Comparison between CC Screw and tension band wiring in treatment of medial malleolus fracture
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background & Objectives: Ankle fractures are the most common injuries treated by orthopaedic surgeons. However very few investigators have examined the functional recovery following operative treatment of ankle fractures. Anatomic restoration with open reduction and internal fixation is the goal of management in ankle fractures. The purpose of this study is to analyse the functional outcome following operative treatment of ankle fractures using subjective as well as objective criteria. Methods: 30 patients with ankle fractures who fulfilled the inclusion criteria were included in the study. All patients underwent surgical fixation of the fractures. The follow-up assessment which consisted of subjective (Pain, Walking, activity, Radiographs, Ankle and Subtalar Joint function) and objective (Ankle-Hindfoot Scoring System) evaluations, were performed at 6 weeks, 3 months and 9 months postoperatively. Results: Out of 30 patients, the commonest injury pattern seen was supination external rotation followed by pronation external rotation. The most common modality of fixation for the lateral malleolus was 1/3rd tubular plate and for the medial malleolus was 4 mm cannulated cancellous screws with washer, K-wire and tension band wiring and for the posterior malleolus fixation with lag screws and Syndesmotic screws for syndesmotic injuries. At 6 weeks follow-up of 60% (n=19) had complications of persistent swelling and residual pain, Which improved significantly in function from 3rd month to 9 month postoperatively. However subjective radiographic assessment shows statistically significant improvement. The mean Ankle-Hindfoot Scoring System was statistically significant 50.5±18.7 at 3rd month post-op and, 85.1±14.2 at 9th month post-op. Age was a significant predictor of final outcome, with younger patients having a better functional outcome. Conclusions: Anatomical reduction of ankle fracture results in good functional outcome postoperatively. Early treatment without delay, anatomic reduction and fracture fixation, stringent postoperative mobilization and rehabilitation should help improve outcome in an operated ankle fracture.
Authors and Affiliations
Purushotham K, Swet Ranjan, Shoaib Mohammed
Keywords
Related Articles
- EP ID EP485788
- DOI 10.22271/ortho.2018.v4.i1n.137
- Views 111
- Downloads 0
C2 dens fracture with closed cervical migration of a 6cm humeral fragment
Case: A 39-year-old woman, with bipolar disorder, suffered an eight-meter fall, resulting in dens and proximal and distal humeral fractures associated with migration of a 6cm humerus fragment to the left cervical region....
Treatment of forearm fractures in children and adolescents with titanium elastic nails (Tens): A prospective study
Paediatric forearm fractures are generally treated nonoperatively by close reduction and casting. Recently there has been trend on intramedullary nailing of diaphyseal forearm fractures for unstable fracture pattern to i...
A Prospective study on the functional outcome following arthroscopic ACL reconstruction with the femoral interference screw placed through the PT (Patellar Tendon) portal and the AM (Antero-Medial) portal
The knee joint is the most commonly injured of all joints and the anterior cruciate ligament is the most commonly injured ligament. Arthroscopic reconstruction of torn ACL has become the gold standard in treating ACL tea...
Medial patellofemoral ligament reconstruction using dual patella docking technique
Introduction: Medial patellofemoral ligament (MPFL) injuries are common in children and young adults. Patellar dislocation is the complete displacement of the patella from the trochlear groove of the femur. It nearly alw...
Comparison between CC Screw and tension band wiring in treatment of medial malleolus fracture
Background & Objectives: Ankle fractures are the most common injuries treated by orthopaedic surgeons. However very few investigators have examined the functional recovery following operative treatment of ankle fractures...