A total of 10% of all bone fractures are found in the ankle, making it the most often broken bone in the body. Objective: To assess the outcome and the pattern of bimalleolar ankle fractures in adults. Methods: A total of 72 individuals with bimalleolar ankle fractures were recruited in this study and followed up for a total of 12 weeks. An evaluation of the results after 12 weeks was done using the American Orthopedic Foot and Ankle Score & the Visual Analog Pain Scale. The amount of discomfort, functional ability, and alignment were the three key indicators of the results. Results: The average age of the patients was 36.4 10.4 years, ranging from 19 to 60 years. There were 3:2 more men than women. Half of the fractures were due to falls, 36.1% by automobile accidents, and 13.9% by motorcycle accidents. Of the cases, 63.9 percent included closed fractures. According to the Weber classification, B and C fractures were the most frequent, occurring in 33 (45.8%) and 31 (43.1%) individuals, respectively. The mean AOFAS at three months was 78.2. Between 1 and 3, the VAS was 43.1%. 38.8% of the patients, or 28, reported no discomfort. Conclusions: Patients tended to be young in this study. Delaying final care for up to a week after a fracture does not seem to have a negative impact on the result. The medial clean space (less than 4mm) was the primary indicator of a successful result.
Aim: To determine the causes and treatment of birth trauma related femoral fractures. Study design: A longitudinal study Place and Duration: This study was conducted at DIMC, Dow University of Health Sciences, Karachi from January2021 to January 2022. Methodology:The study included cases of femoral fractures in neonates caused by birth trauma. The cases of birth histories were investigated in terms of gestational age, birth weight,and mode of delivery. The category of femoral fracturesand the treatment performed were both noted. Cases were followed until they were recovered.A comprehensive clinical examination was performed. Other birth traumas, fractures, nerve palsies, and/or symptoms of other musculoskeletal, genetic diseases, such as blue sclera and hypermobile joints (osteogenesis imperfecta), were noted. Results:A total of 15 newborns with femoral fractures were included in this study.The average gestational age was 38.2 weeks, with an average diagnosis time of 3 days. In the majority of cases, the infant was born breech and delivered via Caesarean section. Eleven instances had mid-shaft fractures, while four had subtrochanteric fractures. After an average of 3.1 weeks, all patients had a complete union. Conclusion:A femoral fracture in a neonate due to birth related trauma is quite uncommon. It occurs more frequently in Caesarean sections performed for breech presentation. Preterm and/or low birth weight newborns are at a higher risk. The femur shaft is commonly fractured. The prognosis for these fractures is excellent, and they heal completely after immobilization. Keywords: Birth Trauma, Femoral Fracture, Management, Risk Factors
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