Surgical treatment of a displaced XXXX : the antiglide technique versus lateral plate fixation.

@entity1 @entity174 @entity1171 @entity281 @entity6783 @entity130
OBJECTIVES: To assess the outcomes of the surgical management of "isolated" displaced @entity174 , comparing the techniques of lateral plating and antiglide plating as described previously. DESIGN: This is a retrospective review, being largely a surgeon-randomized comparative study. SETTING: The study was carried out at a university teaching hospital that serves as a provincial @entity130 referral service and provides local community care. The senior surgeons are all orthopaedic @entity130 subspecialists. @entity1 : A total of 193 @entity1 meeting our inclusion criteria, with isolated lateral @entity174 surgically treated at the Vancouver General Hospital between 1987 and 1998, were studied. INTERVENTION: Eighty-five were treated with antiglide plating, whereas the remaining 108 @entity1 underwent traditional lateral plating. MAIN OUTCOME MEASURES: The functional results were evaluated with the ankle scoring system described previously. We also compared the complication rates, including failure of fixation, @entity281 , wound @entity6783 , and need for hardware removal. RESULTS: Both groups were comparable for age, sex distribution, mechanism of injury, and occupation. There was no difference in ankle score, function, and @entity281 rate. The incidence of wound @entity6783 and reoperation for hardware removal was slightly higher in the lateral plate group, but the difference was not statistically significant. CONCLUSIONS: The outcome of the surgical management of a displaced @entity1171 is comparable with both techniques. Although few studies have reported some advantages using the antiglide technique, our data do not support one technique over the other.
