• Orthopedics · Oct 1998

    Randomized Controlled Trial Clinical Trial

    The role of fixation of the fibula in open fractures of the tibial shaft with fractures of the ipsilateral fibula: indications and outcomes.

    • A M Whorton and M B Henley.
    • University of Washington School of Medicine and the Department of Orthopedics, Harborview Medical Center/University of Washington, Seattle, USA.
    • Orthopedics. 1998 Oct 1;21(10):1101-5.

    AbstractTo determine the indications for fibular fixation in cases of combined fractures of the tibia and fibula and the effect of fibular fixation on tibial healing, a retrospective study of open fractures of the tibial shaft with concomitant fibula fractures was conducted at a level one trauma center. Apparent indications for fibular fixation included the presence of a syndesmotic injury and location of fracture within the distal third of the fibula. No significant differences were found in the healing rates, incidence of nonunion and malalignment, or in the number of required subsequent procedures between patients who did and did not undergo fibular stabilization. These results suggest that fixation of the fibula in open fractures of the tibia and fibula has no effect on fracture healing or alignment. A randomized, prospective study is needed to properly validate these findings.

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