Study of clinical outcome in posterior plating for fibula in bimalleolarfracture ankle
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction The anatomy of the joint makes it very unstable in cases of fractures or ligamentous injuries of the ankle because the whole body weight is transmitted through the ankle and locomotion depends upon the stability of the ankle joint In the postoperative period the protocol of mobilization of the ankle has been a topic of conflict The goals of treatment include achieving sound union of fracture and an ankle that moves and functions normally without painMaterials and Methods This is prospective consecutive case series of 60 patients of bimalleolar ankle fracture undergone internal fixation in the form of plate fixation over posterior surface of fibula for lateral malleolus and cancellous screw fixation for medial malleolus Data collection was done using history sheet clinical examination and radiological examination at intervals while functional outcome was assessed at follow up visits using Webers assessment protocolResults 50 833 cases radiological union is achieved by 6 weeks while 10167 cases union time was 10 weeks Average time for union was 67 weeks The final outcome as per the Webers assessment protocol was 50 as excellent 40 as good and 10 as poor result which showed good correlation with level of reduction achieved graded from immediate postoperative radiographsConclusion Accuracy of reduction and rigid fixation was found to be a major determinant of functional outcome irrespective of the type of fracture Posterior plate fixation gives bicortical screw purchase leading to secure fixation no intra articular penetration decreased complications hardware prominence and wound dehiscenceKeywords Bimalleolar ankle fracture Webers assessment Lateral malleolus Kristensen grade Laugehansen classification
Authors and Affiliations
Shriniwas Yemul, Pravin Narote
Keywords
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- EP ID EP476609
- DOI 10.18231/2395-1362.2018.0038
- Views 90
- Downloads 0
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