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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/57044
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dc.creatorGuilherme Bonipt_BR
dc.creatorGustavo T. Sanchezpt_BR
dc.creatorGustavo Arlianipt_BR
dc.creatorBoris A. Zellept_BR
dc.creatorRobinson Esteves Santos Pirespt_BR
dc.creatorFernando B. Dos Reispt_BR
dc.date.accessioned2023-07-26T22:16:05Z-
dc.date.available2023-07-26T22:16:05Z-
dc.date.issued2019-
dc.citation.volume13pt_BR
dc.citation.issue31pt_BR
dc.citation.spage1pt_BR
dc.citation.epage5pt_BR
dc.identifier.doi10.1186/s13037-019-0211-7pt_BR
dc.identifier.issn17549493pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/57044-
dc.description.resumoBackground: Open reduction and internal fixation remains the standard treatment for displaced unstable ankle fractures. Plate fixation represents the most frequently used instrumentation option in fibula fractures and favourable outcomes have been reported. Recently, intramedullary nailing techniques have been suggested as a viable alternative resulting in less soft tissue disruption. The objectives of this study are to describe the surgical technique and to evaluate the safety and efficacy of using an intramedullary nail in patients undergoing surgical fixation of their fibula fracture. Methods: A total of 30 skeletally mature patients with unstable ankle fracture who underwent intramedullary fixation of their fibula fractures from February 2016 to July 2017 were included in this retrospective study. Patients were evaluated using the Short Form-36 (SF-36) and the American Orthopaedic Foot and Ankle Society (AOFAS) at 18 months after surgery. Results: All patients went on to fracture union. Two patients required a secondary surgical procedure. No patient included in this series developed any wound complications. The mean Physical Component Summary (PCS) of the SF-36 was 53.90 ± 13.3 and the mean Mental Component Summary Score (MCS) was 52.63 ± 11.12. The AOFAS subscale scores were 34.67 ± 1.03 for pain, 42.40 ± 0.2997 for function and 9.50 ± 0.2785 for alignment. Conclusions: Our study demonstrates promising outcomes associated with intramedullary nail fixation of unstable fibula fractures. We recommend intramedullary nail fixation of fibula fractures to be a safe procedure with a low complication rate.Level of evidence: Level 4 retrospective case series.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTORpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofPatient Safety in Surgery-
dc.rightsAcesso Abertopt_BR
dc.subjectFibula fracturept_BR
dc.subjectIntramedullary fixationpt_BR
dc.subjectPatient safetypt_BR
dc.subjectQuality of lifept_BR
dc.subject.otherFraturas da Fíbulapt_BR
dc.subject.otherFixação Intramedular de Fraturaspt_BR
dc.subject.otherPatient safetypt_BR
dc.subject.otherQualidade de vidapt_BR
dc.titleSafety and efficacy of surgical fixation of fibula fractures using an intramedullary nail: a retrospective observational cohort study in 30 patientspt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://pssjournal.biomedcentral.com/articles/10.1186/s13037-019-0211-7pt_BR
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