Study of Functional Outcome of Surgical Management of Bimalleolar Fractures of Ankle
Study Of Functional Outcome Of Surgical Management Of Bimalleolar Fractures Of Ankle
DOI:
https://doi.org/10.70284/njirm.v8i1.1164Keywords:
ankle fracture, malleolus, syndesmosis, Lauge-HansenAbstract
Objective: To assess the functional outcome of surgically managed bimalleolar fractures of ankle. Methods: This study was conducted on twenty-six patients at Shardaben hospital (Orthopaedic department). All the cases were treated by open reduction and internal fixation. The functional outcome was evaluated using the Baird and Jackson’s ankle scoring system. Results: Twenty-six patients were included in the study: 18 men and 8 women. Excellent results were achieved in 15 cases (57.6%), good in 7 cases (26.9%), fair in 4 cases (15.3%) and poor results in 2 cases (7%). Fair to poor result, were seen in those with associated syndesmotic injury and in patients with delayed union of medial malleolus and those with superficial or deep infections. The average time taken for union was 10.4 weeks. Most of the cases (80%) showed union between 8-12 weeks. Conclusion: Functional outcome of surgery remained good to excellent. [Hardik V NJIRM 2017; 8(1): 25-27]
References
2. Honkanen R, Tuppurainen M, Kröger H, Alhava E, Saarikoski S. Relationships between risk factors
and fractures differ by type of fracture: a population based study of 12,192 perimenopausal women. OsteoporosInt 1998; 8:25-31.
3. Michelson JD. Ankle Fractures Resulting From Rotational Injuries. J Am AcadOrthopSurg 2003;11:403-12.
4. Khan MA, Shafiq M, Sahibzada AS. J Postgrad Med Inst 2005; 19:162-5.
5. Morris JM. Biomechanics of the foot and ankle. ClinOrthop 1977; 122:10–17.
6. Lindsjö, U. Operative treatment of ankle fractures. Acta OrthopScand 1981; 52:1–131.
7. Baird AR and Jackson TS. Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. J Bone Joint Surg. 1987; 69:1346-52.
8. Burwell HN, Charnley AD. The treatment of displaced fractures of ankle by rigid internal fixation and early joint movement. J Bone Joint Surg.1965; 47:634-60.
9. De Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of ankle. J Bone Joint Surg. 1985;67: 1066-74.
10. Cimino W, Ichtertz D and Silabaugh P. Early mobilization of ankle fracture after open reduction and internal fixation. ClinOrthopRelat Res.1991; 267:152-6.
11. Beris AE, Kabbani KT, Xenakis TA, Mitsionis G, Soucacos PK, Soucacos PN. Surgical treatment of malleolar fractures – a review of 144 patients. ClinOrthopRelat Res.1997; 341: 90-8.
12. Roberts RS. Surgical treatment of displaced ankle fractures. ClinOrthopRelat Res.1983; 172: 164-70.
13. LeeYih-Shiunn, Huang, Chun-Chen NSP, Chen, Cheng-Nan, LinChien-Chung. Operative treatment of displaced lateral malleolar fractures: The Knowles pin technique. J Orthop Trauma. 2005; 19:192-7.
14. Colton CL .The treatment of Dupuytren’s fracture dislocation of the ankle. J Bone Joint Surg Br 1971; 53:63-71.