Malleolar fractures of ankle in adults: Functional outcome and complications following open reduction and internal fixation
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 6, Issue 2
Abstract
Background: Ankle injuries may result from high energy as well as low energy rotational forces sustained during sports or a misstep during routine daily activities.3 Young and middle aged are more prone for this type of injury. opulationbased studies suggest that the incidence of the ankle fractures has increased dramatically since the early 1960s. Objective: To evaluate the functional outcome and complications following open reduction and internal fixation of malleolar fractures of ankle in adults. Methodology: The study was a descriptive observational study conducted involving all the adult patients of malleolar fractures. Total of 35 subjects of malleolar fractures undergoing open reduction and internal fixation and fulfilling the eligibility criteria were selected for the study. Results: 31.4% subjects each were from 31-40 and 41-50 years age group with mean age of 39.32 +/- 4.16 years. 37.1% patients had Supination External Rotation and 34.3% patients had Pronation External Rotation type of injury. 82.9% patients had Bi-malleolar fracture. 11(31.4%) patients had excellent outcome. Post-operative complications included superficial skin infections in 17.1% and Ankle stiffness in 5.7% cases. Conclusion: At the end of 6 months, 11(31.4%) patients had excellent outcome, 19(54.3%) had good results, 3 (8.6%) patients had fair outcome while 2 (5.7%) had poor results according to Baird and Jackson score. Weber type B was the commonest type of fracture while supination external rotation injury was the most common mechanism of injury
Authors and Affiliations
Ashish Desai, Shekhar Malve, Siddharth Vakil, Vaibhav Goyal, Ameya Sawarkar, Sayali Kalbhor
Rosai - Dorfman Disease – A Rare Cause of Cervical Lymphadenopathy
Abstract: Rosai-Dorfman Disease also known as Sinus Histiocytosis with Massive Lymphadenopathy (SHML) is a rare clinic-pathological condition. It is a benign condition which causes significant cervical Lymphadenopathy in...
A study of management of subtrochanteric fractures of femur with reconstruction nail
Background:Injuries to the femur the longest bone in the body present challenging situation to the Orthopaedic Surgeon. These fractures account for 10% to 34% of all hip fractures. Advantages of intramedullary devices in...
Cross sectional study to determine the prevalence of osteoporosis and osteopenia in rural people of Thiruvarur district, Tamil Nadu, India
Osteoporosis is the major health problem affecting all age groups in both developed and developing countries. Most of the studies were done to identify Osteoporosis prevalence in urban people of India. This cross section...
Study of Fracture Patterns in Tibial Plateu
Background: Tibial plateau fractures must be properly identified before they can be treated. In the Schatzker classification, each increasing numeric fracture category indicates increasing severity and also an increasing...
Analysis of functional and radiological outcomes in hybrid total hip replacement
Introduction: Arthroplasty is being widely used nowadays to restore the function of the hip following various conditions affecting the hip. The concept of replacing the head with an artificial head and socket thereby rep...