Interfragmentary screws in Danis and Weber type B ankle fractures: is it necessary to maintain the stability of the joint?

Authors

DOI:

https://doi.org/10.51798/sijis.v4iSI1.700

Keywords:

Interfragmentary screws; Danis and Weber; ankle fractures; traumatology

Abstract

OBJECTIVE: This study aimed to investigate whether the presence or absence of an interfragmentary screw significantly impacts surgical time, bleeding, consolidation, complications, and overall recovery in patients with Weber type B ankle fractures. METHODS: A cross-sectional analytical study was conducted, involving 47 patients with Weber type B ankle fractures between January 2022 and January 2023 at San Francisco General Hospital in Quito. Patients with multi-fragment fractures were excluded. and two groups were established: patients with interfragmentary screws and those without. Variables such as surgical time, bleeding, complications, and consolidation time were assessed using JASP 0.16.0.0 software and statistical tests. RESULTS: Out of all patients, 53.19% were treated with interfragmentary screws, while 46.80% were not. No statistically significant differences were observed between the two groups. Complications occurred in 7 out of 25 patients with interfragmentary screws and in 4 out of 22 patients without them, with average follow-up periods of 82.81 and 76.8 days, respectively. Consolidation time was similar in both groups, with no statistical differences. CONCLUSION: Although interfragmentary screws are beneficial for achieving primary consolidation, this study suggests that they may not be universally necessary, especially when precise anatomical reduction is accomplished. Anatomical reduction remains pivotal in fracture management. While interfragmentary screws can provide compression, their use may increase costs, recovery time, and complications.

Author Biographies

Steve Jhosue Muñoz-Granja, Medical Resident

Medical Doctor, UDLA, Ecuador

Katherine Cristina Guano Zambrano, San Francisco University Quito Hospital - HSFQ

Medical Resident in Traumatology and Orthopedics, San Francisco University, Quito - HSFQ,

Medical Resident HSFQ, Ecuador.

Juan Carlos Proaño-Durán, HSFQ, Ecuador

Chief of Service – HSFQ, Ecuador. Specialist in Traumatology and Orthopedics

Vanessa Michelle García-Gudiño, Medical Resident

Medical Doctor, UDLA, Ecuador.

Josselyn Nicole Villarreal Enríquez, Medical Resident

Medical Doctor, UDLA, Ecuador.

References

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Published

2023-09-30

How to Cite

Muñoz-Granja, S. J., Guano Zambrano, K. C., Proaño-Durán, J. C., García-Gudiño, V. M., & Villarreal Enríquez, J. N. (2023). Interfragmentary screws in Danis and Weber type B ankle fractures: is it necessary to maintain the stability of the joint?. Sapienza: International Journal of Interdisciplinary Studies, 4(SI1), e23042. https://doi.org/10.51798/sijis.v4iSI1.700