الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Ankle fractures can happen to anyone, from old frail patients, who may sustain them from a simple twist to younger patients who may experience them due to high-energy trauma. These fractures incorporate 10% of all fractures and are the second most common type of lower limb fracture after hip fractures.
Bimalleolar ankle fractures are best treated with open reduction and internal fixation. Lateral malleolus fractures are fixed by either plate or long cortical screw. The debate is ongoing about the best fixation method for vertical shear medial malleolus fracture, either by lag screws or buttress plate, as they are biomechanically different in their fixation strength.
This study aimed to compare the radiological and functional results of two methods of fixing vertical medial malleolus fracture in supination adduction ankle injuries - using buttress plates or screws only.
This study included 30 patients divided into two groups. group A (n=15) was treated with fixation by lag screws, while group B (n=15) was treated with a buttress plate. The average age of group A was 38.07 ± 14.23, and 37.13 ± 13.94 in group B. Of the thirty participants, eighteen were males (66.7%), and twelve were females (33.3%). The cause of injury was falling down in 16 patients (60%) and road traffic accidents in fourteen (40%).
All patients were assessed prospectively after 6 months as regards the radiological outcome using plain X-ray and the functional outcome using the American Orthopedic Foot and Ankle Score (AOFAS).