J Korean Fract Soc.  2000 Jul;13(3):529-536. 10.12671/jksf.2000.13.3.529.

The Treatment of Danis-Weber Type B Fractures of the Distal Fibula by Multiple Kirschner Wires Fixation

• Kwak HY
• Song BY
• Bae SW
• Choi NH
• Kim JY

• KMID: 2307799
• DOI: http://doi.org/10.12671/jksf.2000.13.3.529

Abstract

PURPOSE: To evaluate the accuracy of reduction and stability of fixation according to different methods of internal fixation for the Danis-Weber classification type B fractures of the distal fibula. MATERIAL AND METHODS: Seventy-three cases with follow up of average 13 months were divided into three groups: plate fixation(Group I, 36), more than two lag screws fixation (Group II, 13) and multiple K wires fixation with less than one lag screw(Group III, 24). We measured the bimalleolar angle and axial displacement of the fracture ends for radiographic evaluation, and used the Meyer's classification for clinical evaluation.
RESULTS
There was significant difference of postoperative fibular shortening between group I(0.44mm) and III(0.17mm) on the anteroposterior view(p=0.003), but no difference of it on the lateral view. The changes of bimalleolar angle and the increment of fibular shortening showed no significant difference among three groups.
CONCLUSION
Multiple K wires fixation combined with less than one lag screw for Danis-Weber type B fractures of distal fibula demonstrated that it provides accurate reduction and stable internal fixation.

Keyword

Distal fibula; Danis-Weber classification type B fractures; Multiple K wires fixation

MeSH Terms

Bone Wires*
Classification
Fibula*
Follow-Up Studies