A Study on Different Surgical Treatment Modalities of Bimalleolar Fracture in Adults
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
o evaluate clinically and radiologically the closed displaced bimalleolar ankle fracture in adults above 18 yrs of age treated with one third tubular plate along with partially threaded screw and one third tubular plate along with tension bend wiring. This prospective study was done in Regional Institute of Medical Science, Imphal in the year 2016-18. In this study the total number of patients were 30 divided in two groups ie closed bimalleolar ankle fracture treated with one third tubular plate with partial threaded screw and closed displaced bimalleolar ankle fracture treated with tension bend wiring. Each group had 15 patients. Cephalosporin antibiotics was administered prior to operation and then 12 hourly for another 5 days. Suture removal was done at 10 days. After discharged regular opd check up was done at monthly interval for one year. Post operative evaluations of functional and radiological outcome was done using Olerud C and Molander H functionl score system on the basis of poor, fair, good and excellent. And the two groups were compared using Independent t_ test and Chi- square test. Difference was considered significant when the value was < 0.05. In partially threaded screw with one third tubular plate there was excellent functional outcome in 11 cases ( 73.3%), good in 3 cases (20%), fair in one case (6.7%) ..in tension bend wiring with one third tubular plate also there was excellent functional outcome in 6 cases (40%), good (5%), fair in 4 cases (26.7%). Both the groups was comparable as the p value was >0.05. Radiologically , the mean time to union in threaded screw with one third tubular plate was 11.80 weeks while in tension bend wiring with one third tubular plate was 12.93 weeks but the difference between two groups were insignificant as the p value was >0.05...Both the operative techniques used in the study provides excellent results in terms of union rate as well as functional outcome. The limitation of this study was small sample size in both groups and absence of long term follow-up.
Authors and Affiliations
Dr. Trinajit Debbarma, Dr. Khoda Tada, Prof. S. N Chishti, Dr. Debasish Parija, Dr. Dilip Soring, Dr. Monish Mohan, Dr. Tanuj Kanti Chaudhuri, Dr. Herojeet Takhellambam
Keywords
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- EP ID EP464305
- DOI 10.9790/0853-1802015566.
- Views 39
- Downloads 0
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