Comparison of the Lateral Malleolus Fracture Treating Method With Close Pinning With Open Reduction and Plating

The fracture of the ankle is one of the most common fractures that is treated by an orthopedic surgeon. Different surgical methods have been described for treating the lateral alveolus fracture open reduction and platting is considered as the most commonly used surgical procedure. Therefore, the purpose of this study was to compare the closed reduction and pinning with the open surgical method with platting.

To this end, 60 patients by the lateral malleolus or bimalleolar fracture were selected, who were referred to the emergency room of Shohada hospital of Tabriz. Then, half of the patients were treated by closed reduction and pinning and the remaining 30 patients received open reduction with plating. Finally, the two groups were compared for the infection rate, union, and skin necrosis.

In terms of union, all patients in both groups were completely union and there was no significant relationship in this regard. There was only one case in open surgery with a plate in terms of the infection rate, which was also significantly correlated with close pinning.

In general, the rates of union and infection were the same in both groups. Thus, it is recommended to use close pinning to the lateral malleolus fracture since it has less complications and easier surgical procedures.