Comparative Study Of Conservative And Surgical Treatment Of Ankle Fractures
Treatment Of The Ankle Fractures
DOI:
https://doi.org/10.70284/njirm.v6i4.944Keywords:
pot’s fracture, ankle fractures, bimelleolar fracturesAbstract
Background: Ankle fractures were known since the time of Hippocrates and the mode of treatment of fractures around ankle is changing since then. Best results are obtained by anatomical restoration of joint space either by closed reduction & immobilization in the cast or by open reduction & internal fixation.. A clear rationale does not exist for both types of treatment. Objective is to study the outcome of management of ankle fractures. Methodology: This prospective study of, 34 ankle fractures has been undertaken to evaluate the end results of non-operative and operative treatment. This series includes both open and closed, irrespective of age and sex at OPD S.M.S. Medical College & Hospital, Jaipur during Aug’97 to Aug’99. Results: The overall results were directly related to reduction achieved & its maintenance. In our series, good results were obtained in 78.5% of all patients treated non-operatively whereas in 85% patients treated by surgery had good outcome. Conclusion: There was no significant difference in the functional outcome of ankle fractures treated either surgically or by closed reduction and casting. However patients treated surgically recovered quicker and showed better radiological outcome. We conclude that early & accurate reduction and its maintenance is necessary to achieve good functional results irrespective of method of treatment. [Shrivastava R NJIRM 2015; 6(4):86-90]
References
2. Burwell HN & Charnley AD: The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement.J. Bone Joint Surg., . 1965, 47-B; 634-60.
3. Lauge-Hansen N: Fracture of the ankle II. Arch. Surg.,1950, 60; 957.
4. Lauge-Hansen N: Fractures of the ankle. Arch. Surg.,1952, 64; 488.
5. Wilson JN: Watson Jones’ fractures and joint injuries.1982, Ed6, Vol. II, Edinburgh, Churchill Livingstone. Longman’s group Ltd. 1104.
6. Dupuytren G.:fracture of lower extrimities of fibula and luxation of foot. Report in medical classis 4;151-72,1939
7. Kristensen TB: Fracture of the ankle. Arch. Surg.,1956, 73; 112.
8. Brodie IA & Denham RA: The treatment of unstable ankle fractures. J. Bone Joint Surg.,1974, 56-B; 256-62.
9. Eventov I, Sharma R, Goddwin DRA & Weissmann L : An evaluation of surgical & conservative treatment of fractures of the ankle in 200 patients. Trauma 1978,18-4; 271-74.
10. Dietrich A, Lill H, Engel T, Schönfelder M, Josten C.Conservative functional treatment of ankle fractures.Archives of Orthopaedic Trauma Surgery 2002;122:165–8.
11. N. K. Makwana, B. Bhowal, W. M. Harper, A. W. Hui Conservative versus operative treatment for displaced ankle fractures in patients over 55 years of, EnglandJ Bone Joint Surg Br 2001;83-B:525-9.
12. Bauer M, Bengner U, Johnell O, Redlund-Johnell I. Supinationeversion Fractures of the ankle joint: changes in incidence over 30 Years. Foot Ankle 1987;8:26-8.
