Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
Ankle fractures are the most commonly encountered by most of the orthopaedic surgeons. According to the lauge Hansen’s classification five different types can be seen. The surgical treatment of adduction, abduction and supination external rotation type of injuries leading to bimalleolar fractures can be fixed with either tension band technique or cancellous screws. Here we are done a study to evaluate the benefits of tension band wiring technique in the management of bimalleolar fractures of the ankle. In our study, 40 cases of bimalleolar fracture of ankle joint of above mentioned types were admitted in Department of Orthopaedics, between February 2009 and November 2013 was included. We included patients above 20 and below 58 years. We excluded patients with pronation external rotation, vertical compression and trimalleolar fractures, pathological fractures, compound fractures and who are medically unfit and at extremely high anaesthesia risk. All the patients, operated by open reduction and internal fixation using tension band wiring technique. And follow up done at intervals of 4, 8, 12 and 24 weeks. And the clinic radiological outcome was assessed at 24 weeks using Baird and Jackson scoring system. And we conclude that bimalleolar fractures are the most commonly encountered by orthopaedic surgeon in his practice. Abduction types of injuries are the most common type to be seen. By Tension band wiring technique, we can achieve stable fixation and early mobilization of the ankle joint, which limits the complications of pseudecks osteodystrophy and ankle stiffness. And by the above mentioned technique, we achieved good to excellent results of 90 percent. Keywords: Bimalleolar fracture, Tension band wiring, Abduction, Lauge Hansen’s, Baird and Jackson score
Authors and Affiliations
Dr. Maruthi CV, Dr. Venugopal N, Dr. Nanjundappa HC, Dr. Siddalinga swamy MK
Keywords
Related Articles
- EP ID EP375202
- DOI -
- Views 66
- Downloads 0
A survey to evaluate the awareness of Fixed Dose Combinations (FDCs) among 2nd year medical undergraduates at a rural tertiary care centre, B G Nagara
Combination of two or more active ingredients in a fixed dose ratio is termed as fixed dose combination (FDC). Presently, there is lot of debate over rationality and irrationality of FDCs. This study was focused on medic...
Frequency distribution of Hepatitis C virus in different geographical regions of Western Punjab: Retrospective study from a tertiary care center in North-West India
The epidemiological data of Hepatitis C infection in India particularly in Punjab is scarce. We conducted a retrospective study to assess the frequency distribution, including demographic and geographical data of patient...
Serum Uric Acid an Independent Risk Factor in Acute Ischemic Non Embolic Stroke
Abstract: Among elderly after coronary heart disease and cancer, stroke is the 3rd common cause of death worldwide. In recent years serum uric acid has been recognized as a direct risk factor for cardiovascular diseases....
Clinical Study of Fetomaternal Outcome in Neonates with Cord around Neck in a Tertiary Care Hospital
Intra-partum finding of umbilical cord around the baby’s neck is common, seen in about a third of normal deliveries. The reported incidence varies from 5.7% in India to up to 35.1% in Switzerland. With the increasing use...
Neonatal Graves` Disease-A Case Report
Neonatal Graves’ disease is a rare disorder seen in 1% of the offspring of mothers with either established or cured Graves’ disease (GD). It results from the transplacental transfer of thyroid stimulating immunoglobulins...