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
Keywords
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