Evaluation of Functional outcomes in Bimalleolar Fractures Treated with CCS and DFALP
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Introduction: Bimalleolar fractures are very common in ankle injuries because of increased incidence of road traffic accidents and industrial trauma. Anatomical reduction and stable internal fixation is important for good outcomes. Aim & Objectives: To study functional outcomes of Bimalleolar fracture treated with CCS and DFALP; To achieve anatomical/near anatomical fracture reduction, stable internal fixation and early mobilization of the ankle. Materials and Methods: We have evaluated functional and radiological outcomes of 20 patients treated with closed / open reduction with internal fixation used Cannulated Cancellous Screw (CCS) for medial malleolus and Distal Fibular Anatomical Locking Plate (DFALP) for Lat malleolus .Lauge Hansens classification was used for fracture evaluation. Baird and Jackson Scoring system was used to evaluate functional outcomes. Results: In this prospective study, 20 cases of Bimalleolar fractures of ankle were selected by exclusion and inclusion criteria and treated with CCS and DFALP. Most common mode of injury was supination external rotation injury accounts for 45 % (9 cases). All cases were treated surgically with closed / open reduction with internal fixation. All cases of medial malleoli fracture were treated with cannulated cancellous screw and all cases of lateral malleoli fractures were treated with distal fibular anatomical locking plate by minimally invasive procedures. We found excellent results in 55% (11 cases), good results 25% (5 cases), fair results in 15% (3 cases) and poor result in 5% (1 case). Conclusion: In this study, after analysing our functional and radiological outcomes and has been compared with other published result and found that Cannulated Cancellous Screws (CCS) and distal fibular anatomical locking plate (DFALP) give excellent results. From this study it is concluded that CCS and DFALP are the good implants and ideal treatment modalities for Bimalleolar fracture of ankle. Level 1 evidence: Prospective study
Authors and Affiliations
Dr Arvind Kumar
Keywords
Related Articles
- EP ID EP503518
- DOI -
- Views 76
- Downloads 0
Comparative Analysis of Computed Radiography and Direct Digital Radiography Imaging and Their Artifacts
Computed radiography (CR) systems are used to perform radiographic examinations. CR systems possess various advantages over conventional radiography and are recognized globally. CR systems are facing strong competition w...
The Burden of Major Obstetric Hemorrhage in Near Miss in a Tertiary Care Centre in Kerala
Introduction: Near-miss audit it now being increasingly used as a means to assess quality of care given to obstetric population. Major obstetric hemorrhage accounts for the largest proportion of Near misses. By analyzing...
Oral Focal Mucinosis A Rare Clinico-Pathologic Condition: A Case Report
Oral focal mucinosis (OFM) is a rare disease of unknown etiology, in which the connective tissue undergoes a focal myxoid degeneration. The aim of this case report is to describe the clinical and histological presentatio...
A Study of Serum Vitamin D Levels in Newly Diagnosed Pulmonary Tuberculosis
Background: Vitamin D was used in tuberculosis management in the pre-antibiotic era. Vitamin D deficiency has been implicated in activation of TB. A meta-analysis published has shown the association of vitamin D deficien...
Volume of contrast to creatinine clearance ratio: a novel pharmacokinetic index for prediction of contrast induced nephropathy in stage three chronic kidney disease patients undergoing coronary angioplasty
Objective: The aim of the study was to identify the optimal ‘Volume of contrast to Creatinine Clearance ratio’ {V/CrCl} for prediction of contrast induced nephropathy {CIN} in stage III chronic kidney disease {CKD} patie...