• Arch Orthop Trauma Surg · Mar 2023

    Surgical outcome of avulsion fractures of the distal fibula: a systematic literature review.

    • Carsten Schlickewei, Nicola Krähenbühl, Tim Rolvien, Julian Stürznickel, Sinef Yarar-Schlickewei, Graham DeKeyser, Karl-Heinz Frosch, and Alexej Barg.
    • Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20251, Hamburg, Germany.
    • Arch Orthop Trauma Surg. 2023 Mar 1; 143 (3): 127512911275-1291.

    PurposeTo provide a systematic overview of clinical and radiographic outcomes in patients who underwent surgical treatment of a painful avulsion fragment of the distal fibula also known as posttraumatic os subfibulare.MethodsA systematic literature search across two major sources (PubMed and Scopus) was performed. Twenty-seven studies were included and analyzed using the modified Coleman score to assess the methodologic quality.ResultsThe surgical treatment of symptomatic os subfibulare, with or without concomitant ankle instability, generally results in substantial improvement in clinical and radiographic outcomes with relative low complication rates. Clinical outcome measures may not be affected by the presence of ankle instability or by the fragment size. The methodological quality of analyzed studies was satisfactory.ConclusionPosttraumatic os subfibulare may result in chronic pain and ankle instability. If surgery is indicated, ankle instability should be concomitantly addressed when present. Based on available literature, satisfactory postoperative outcomes can be reliably expected following surgical treatment.Level Of EvidenceSystematic Review of Level III and Level IV Studies, Level IV.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        

    hide…