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Date Published: 28/03/2026
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DOI: 10.56535/jmpm.v51i3.1836
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Vol. 51 No. 3 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.3 - 2026
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Articles
How to Cite
Pham, N. T., Bui, T. A., Ouk , S., Thai, N. B., & Vũ, A. D. (2026). EVALUATION OF INTERNAL FIXATION SURGERY FOR CLOSED FIBULAR FRACTURES WITH SYNDESMOTIC AVULSION. Journal of Military Pharmaco-medicine, 51(3), 144-151. https://doi.org/10.56535/jmpm.v51i3.1836

EVALUATION OF INTERNAL FIXATION SURGERY FOR CLOSED FIBULAR FRACTURES WITH SYNDESMOTIC AVULSION

Ngoc Thang Pham1, Tuan Anh Bui1, Sothearith Ouk 1, Ngoc Binh Thai1, Anh Dũng Vũ1,
1 Học viện Quân y

Main Article Content

Abstract

Objectives: To evaluate clinical features, imaging findings, and outcomes of internal fixation in patients with closed fibular fractures associated with tibiofibular syndesmosis injury. Methods: A retrospective, prospective and cross-sectional descriptive study was conducted on 33 patients diagnosed with closed fibular fractures associated with distal tibiofibular syndesmosis diastasis. These patients underwent internal fixation surgery at the Department of General Orthopaedics and Microsurgery, Military Hospital 103, from January 2023 to May 2025. Outcomes were assessed using radiographs, fracture union, AOFAS score, pain severity, and postoperative complications. Results: The mean age of the study population was 44.9 ± 18.0 years; 63.6% male. Traffic accidents were the main cause (63.6%). Fibular fractures combined with medial malleolar fractures accounted for 42.4%. Adequate reduction was achieved in all cases. After a mean follow-up of 16 ± 5.3 months, 91.3% showed good union, 87% had normal or minimally degenerative ankle joints, and 69.6% was pain-free. Two cases of superficial wound infection with no major complications were recorded. Conclusion: Internal fixation yields good outcomes in closed fibular fractures with syndesmotic injury. Proper selection of fixation methods based on fracture morphology ensures stable reduction, functional recovery of the ankle, and low complication rates.

Keywords

Closed fibular fracture, Syndesmotic avulsion, Internal fixation

Article Details

References

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