A prospective study of surgical management of fractures around ankle joint
Author(s): Dr. Swaroop Solunke and Dr. Vivek Patole
Abstract:Introduction: Ankle joint fractures are commonly encountered by orthopedic surgeons. Fractures are result of twisting and sport injuries. Ankle joint is maximum weight bearing joint of body and has maximum load per unit surface as compared to other joints. Minimum soft tissue coverage around ankle joint makes it susceptible to injury. The aim of the study was to figure out modalities available for ankle fractures surgical management and their outcomes on early mobilization.
Materials and Methods: It was a prospective hospital based analytical study. Total 30 ankle joint fracture cases (preferably malleolar fractures) occurred in a period of 2 years were selected for surgical treatment and assessment. Minimum follow up period was of 5 months to a maximum of 1 and half years. Symptoms and functions were assessed using scoring system of Olerud and Molander. Complications were noted followed by assessing of results.
Results: Twisting injuries and Road Traffic Accidents were found to be trivial for around ankle joint fractures. Twenty seven fractures were found to be united in a satisfactory manner at an average of 13 weeks. Functional outcome was excellent in most of the patients. Pronation Abduction and Supination Adduction are common causes of fractures according to Lauge Hansen’s classification. Only 2 patients had complication of wound infection. 27 of the 30 patients had more than satisfactory results.
Conclusion: Open surgical reduction and stabilized internal fixation are treatment methods which lend valuable results in form of early mobilization, faster rehabilitation and swift return of function.