DOS 2020

DOS Kongressen 2020 · 191 Outcome after treatment of distal fibula fractures using one-third tubular plate, Locking compression plate or distal anatomical locking compression plate. Thomas Giver Jensen, Mostafa Aqeel Khudhair Almadareb, Maria Booth Nielsen, Emil Jesper Hansen, Martin Lindberg-Larsen Ortopædkirurgisk, Bispebjerg Hospital Background: Surgical treatment of lateral distal fibula fractures is associated with a high rate of reoperation and complications. Within the last decade ana- tomical plates have been introduced. Purpose / Aim of Study: The aim of this study is to report risks of reoperation and wound healing problems ≤ 1 year after treatment with one-third tubular plate, Locking compression plate or distal anatomical locking compression plate. Materials and Methods: From 1. January 2010 until 31. December 2015 all patients having osteosynthesis of distal fibula with a one-third tubular plate, LCP or distal anatomical LCP plate at Copenhagen University Hospital, Bispebjerg, Denmark, were identified and retrospectively evaluated with a follow up of at least 1 year. Data on patient characteristics, fracture classification, surgical time, surgical delay and weight bearing are registered. Findings / Results: 601 patients were included. 417 were treated using a one- third tubular plate with a reoperation risk of 11% (95% CI 8-14) (n=46) and 21% (95% CI 18-25) (n=89) had wound healing problems. 114 received an LCP plate with a reoperation risk of 20% (95% CI 13-28) (n=23) and 31% (95% CI 23-40) (35) had wound healing problems. 57 had a distal anatomi- cal LCP plate with a reoperation risk of 23% (95% CI 14-35) (n=13) and 40% (95% CI 29-53) (n=23) had wound healing problems. No difference was seen in fracture classification (Weber) between one-third tubular plate and distal ana- tomical LCP plate Conclusions: Distal anatomical LCP plates seems to be associated with higher risk of reoperation and wound healing problems compared to the one-third tu- bular plate. Further analysis including patient and fracture related risk factors will be performed before congress presentation. 170.