Keywords : Malleolar Screw
A STUDY ON FUNCTIONAL OUTCOMES FOLLOWING SURGICAL MANAGEMENT OF ANKLE FRACTURES
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 1192-1204
Background:Orthopaedic doctors treat ankle fractures frequently. Few studies have studied functional recovery after ankle fracture surgery, and none have analysed predictors. Ankle injuries can be caused by low-energy rotational forces in sports, a misstep in daily activities, or RTA. Young and middle-aged are more at risk. Early and optimal ankle function restoration is a prerequisite. Surgical reduction and internal fixation are used to treat most ankle fractures. In ankle fractures, the anatomic repair is the goal. For ankle fractures, open reduction and internal fixation are typical. This study analyses the causes, patterns, and surgical outcomes of ankle fractures.
Materials and Methods: It is a prospective study which was carried out from December 2017 to December 2018 in Great Eastern Medical School & College. In this study period 30 cases of ankle fractures, meeting the inclusion and exclusion criteria were treated by open reduction and internal fixation using appropriate implants.
Results: Most incidences (38%) were in the 31-40 age group. In this study, the right ankle was involved in 35 (70%) cases and the left in 15.0 (30%). 9 (30%) of our cases were between the ages of 31-40, followed by 8 (26.7%) between 41-50. The eldest patient was 65. 42.07 was the mean age. In this series, the right ankle was involved in 20 (66.7%) instances and the left ankle in 10 (33.3%) cases. 26.7% of fracture patients were farmers and 20% were housewives. 14 (46.7%) instances exhibited supination-external rotation damage, followed by 8 (26.7%) pronation-abduction injury. In this study, 30 bimalleolar ankle fractures were treated by open reduction and internal fixation. Excellent results were seen in 8 (26.7%) patients, good in 17 (56.7%), and fair in 5. (16.7 percent). No patient did poorly. Good to outstanding functional outcomes in 83.4% of cases and fair results in 16.6%.
Conclusion: Surgery for bimalleolar ankle fractures yields good functional results. Early weight bearing and mobility are obtained. Anatomical reduction and articular congruence restoration are necessary for all intraarticular fractures, especially if a weight-bearing joint like the ankle is involved. Openreduction and internal fixation restore ankle joint congruency.