Study of factors affecting the outcome of operative management of malleolar fractures
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 1
Abstract
Introduction One of the most common fractures an orthopaedic surgeon encounters is Malleolar fractures As with all intra articular fractures accurate reduction and stable internal fixation of malleolar fractures is desirable The present study aimed at analyzing the factors influencing the outcome of operative management of malleolar fracturesMaterials and Methods In this prospective study 25 patients with Malleolar fractures who were surgically treated between 2014 to 2016 were included All patients were treated in accordance with AO principles Patients aged above 18 years with unstable fractures were included in this study Post op protocol was below knee POP cast with a dorsal window for ankle mobilization and nonweight bearing walking with walker for 4 weeks post operatively Baird and Jackson ankle scoring system was used to analyze the results The follow up period for all patients was 60 weeksResults In this series of fixation of malleolar fractures with various techniques had Fair results in 84 and poor results in 16 as per Baird and Jackson Score The average time to union was 12 weeks The complications leading poor result were instability Pain at rest arthritic changesConclusion Open reduction and internal fixation guaranty high standard of reduction besides eliminating the chances of loss of reduction In our study the Extent of anatomical reduction achieved in the surgery and Postoperative ankle mobilization and patientsrsquo compliance influenced the outcome Restoration of fibular length and rotation is critical in reestablishing a stable ankle mortise and perfect talar alignment We conclude tension band wiring is the preferred method for small fracture fragments and osteoporotic bones of both medial and lateral malleolusKeywords Malleolar fractures Anatomical reduction Baird and Jackson score
Authors and Affiliations
Venugopal S M, G. Jagadesh, Prasanna Maddiwar, Karthik Gudaru
Keywords
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- EP ID EP476578
- DOI 10.18231/2395-1362.2018.0007
- Views 98
- Downloads 0
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