Cortical versus cancellous screws in treating medial malleolar fractures

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dc.contributor.author Yammine, Kaissar
dc.contributor.author Karam, Karam
dc.contributor.author Assi, Chahine
dc.date.accessioned 2019-07-04T08:46:43Z
dc.date.available 2019-07-04T08:46:43Z
dc.date.copyright 2019 en_US
dc.date.issued 2019-07-04
dc.identifier.issn 1532-2963 en_US
dc.identifier.uri http://hdl.handle.net/10725/10979
dc.description.abstract 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. en_US
dc.language.iso en en_US
dc.title Cortical versus cancellous screws in treating medial malleolar fractures en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a systematic review of comparative clinical and biomechanical studies en_US
dc.author.school SOM en_US
dc.author.idnumber 201801808 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Foot en_US
dc.journal.volume 40 en_US
dc.article.pages 81-86 en_US
dc.identifier.doi https://doi.org/10.1016/j.foot.2019.05.002 en_US
dc.identifier.ctation 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. en_US
dc.author.email kaissar.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S0958259219300525 en_US
dc.author.affiliation Lebanese American University en_US

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