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Efficacy of Far Cortical Locking Screws in Treating Distal Tibia Fractures in Comparison With That of Standard Locking Screws
- Title
- Efficacy of Far Cortical Locking Screws in Treating Distal Tibia Fractures in Comparison With That of Standard Locking Screws
- Authors
- Lee D.-O.; Kang H.W.; Kim D.-Y.; Park G.Y.; Hwang I.U.; Lee D.Y.
- Ewha Authors
- 강호원
- SCOPUS Author ID
- 강호원
- Issue Date
- 2023
- Journal Title
- Journal of Foot and Ankle Surgery
- ISSN
- 1067-2516
- Citation
- Journal of Foot and Ankle Surgery vol. 62, no. 3, pp. 422 - 425
- Keywords
- 3; bone union; fracture; locking screw; lower extremity; minimal invasive plate osteosynthesis
- Publisher
- Academic Press Inc.
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- There are no clinical studies about treatment of distal tibia fractures using far cortical locking (FCL) screws, even though it has been shown to be superior to standard locking screws in biomechanical studies. We compared the efficacy of FCL screws to that of traditional locking screws. Twenty-five distal tibia fractures were treated with minimally invasive plate osteosynthesis using traditional locking screws, whereas 20 were treated using FCL screws. We retrospectively compared time taken for callus formation and radiographic bone union between 2 groups. The effect of age, sex, diabetes, and smoking history on bone healing was analyzed. Complications were also noted. As a result, there was no significant difference in age (p =.292), sex (p = 1.0), diabetes (p = 1.0), or smoking history (p =.704) between 2 groups. Time to callus formation was 77.5 days in the FCL group, and 96 days in the traditional group (p =.023). Average time to bone union was 134.8 days, and 163.1 days in the FCL group and the traditional group, respectively (p =.017). There was one case of screw loosening in the FCL group, and one case of screw breakage in the traditional group. This study suggests that FCL screws promote quicker healing of distal tibia fractures than traditional locking screws. © 2022
- DOI
- 10.1053/j.jfas.2022.10.006
- Appears in Collections:
- 의료원 > 의료원 > Journal papers
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