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 50
- Downloads 0
Assessment of the Level of Homocysteine in Acute Coronary Syndrome Patients Vis-A-Vis Chronic Stable Angina Patients
Abstract: Coronary Artery Disease is a major cause of morbidity and mortality in the modern society. The major classic cardiovascular risk factors and such non-modifiable risk factors such as age, sex, and family history...
A Study on Serum Sodium and Potassium Levels in Newly Diagnosed Primary Hypertension
Primary hypertension comprises of more than 90% of hypertension. Many studies have shown that a positive correlation between serum sodium and blood pressure and a negative correlation between blood pressure and serum pot...
Effect of Age and Diabetic Duration on Levels of Microalbuminuria among Type 2 Diabetic Patients
Abstract: Out of 10, one adult will encompass diabetes by 2030; facts indicate that the figure of persons inhabiting with this disorder is anticipated to go up from 366 million in 2011 to 552 million by 2030, if no criti...
Comparison of Effect of Kangaroo Mother Care on Vital Parameters in Different Weight Groups of Low Birth Weight Newborns
Abstract: Low birth weight and prematurity is a stemming cause of deaths in new borns. Kangaroo Mother Care (KMC) is a most cost effective method of care for low birth weight (LBW) infants. Aim of this study was to compa...
Clinical Manifestation and Predictors of Mortality in Severe Malaria in Children
Abstract: The objective of present study is to recognizing risk factors those are associated with poor outcome in children with severe malaria. A Prospective observational study was set in Pediatric Intensive Care Unit o...