Demographic profile and functional outcome following fixation of malleolar fractures in adults

Authors

  • Rejo V. Jacob Department of Orthopedics, Hindu Rao Hospital and NDMC Medical College, Delhi, India
  • Sanjeev Kumar Department of Orthopedics, Hindu Rao Hospital and NDMC Medical College, Delhi, India
  • Naveen K. Singh Department of Orthopedics, Hindu Rao Hospital and NDMC Medical College, Delhi, India
  • Prateek Girotra Department of Orthopedics, Hindu Rao Hospital and NDMC Medical College, Delhi, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20200015

Keywords:

Demographic profile, Malleolar fracture, Lauge-Hansen classification, Baird and Jackson scoring, Early mobilization

Abstract

Background: Malleolus are important structures which forms part of ankle mortise and provide stability to it. This article underlines the current demographic profile of patients sustaining malleolar fractures in adults. It also discusses the modalities of treatment and functional outcomes following open reduction and internal fixation of these fractures as well as the improvement in functional outcome following early mobilization.

Methods: 30 patients sustaining malleolar fractures who attended the Department of Orthopedics were included in the study. The patients were operated as and when the soft tissue condition permitted and were followed up in outpatient department at 6 weeks, 3 months and 6 months where functional outcome based on Baird and Jackson scoring system was assessed.

Results: In this study, the average age of patients was 43.8 years with a male preponderance. Supination-external rotation was the most common mechanism of injury following a slip or twisting injury. According to Baird and Jackson scoring system 20% patients had excellent, 50% patients had good results, 20% patients had fair results and 10% patients had poor results.

Conclusions: 70% patients had excellent to good results following fixation of malleolar fractures. Early mobilization was started in 5 patients with 80% patients showing excellent results. Open reduction and Internal fixation proved to be an excellent procedure leading to union in all cases, less complication and early resumption of routine activities.

 

Author Biography

Rejo V. Jacob, Department of Orthopedics, Hindu Rao Hospital and NDMC Medical College, Delhi, India

SENIOR RESIDENT, ORTHOPEDICS

References

de Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of the ankle. J Bone Joint Surg Am. 1985;67(7):1066-74.

Michelson JD, Magid D, McHale K. Clinical utility of a stability-based ankle fracture classification system. J Orthop Trauma. 2007;21:307-15.

Ruedi T, Buckley R, Moran C. AO Principles of fracture management. In: Hahn D, Colton C (eds). Specific fractures. Malleoli. Volume 2. Second expanded edition. New York, Thieme; 2007: 871-899.

Hak DJ, Egol KA, Gardner MJ, Haskell A. The “not so simple” ankle fracture: avoiding problems and pitfalls to improve patient outcomes. Instr Course Lect. 2011;60:73-88.

van den Bekerom MP. Diagnosing syndesmotic instability in ankle fractures. World J Orthop. 2011;2:51-6.

Baird AR, Jackson TS. Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. J Bone Joint Surg. 1987;69A:1346-52.

Lauge-Hansen N. Fractures of the Ankle. Arch Surg. 1952;64:488.

Roberts RS. Surgical treatment of displaced ankle fractures. Clin Orthop Relat Res. 1983;172:164–70.

Liestal. Evaluation of ankle fractures, Non operative and Operative treatment. CORR. 1979;138:111.

Beris AE, Kabbani KT, Xenakis TA, Mitsionis G, Soucacos PK, Soucacos PN. Surgical treatment of malleolar fractures. A review of 144 patients. Clin Orthop Relat Res. 1997;341:90-8.

Kristensen KD, Hansen T. Closed treatment of ankle fractures, stage II supination – eversion fractures. Acta Orthop Scand. 1985;56:107.

van Laarhoven CJ, Meeuwis JD, van Der W. Post–operative treatment of internally fixed ankle fractures. A prospective randomized study. JBJS Br. 1996;78:395-9.

Gregory J, Micheal JP, Harvey J, Paul JR. Precise evaluation of the reduction of severe ankle fractures. JBJS. 1974;56:979-993.

Maruthi CV, Venugopal N, Nanjundappa HC, Siddalinga Swamy MK. Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study. Sch J App Med Sci. 2014;2(1D):428-32.

Reddy KR, Rao TK, Rathod J, Parinitha, Kiran V. A Prospective Study on Surgical Management of Medial Malleolar Fractures with Tension Band Wiring. Int J Contemp Med Res. 2016;3(7):2049-52.

Downloads

Published

2020-02-25

Issue

Section

Original Research Articles