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International Orthopaedics
Published in: International Orthopaedics 6/2010

01-08-2010 | Original Paper

Lateral fixation of AO type-B2 ankle fractures: the Acutrak plus compression screw technique

Authors: Yih-Shiunn Lee, Tzu-Liang Hsu, Chien-Rae Huang, Shih-Hao Chen

Published in: International Orthopaedics | Issue 6/2010

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Abstract

The Acutrak plus compression screw (APCS) (Acumed Inc., Beaverton, OR, USA) is an intramedullary implant which can achieve stable fixation with minimum soft tissue dissection. The characteristics of the APCS include fully-threaded length, headless, cannulated, and variable thread pitch. Twenty-three patients with AO type-B2 ankle fractures treated with lateral fixation by an APCS were retrospectively reviewed. Evaluation of postoperative roentgenograms for adequacy of reduction revealed a good reduction in 22 of 23 (95.7%) patients. The average wound incision was 4.1 cm. The operative time was 25.3 minutes. All the ankle fractures showed radiographic evidence of healing within four months. At the final follow-up, the ankle scores of the patients were evaluated for functional outcomes. Good to excellent results were obtained in 21 (91.3%) patients. No patient complained of symptomatic hardware. In conclusion, lateral fixation of AO type-B2 ankle fractures by APCS offers several advantages including stable fixation, a small surgical wound, less dissection of soft tissue, no palpable hardware, and easy application with a short operating time.
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Metadata
Title
Lateral fixation of AO type-B2 ankle fractures: the Acutrak plus compression screw technique
Authors
Yih-Shiunn Lee
Tzu-Liang Hsu
Chien-Rae Huang
Shih-Hao Chen
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2010
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-0971-2

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