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
Keywords
Related Articles
- EP ID EP360593
- DOI -
- Views 54
- Downloads 0
Ergonomics in medical science
Background: Ergonomics is the study (or science) of the interaction between humans and their working environment. Musculoskeletal disorders (MSDs) are an increasing health problem in workplaces. This study was aimed to a...
Study of lumbosacral angle in low back pain patients attending orthopaedic out-patient department of a medical college hospital, Telangana
Background: Abnormal variation in Lumbosacral angle (LSA) is commonly associated with low back pain (LBP). However, normal variation of LSA itself is often debatable. Various studies around the world show wide normal var...
Study of fractures of the distal end of humerus in adults
Background: Distal humerus fractures occur in the younger age group due to high energy trauma and in elderly woman as a result of relatively low energy trauma. The treatment process consists of determining the injury mec...
Effects of Innovative Customised Negative Pressure Wound Therapy in the Management of Compound Fracture of Long Bone
Background: This is a prospective study was conducted to assess the efficacy of topical negative pressure wound dressings as compared to conventional moist wound dressings in improving the healing process in wounds and t...
A study of the advantages of the new device for percutaneous entry point in greater trochanter for any intra medullary fixation of the femur compared to the conventional methods
Background:In the past the most common surgery around the hip was DHS and Barrel plate for any trochanteric fractures. Of late the commonest surgeries done on the Femur are Proximal Femoral Nail (PFN) or the Interlocking...