30 Cases of Distal Fibular Co,,inuted Fracture Treated with Fibula Hook Plate

Abstract：Objective To investigate the effect of fibula hook plate in the treatment of distal fibular comminuted fracture. Methods 30 patients with distal fibular comminuted fracture were treated with fibula hook plate from Feb. 2012 to Apr. 2014. The function of ankle joint was evaluated after operation. Complications like wound infection,non-union of fracture,internal fixation failure were observed. Results All the cases were followed up for 12 to 36 months (an average of 24 months). No obvious fracture line could be seen on the radiographs 4 to 6 weeks after operation. Clinical healing was achieved 12 to 24 weeks after operation. All surgical incisions healed adequately. There were no instability of ankle. According to AOFAS ankle joint scoring scale system,the final result was scored from 45 to 94(av-erage 87. 1). There were excellent in 16 cases,good in 9,fair in 3,and poor in 2 cases. The excellent and good rate was 83. 3% . Conclusion Fibula hook plate has the advantages of short operation time,small injury trauma,firm fixa-tion and functional recovery satisfaction in the treatment of distal fibular comminuted fracture.