The Functional Outcome of Bimalleolar Fractures Treated by Open Reduction and Internal Fixation with Screws and Plates
Journal Title: MVP Journal of Medical Sciences - Year 2018, Vol 5, Issue 1
Abstract
Background and Objective: Bimalleolar fractures are one of the most common fractures in orthopaedic traumatology. As with all intra articular fracture, malleolar fracture necessitate accurate reduction and stable internal fixation. When malleolar fractures are not reduced accurately they may lead to post traumatic painful restriction of motion or osteoarthritis or both. To study the functional outcome and result of surgical treatment of bimalleolar fractures and to know the complication of open reduction internal fixation in bimalleolar fractures. Materials and Methods: A prospective study of thirty patients of age group of 18-60 years of acute bimalleollar fractures irrespective of gender, done at medical college and research centre. Fractures were classified on basis of danis-weber classification system. They were treated with open reduction and internal fixation with canulatedcancellous screws for medial malleoli and plates for lateral malleoli. Post operatively sequential radiographs at 0, 2 and 6 months are taken and functional evaluation is done by olerud and molander ankle score. Result: Olerudmolander ankle score was used to assess the functional outcome of the fracture fixation at 2, 3 and 6 months of follow up. At 2 months majority of patients were showing poor result at 3 months majority of patients showing fair result. And at 6 months majority of patients were showing excellent and good result. Conclusion: Understanding the mechanism of injury is essential for good reduction and internal fixation. The fibular length has to be maintained for lateral stability of the ankle. Anatomical reduction is essential in all intra articular fractures more so if a weight bearing joint like ankle joint is involved.
Authors and Affiliations
Satyen Joshi, Brijbhushan Mahajan, Arpit Gajjar
Keywords
Related Articles
- EP ID EP429507
- DOI 10.18311/mvpjms/2018/v5i1/10995
- Views 145
- Downloads 0
Clinical Study of Solitary Nodule of Thyroid at Tertiary Health Centre
Introduction: Solitary nodule of thyroid has increased in incidence in the present day as compared to two decades before. Because of possibility of malignancy, some clinicians especially those in surgical subspecialties...
Correlation between Central Corneal Thickness and Intraocular Pressure among Normal IOP, Ocular Hypertensive and Primary Open Angle Glaucoma Patients
Background: Glaucoma is an optic neuropathy characterized by a typical appearance of optic nerve head and characteristic visual field loss. The diagnosis of primary glaucoma, normal tension glaucoma and ocular hypertensi...
Pilomatrixoma of the Thigh - A Case Report
Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed...
Comparison of Estimation of Fetal Weight by Clinical Method, Ultrasonography and its Correlation with Actual Birth Weight in Term Pregnancy
Objective: To make a comparative evaluation of estimated fetal weight with actual birth weight by using: 1. Aymphysiofundal height x abdominal girth (dares formulae) 2. Ultrasonography (hadlock formulae). Materials and M...
Clinical Profile of Respiratory Distress in Newborn
Introduction: Pulmonary disorders represent one of the most common diagnoses in infants admitted to neonatal units. The clinical presentation of respiratory distress in the new born includes apnea, cyanosis, grunting, in...