Deore S, Kale S, Shetty S, Chalak A, Jayaram R, Patir R. A Novel Approach to Medial Malleolus Fracture of Ankle using Adjustable Loop Suspensory Fixation. Journal of Clinical Orthopaedics July-December 2024;9(2):132-136. |
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