Cortical versus cancellous screws in treating medial malleolar fractures
Study design Systematic review of comparative studies. Background Partially threaded (PT) cancellous screws are a common method to fix medial malleolar fractures but with reported complications due to the hardware. Fully threaded (FT) screws have been advanced as an alternative yielding similar unio...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , |
| التنسيق: | article |
| منشور في: |
2019
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/10979 https://doi.org/10.1016/j.foot.2019.05.002 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0958259219300525 |
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| _version_ | 1864513487910207488 |
|---|---|
| author | Yammine, Kaissar |
| author2 | Karam, Karam Assi, Chahine |
| author2_role | author author |
| author_facet | Yammine, Kaissar Karam, Karam Assi, Chahine |
| author_role | author |
| dc.creator.none.fl_str_mv | Yammine, Kaissar Karam, Karam Assi, Chahine |
| dc.date.none.fl_str_mv | 2019-07-04T08:46:43Z 2019-07-04T08:46:43Z 2019 2019-07-04 |
| dc.identifier.none.fl_str_mv | 1532-2963 http://hdl.handle.net/10725/10979 https://doi.org/10.1016/j.foot.2019.05.002 Yammine, K., Karam, K., & Assi, C. (2019). Cortical versus cancellous screws in treating medial malleolar fractures: A systematic review of comparative clinical and biomechanical studies. The Foot, 40, 81-86. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0958259219300525 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Foot |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Cortical versus cancellous screws in treating medial malleolar fractures a systematic review of comparative clinical and biomechanical studies |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Study design Systematic review of comparative studies. Background Partially threaded (PT) cancellous screws are a common method to fix medial malleolar fractures but with reported complications due to the hardware. Fully threaded (FT) screws have been advanced as an alternative yielding similar union results with less implant-related complications. Objectives The aim of this study is to systematically collate comparative clinical and biomechanical evidence on the effectiveness and complications of the PT versus FT screw constructs in the treatment of medial malleolar fractures. Results Based on 7 studies (8 subgroups), similar weighted healing rates were found from pooling 3 clinical studies with the time to heal outcome significantly shorter following FT compared to FT screws. Complication rates in the form of screw loosening (1.97% vs. 13.4%, p = 0.008) and screw removal surgery (0% vs. 15.7%, p < 0.0001) were significantly higher after using PT screws. The five biomechanical studies demonstrated that FT screw constructs had significantly superior properties than the PT constructs and that for all outcomes. Conclusion Fully threaded screws seem to offer significantly better clinical and biomechanical outcomes when compared to the partially threaded screws in treating medial malleolar fractures. The use of headless FT screws could contribute to reduce the implant-related complications. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_c2750255bc3fdbf759d062b132830bf4 |
| identifier_str_mv | 1532-2963 Yammine, K., Karam, K., & Assi, C. (2019). Cortical versus cancellous screws in treating medial malleolar fractures: A systematic review of comparative clinical and biomechanical studies. The Foot, 40, 81-86. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/10979 |
| publishDate | 2019 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Cortical versus cancellous screws in treating medial malleolar fracturesa systematic review of comparative clinical and biomechanical studiesYammine, KaissarKaram, KaramAssi, ChahineStudy design Systematic review of comparative studies. Background Partially threaded (PT) cancellous screws are a common method to fix medial malleolar fractures but with reported complications due to the hardware. Fully threaded (FT) screws have been advanced as an alternative yielding similar union results with less implant-related complications. Objectives The aim of this study is to systematically collate comparative clinical and biomechanical evidence on the effectiveness and complications of the PT versus FT screw constructs in the treatment of medial malleolar fractures. Results Based on 7 studies (8 subgroups), similar weighted healing rates were found from pooling 3 clinical studies with the time to heal outcome significantly shorter following FT compared to FT screws. Complication rates in the form of screw loosening (1.97% vs. 13.4%, p = 0.008) and screw removal surgery (0% vs. 15.7%, p < 0.0001) were significantly higher after using PT screws. The five biomechanical studies demonstrated that FT screw constructs had significantly superior properties than the PT constructs and that for all outcomes. Conclusion Fully threaded screws seem to offer significantly better clinical and biomechanical outcomes when compared to the partially threaded screws in treating medial malleolar fractures. The use of headless FT screws could contribute to reduce the implant-related complications.PublishedN/A2019-07-04T08:46:43Z2019-07-04T08:46:43Z20192019-07-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1532-2963http://hdl.handle.net/10725/10979https://doi.org/10.1016/j.foot.2019.05.002Yammine, K., Karam, K., & Assi, C. (2019). Cortical versus cancellous screws in treating medial malleolar fractures: A systematic review of comparative clinical and biomechanical studies. The Foot, 40, 81-86.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.sciencedirect.com/science/article/pii/S0958259219300525enFootinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/109792021-03-19T10:45:20Z |
| spellingShingle | Cortical versus cancellous screws in treating medial malleolar fractures Yammine, Kaissar |
| status_str | publishedVersion |
| title | Cortical versus cancellous screws in treating medial malleolar fractures |
| title_full | Cortical versus cancellous screws in treating medial malleolar fractures |
| title_fullStr | Cortical versus cancellous screws in treating medial malleolar fractures |
| title_full_unstemmed | Cortical versus cancellous screws in treating medial malleolar fractures |
| title_short | Cortical versus cancellous screws in treating medial malleolar fractures |
| title_sort | Cortical versus cancellous screws in treating medial malleolar fractures |
| url | http://hdl.handle.net/10725/10979 https://doi.org/10.1016/j.foot.2019.05.002 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.sciencedirect.com/science/article/pii/S0958259219300525 |