Comparative Study of Functional Outcome of Different Methods of Treatment of Fracture Talus and their Complications: A Prospective Study
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Introduction: Ankle injuries gain importance because body weight is transmitted through it and locomotion depends upon the stability of this joint. The Talus fractures are relatively uncommon injuries but they can be associated with significant complications. Talus is involved in about 2% of all lower extremity injury and 5-7% foot injury. There are several methods of treatment. The purpose of this study was to assess the functional outcomes and results of a comparative study of different method of treatment of Talus fractures by conservative modalities and by surgical methods. Material and Methods: This was a prospective cohort study of the patients with Talus fractures who attended SRN Hospital, Allahabad from August 2014 to July 2016. Cases were taken up according to inclusion and exclusion criteria. A total of 37 patients of fracture of the Talus were admitted, out of which 7 patients were excluded as per exclusion criteria as they didn’t turn up at least at 6 month follow up. Each patient was followed up for interval of 3 weeks, 6 weeks, 12 weeks and 6 months duration but only thirty patients were included in this study who turned up for at least 6 months of follow up. Results: All the patients were followed up at least for 6 months with the mean follow up time is 8.5 months. Total 30 patients were treated in our study out of which 12 patients were managed conservatively in which maximum number of patients 5(41.67%) had fair results, 3(25%) had good and poor results whereas only 1(8.33%) patient had excellent result. In operative group maximum number 7(38.89%) of cases had good results followed by excellent and fair results with 4(22.22%) of each whereas only 3(16.67%) had poor results Conclusion: Anatomical reconstruction of articular surface, restoration of overall geometry of ankle and hind foot and stable fixation of the fracture fragments allow early rehabilitation. Non-invasive or conservative treatment should be reserved for stable and undisplaced fractures. Results of our study showed that the rate of complications associated with conservative managements of displaced fractures was much more as compare to open reduction and internal fixation. Minimally invasive surgical intervention gives better result than aggressive open reduction and internal fixation.
Authors and Affiliations
Dinesh Chandra Srivastava, Sachin Yadav, Manish Shukla, Alok Gupta, Ankur Singh, Rajeev Yadav
Keywords
Related Articles
- EP ID EP607458
- DOI -
- Views 68
- Downloads 0
A Review on Heavy Metal Concentration of Beverages and their Potential Implications on Bone Health
Worldwide beverages consuming as socioeconomic status in irrespective of age and sex, this paper reviews that some alcoholic beverages contain a concentration of some heavy metals such as iron, zinc, cadmium, lead, mercu...
A Prospective Study of Analysis of Functional Outcome of Distal Tibial Fracture Treated by Minimally Invasive Percutaneous Plate
The purpose of this study was to evaluate the management of distal tibial fractures treated by plate osteosynthesis and assess their functional outcomes and complications. Materials & Methods: We included 25 patients (1...
Repair of Chronic Tendoachilles Rupture – Bosworth Technique versus Peroneus Brevis Transfer Technique – A Retrospective and Prospective Study
Introduction: Chronic rupture of Achilles tendon causes marked functional impairment. The recommended treatment for this is surgery and various techniques have been reported in the literature. Materials and Methods: From...
Local Infiltration of Platelet-Rich Plasma – A New Modality for Treating Lateral Epicondylitis
Introduction: In routine practice tennis elbow or lateral epicondylitis is commonly encountered enthesopathy, which hampers the activity of daily life and it not only effects sports personnel but in our society major chu...
Good, bad and ugly of Online Journals: Beware of the predators
It all began to change with MCI rules in 2011, which made publications compulsory for everyone holding academic positions in Medical college. The ruling is good, no doubt, and was meant to improve the research culture in...