TY  - JOUR
T1  - Posterior malleolus fixation in trimalleolar fractures: comparison of functional outcomes of plate and screw methods
TT  - Posterior malleolus fixation in trimalleolar fractures: comparison of functional outcomes of plate and screw methods
AU  - Öktem, Umut
AU  - Daştan, Muhammed Cihan
AU  - Bingöl, İzzet
AU  - Özaltın, Gülfem Ezgi
PY  - 2025
DA  - July
Y2  - 2025
DO  - 10.38053/acmj.1715432
JF  - Anatolian Current Medical Journal
JO  - Anatolian Curr Med J / ACMJ / acmj
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2718-0115
SP  - 442
EP  - 446
VL  - 7
IS  - 4
LA  - en
AB  - Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus (PM) component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function.Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw (n=19) and plate (n=25), with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery (24 hours) were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point (p>0.05). However, patients with dislocation had significantly lower scores at all follow-ups (p
KW  - Cannulated screw
KW  - plate fixation
KW  - posterior malleolus
KW  - trimalleolar fracture
N2  - Aims: This study was planned to compare the clinical outcomes of plate and cannulated screw fixation methods for the posterior malleolus (PM) component in trimalleolar ankle fractures and to evaluate the effect of the time from trauma to surgery and the presence of dislocation on postoperative function.Methods: This retrospective study included 44 patients who underwent surgical treatment with PM fixation for trimalleolar fractures between 2019 and 2023. Patients were grouped by fixation method: screw (n=19) and plate (n=25), with all surgeries performed via a posterolateral approach. Functional outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score at 6, 12, and 24 months. The presence of ankle dislocation and time from trauma to surgery (24 hours) were recorded. Results: AOFAS scores showed no significant difference between plate and screw groups at any time point (p>0.05). However, patients with dislocation had significantly lower scores at all follow-ups (p
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UR  - https://doi.org/10.38053/acmj.1715432
L1  - https://dergipark.org.tr/en/download/article-file/4940853
ER  -