Comparison Study Of Bimalleolar Ankle Fracture Treated By Various Methods Of Internal Fixation
Journal Title: National Journal of Medical and Dental Research - Year 2017, Vol 5, Issue 2
Abstract
Ankle fractures are one of the most common fractures in orthopedic traumatology. Ankle injuries gained importance because body weight is transmitted through it and locomotion depends on stability of this joint.The treatment options with open reduction and internal fixation technique available for malleolar fractures, to attain a proper anatomical alignment and stability of ankle joint, can lead to rewarding outcome for the patient. This study was conducted to assess the efficacy of open reduction and internal fixation of bimalleolar ankle fractures according to functional end results, period of recovery, mobilization of joint and complete recovery and complications following open reduction internal fixation of ankle joint. Material And Methods Study Population: 40 patients with fresh bimalleolar fractures of ankle who attended the tertiary centre from 2013 to 2016 were studied. Case selection was done on the criteria of history, clinical evaluation and radiological examination in standard AP and lateral views. Soon after admission, clinical data was recorded as per the proforma. Inclusion Criteria • Patients aged 21 years or older • Patients with fresh bimalleolar fractures of ankle. • Patients who are fit for surgery. Exclusion Criteria • Patients aged 20 years or lesser • Patients with compound fractures • Patients unfit for surgery or anaesthesia. Conclusion Among the methods of treatment Type A-2 fracture treated by both methods i.e. group I (A) (Lateral malleolus: semi-tubular plate and Medial malleolus: tension band wiring) and group II (B) (Lateral malleolus: malleolar screw+ tension band wiring and Medial malleolus: tension band wiring) gave excellent results with respect to pain and activities of daily living. Type B-2 fracture treated by group I (B) (Lateral malleolus: semi-tubular plate and Medial malleolus: malleolar screws) gave excellent results and those treated by group VII (B) (Lateral malleolus: rush pin and Medial malleolus: tension band wiring) gave poor results with respect to pain and activities of daily living. Type C-1 fracture treated by any methods does not have same function as before injury. Type C-2 fracture treated by group I (D) (Lateral malleolus: semi-tubular plate and Medial malleolus: malleolar screws) gave excellent results with respect to pain and activities of daily living.
Authors and Affiliations
Sushil R Shreshthi, Amol Gowaikar, Dhanish V Mehendiratta, Kshitij Soni, Nishitkumar Bipinkumar, Virbhadrasinh JN
A Prospective Study To Evaluate Functional Outcome In Trochanteric Fractures Using Proximal Femoral Nail Antirotation ( PFN-AII) In Elderly
Background: The best surgical strategy for extra-capsular proximal femoral fractures (PFFs) is controversial in the elderly. Poor bone quality and neck screw instability can adversely affect the results with currently av...
Diagnosis And Management Of Submandibular Duct Sialoliths: Report Of 2 Cases
Sialolithiasis refers to the formation of calcareous concentration or sialoliths in the salivary duct leading to obstruction of the salivary flow, resulting in salivary ectasia, sometimes even dialation of the salivary...
OUTCOME OF DIAPHYSEAL FRACTURE OF TIBIA TREATED WITH FLEXIBLE INTRAMEDULLARY NAILING IN PEDIATRICS
Fracture of Tibia is the most common amongst pediatric fractures. Most tibial shaft fractures are treated conservatively with close reduction and above knee cast application. Surgery is indicated only when t...
EVALUATION OF EFFECT OF BURNOUT SYNDROME IN ORTHOPAEDIC SURGEON
Introduction: The Burnout syndrome is a state of depletion and exhaustion caused by over commitment to work or to other area of person’s life. Burnout syndrome is still a matter of debate whether it affects hard workin...
Comparison Of Radiovisiography And Apex Locator With The Conventional Method In Root Canal Length Determination Of Primary Teeth
Purpose: The purpose of this study was to assess whether Radiovisiography and Apex locator can be used as an alternative to Conventional method of radiography for determination of working length in pulpectomy of primary...