The use of T-LCP (locking compression plate) for the treatment of the lateral malleolar fractures

Background: The authors evaluated results and hardware-related complications after the fixation of Danis-Weber (D-W) types A and B lateral malleolus fractures using a 3.5-mm T-shaped locking compression plate (T-LCP) for distal radius. Methods: Twenty-six patients with Danis-Weber type A or B lateral malleolar fractures treated between January 2001 and February 2008 were included in this study. Mean age of the patients was 52.6 (28-77) years. All patients were treated using a 3.5-mm T-shaped locking plate for distal radius fractures. The distal fragment was fixed with at least 2 locking screws more. Ankle motion was allowed early after surgery. The authors evaluated serial radiographs, range of motion, skin irritation, and AOFAS scores at final follow-ups. Results: All fractures united during follow-up. Eight cases were of D-W type A, and 18 were of D-W type B. A mean number of three screws were placed at the distal fragment (2-4). There were 6 cases (23.1%) of implant irritation over the operative site, but no other complications were encountered. At final follow-ups, the AOFAS score of affected ankles was 97.1 ± 4.4. Conclusion: T-LCP use for type A or B lateral malleolar fractures resulted in low hardware-related complications and produced good results at follow-up.