Evaluation of The Results of Antiglide (small T) Plating of Vertical Medial Malleolus Fractures

Objective: To assess the radiological and functional outcomes of open reduction and internal fixation with T-shaped plate (antiglide plate) of vertical shear medial malleolus fracture.Subjects and Methods: This clinical trial study included 22 participants underwent open reduction and internal fixation with T-shaped plate (antiglide plate) for treating vertical shear fractures of the medial malleolus at orthopedic department, Zagazig University Hospitals in the period from January 2019 to February 2020.Results: Concerning union duration, the complicated group had longer union duration (100.0%) of non-complicated cases had union duration less than (20) weeks while (50.0%) of the complicated cases had union duration more than (20) weeks this may be explained by the fact that prolonged stay may cause superficial infection. No complications and only two patients (9.1%) had superficial infection with no other complications, regarding age where complication were among the older age group (50 to 65) years. Conclusions:Osteosynthesis using the small T-plate in the vertical shear of medial malleolus fracture gives a good choice of rigid fixation.