A Prospective study on the surgical management of medial malleolar fractures of ankle joint
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Malleolar fractures are the most common ankle injuries treated by orthopedic surgeons. Objectives: The present study was undertaken to study the functional outcome of surgically managed medial malleolar fractures of ankle in adults. Material and Methods: A prospective study was conducted on 12 cases of medial malleolar fractures of ankle in adults, treated surgically by using various implants while 22 conservatively. This study was conducted for a period of 18 months and the results were assessed using criteria of Baird and Jackson’s ankle scoring system for evaluating the functional outcome. Results: This study shows the importance of pre-operative understanding of fracture mechanics for good reduction and internal fixation, in turn better functional outcome. Good functional results were obtained by surgical treatment of medial malleolar ankle fractures. There were no intra-operative complications observed in this study. Of the 12 patients with medial malleolar fractures treated surgically excellent to good results were achieved in 10 (83.3%) cases, fair and poor in 1 (8.33%) case each. Conclusion: Conservative treatment in selected fractures is justified. In our study the functional outcome and the results of operative treatment were found to be good as these operative methods restores the anatomy, biomechanics and contact loading characteristics of the ankle.
Authors and Affiliations
Dr. Dhoom Singh Jhatoth
Keywords
Related Articles
- EP ID EP498087
- DOI 10.22271/ortho.2017.v3.i3d.46
- Views 116
- Downloads 0
Evaluation of pulmonary function in adolescent idiopathic thoracic scoliosis
Pulmonary function is known to be effected adversely in congenital and infantile scoliosis. But the changes in lung function in adolescent scoliosis are not much studied. We evaluated 33 patients with adolescent idiopath...
Evaluation of surgical management of metacarpal fractures – A prospective clinical study
Introduction: Metacarpal fractures constitutes between 14-28% of all visits to the hospital following trauma. Too often these metacarpal fractures are neglected or treated as minor injuries and results in major disabilit...
Functional outcome of treatment of paediatric diaphysial femur fractures operated using titanium elastic nailing
Background: Fractures of the femoral shaft are common childhood injuries and among the most common causes of hospitalization for pediatric orthopedic injuries. The treatment for femoral shaft fractures varies based on th...
Evaluation of medial open wedge high tibial osteotomy in patients with varus mal-union after fractures of proximal tibia
Background: Aim of our study was to assess the functional outcome of Medial Open Wedge High Tibial Osteotomy performed in patients of varus mal-union after intra-articular fractures of proximal tibia. Methods: This study...
Functional and radiological outcome in tibial condylar fracture with posteromedial fragment fixed with buttress plate
Background: The posteromedial fragment of tibial plateau fracture remains unrecognized for a long time, leading to inadequate fixation with conventional methods and resulting in early varus collapse. So our study is to o...