March 2015

JCSMS poster pick shows good results for percutaneous fibular fracture repair

The coauthor of the Joint Commission on Sports Medicine and Science’s (JCSMS) pick for Graduate Student Fellow Poster presented his work on February 21 at the JCSMS annual meeting in Memphis, TN, showing good results for percutaneous fibular fracture repair compared with a standard open procedure.

American Academy of Podiatric Sports Medicine Fellow in Training Andrew Yun, DPM, presented “Percutaneous Plating of Fibular Fractures,” which detailed the use of a minimally invasive percutaneous technique that uses a plate-screw construct for distal fibular fractures.

The poster’s senior author and Yun’s fellowship advisor, Amol Saxena, DPM, performed all but two of the 38 surgeries for displaced distal fibular (Weber B) fractures; 21 patients underwent open reduction and internal fixation (ORIF) and 17 had percutaneous plating of their fractures.

All fractures healed clinically and radiographically by eight weeks postsurgery with no delayed or nonunions. There was no difference between the groups in pre- and postoperative activity scores, which improved significantly in both groups. Return to activity was two weeks faster in the percutaneous group (4.3 ± 2 months) than in the ORIF group (4.8 ± 2.8 months).

Saxena and Yun practice at the Palo Alto Medical Foundation in California.

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