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  • Title: [The role of tibial marginal fractures in the prognosis of malleolar fractures (author's transl)].
    Author: Fekete G, Kazár G, Magyari Z.
    Journal: Magy Traumatol Orthop Helyreallito Seb; 1980; 23(4):266-9. PubMed ID: 6114229.
    Abstract:
    5 year follow up assessment of 224 malleolar fractures showed that the prognosis was significantly worse if they were associated with fractures of the anterior or posterior tibial rim. In cases without tibial rim fractures severe late x-ray and clinical changes were found only below 4%, while with small marginal fragments they were below 20% and with greater fragments above 30%. Chances are worse in tibial rim fractures even with no or minimal involvement of the joint surface. This is explained by the fact that forces causing fracture-dislocation are more detrimental for the joint surface in the sagittal than in the lateral plane.
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