M. Strickler et al., TREATMENT OF LATERAL MALLEOLAR FRACTURE T YPE-B WITH KIRSCHNER WIRES,CERCLAGES AND HEMICERCLAGES, Helvetica chirurgica acta, 60(1-2), 1993, pp. 241-243
In this retrospective study 52 cases of malleolar fractures type B, th
at were treated with Kirschner wires, cerclages and hemicerclages, bet
ween 1981 and 1991 at the Mannedorf Hospital, were compiled and comple
ted with the corresponding synopsis. The results show that the osteosy
nthesis technique, in certain cases, is absolutely justifiable and rep
resents a reliable alternative to tensile screw osteosynthesis. This p
rocedure of osteosynthesis is a good method in comminuted fractures as
well as osteoporotic bone, in which the screws grip badly. A minimum
of osteosynthesis material is implanted in precarious soft tissue cond
itions. As in the tensile screw osteosynthesis, the removal of the mat
erial can be done ambulatory under local anaesthetic with stab incisio
n. The functional after-treatment is not recommended. We suggested a p
ostoperative plaster of Paris treatment for 6 weeks (2 weeks without a
nd 4 weeks with strain). As the postoperative course shows comparable
results, osteosynthesis of the lateral malleolar fracture type B with
Kirschner wires, cerclages and hemicerclages represents a good variati
on to plate osteosynthesis and tensile screw osteosynthesis.