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. Population-based 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
Dynamic hip screw fixation of intertrochanteric fractures of femur: A comparison of outcome with and without using traction table
Intertrochanteric fracture of the femur is one of the common fractures in the elderly. Dynamic Hip Screw (DHS) fixation is the gold standard for treatment of intertrochanteric femoral fracture. Conventional methods of ac...
Clinical study clavicular fractures by surgical intervention
Background: The most common fractures encountered in clinical orthopaedic practice are fractures involving the clavicles. The treatment of choice in comminuted or displaced fractures involving the clavicles was always co...
Approach to hand infections: Our experience
Objectives: To study clinical incidence, aetiology, and outcome of hand infections. Materials and Methods: This is a prospective study and analysis of hand infections in about 90 cases. Detailed history, of mode of traum...
Short term clinical outcome in mid shaft femur fractures using intramedullary nail
Background: Kuntscher was the first to introduce the concept of intramedullary nailing, later there were modifications in intramedullary nailing and for the first time Klemm and Schelmann, Grosse and Kempt and Russel Tay...
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...