Specialty Day 2020 - Paper Presentations-Does intramedullary nailing for distal fibular fractures restore anatomic parameters and syndesmotic relationship

Does intramedullary nailing for distal fibular fractures restore anatomic parameters and syndesmotic relationship_

Video Transcription

Video Summary

In this video, Natalia Petrakovich presents research on a fibular fracture and the use of intramedullary nails to restore anatomic parameters, specifically in terms of syndesmosis relationship. The study compares the fibular syndesmotic reduction after fixation with the fibular nail to the non-injured ankle. The study includes all patients who underwent percutaneous reduction and internal fixation with the Acumet fibular nail system, and a bilateral CT scan was performed immediately post-surgery. Results showed no difference in rotation or diastasis of the fibula in the syndesmosis, although there was a slight malreduction in the anterior or posterior translation of the fibula in five cases. The study suggests that malreduction may be avoided by controlling the syndesmosis reduction through CT scans or scoping the syndesmosis during surgery. The study concludes that percutaneous reduction with the fibular nail is a beneficial procedure, but further improvements may be made in reducing malreduction in the syndesmosis.

Asset Subtitle

Natalio R. Cuchacovich Mikenberg, MD; Francisco J. Bravo Gallardo, MD; Esteban Giannini; Claudia Astudillo, MD; Manuel J. Pellegrini, MD; Gerardo Muñoz, MD; Rodrigo Melo, MD; Aaron Cortes, PhD; Gonzalo F. Bastias, MD

Keywords

fibular fracture

intramedullary nails

anatomic parameters

syndesmosis relationship

fibular syndesmotic reduction