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Case Rep Orthop. 2014;2014:729035. doi: 10.1155/2014/729035. Epub 2014 Jan 28.

Double threaded screw fixation for bilateral stress fracture of the medial malleolus.

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Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan.
Takashima Clinic, 1-13-22 Sawaraginishi, Ibaraki, Osaka 567-0868, Japan.


An 18-year-old college basketball player presented with continued ankle pain. A radiographic examination showed bilateral medial malleolus stress fractures. Considering the prolonged history and refractory nature of this injury, surgery was adopted as a treatment option. At surgery, the fracture site was percutaneously fixed using two cannulated double threaded screws. Surgery for each side was sequentially performed two months apart. Prompt bony healing was attained after surgery, and the patient could return to his previous sports level six months after the first surgery without subsequent recurrence.

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