![](/static/media/logo.jpg)
An International Publisher for Academic and Scientific Journals
Author Login
SAS Journal of Surgery | Volume-1 | Issue-04
Plain Radiographic Interpretation in Trimalleolar Ankle Fracture Poorly Assesses Screw Misplacement at the Fibular Notch
Florian M. Kovar, Manuela Jaindl, Florian Kutscha-Lissberg
Published: Dec. 30, 2015 |
143
129
DOI: 10.36347/sasjs
Pages: 188-193
Downloads
Abstract
Intra-articular hardware penetration and cartilage damage are potential disadvantages related to screw fixation
in proximity to joint surfaces, reducing the chances of successful outcome. Intraoperative recognition of screw protrusion
may be difficult due to the challenge of adequate interpretation of specific radiographic views. We therefore conducted
the present study to investigate the accuracy of intraoperative radiographic images. The materials and methods in dis
study the Data for the present double blind study were collected prospectively and evaluated retrospectively, including a
total of 29 patients with ankle fractures over an inclusion period of 18 months. All patients underwent surgery for an
ankle fracture with a posterior wedge, fixated with screws. X-rays and CT scans (lateral and Mortise views) were
evaluated by different independent physicians. In results there was a poor level of agreement between x-rays and CT
scans. 29 patients with ankle fractures surgery for posterior wedge fixation were performed. Intraoperative x-rays showed
a satisfactory screw placement.