Ankle Fractures: The Operative Outcome

Hafiz, Ahmad; Nordin, Nani

doi:10.5704/moj.1103.009

Cited by 9 publications

(6 citation statements)

References 7 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Complications rate varies widely and have been reported between 5 to 40% depending upon the population investigated [32] . Overall complication rate was 18.7% in patients in study by Ahmed Hafiz et al [33] , 17.5% by Motwani et al [13] . We observed complications in 16 (11.2%) patients out of which major complications were present in 10 (7%) patients which was close to these studies.…”

Section: Discussionmentioning

confidence: 85%

Operative outcome of ankle fractures: a prospective and retrospective study of 142 cases

Malhotra¹,

Rathore²,

Lal³

et al. 2020

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction:Fractures and fracture dislocation of the ankle joint are common and operative treatment is a well-recognised treatment method. Open reduction and internal fixation have advantage of accurate reduction, restoration of ankle biomechanics, early mobilization and weight bearing, better patient satisfaction and ultimately good radiological and functional results Materials and methods:The study included clinical and radiological results of 109 prospective and 33 retrospective patients of displaced malleolar fractures treated by open reduction and internal fixation. Various implants were used like locking plate, recon plate, partially threaded cancellous screws, tension band wiring and k wires. Functional scoring was done as per Olerud Molander ankle score and was compared with previous score and the final results were categorized into excellent, good, fair, poor Observations and results: Age of the patients ranged between 18 to 80 years with average age of 44 +6years. Majority of our patients were farmers and house hold workers which constituted 88 (61.9%) patients. In present study 63 patients with supination external rotation injury form largest type of ankle injuries, out of which 22 (35%) had excellent OMAS, 29 (46%) had good OMAS, 8 (7.6%) patient had fair OMAS. Only 4 (3.4%) patients had poor OMAS. Conclusion: Ankle fractures are common in all age groups but results in elderly patients are poor as compared to young patients. Open reduction internal fixation is a preferred method for displaced ankle fractures with favourable results. Present study shows complications were not much of concern if patients are followed regularly with crutch walking properly and gradual weight bearing.

show abstract

Section: Discussionmentioning

confidence: 85%

Operative outcome of ankle fractures: a prospective and retrospective study of 142 cases

Malhotra¹,

Rathore²,

Lal³

et al. 2020

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…Lastly, external fixation, which was used in the most complex cases, is the least utilized method with just one case or 3.0%. [10,11,12,13,19] Despite experiencing superficial surgical site infection in about 15%(5 out of 33) of cases treated with only wound dressing and oral antibiotics, 97% of patients were satisfied post-treatment. This is indicative of effective surgical procedures and postoperative care.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly all patients recovered fully, demonstrating the effectiveness of the chosen treatments. The small percentage that did not achieve full recovery presents an area for further study to enhance treatment protocols [19] High patient satisfaction with the treatment outcomes reflects success in the use of plates and screws in the management of ankle fractures and the use of intramedullary nails for arthrodesis. The external fixator was used on occasion for arthrodesis and still came our good.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ankle presentations in Awka, Nigeria; Treatment methods and outcome

A.C Nwachukwu

2024

Int. J. Sci. Res. Arch.

View full text Add to dashboard Cite

Introduction: The ankle joint, integral to dynamic movement, is prone to a variety of pathologies due to its complex structure and the substantial load it bears during activities such as sprinting, where it can carry up to thirteen times the body's weight. Stability is maintained through passive components like ligaments and bony contours, as well as dynamic forces, including muscle action. Injuries, which can be categorized by systems like the Danis-Weber AO and Lauge-Hansen classifications, are common in diverse settings and can lead to conditions like post-traumatic osteoarthritis. This study explores the prevalence, management, and outcomes of ankle injuries in an orthopaedic hospital setting, aiming to enhance understanding and treatment approaches for these conditions. Methodology: This prospective study analyzed all ankle cases at an orthopaedic hospital in Awka, Nigeria, from 2017 to 2023. Patients were evaluated and diagnosed via history, physical examinations, and investigations, including X-rays classified by the Danis-Weber system. Treatments ranged from surgery, including ORIF and arthrodesis, to casting for undisplaced fractures. Result: This study found the mean age of patients presenting with ankle injuries to be 41.44 years, affecting a wide demographic from 10 to 78 years. Males comprised 60.6% of the cases, and civil servants, who constituted 33.3%, were predominantly affected. The major causes were road traffic accidents (45.5%) and falls (33.3%). Ankle injuries, primarily right bimalleolar fractures, were common and involved significant trauma history. Treatments included ORIF, arthrodesis, and casting, with a high success rate of 97% inpatient recovery and satisfaction, indicating effective treatment protocols for various ankle pathologies, including closed and open injuries. Conclusion: The study illustrates that ankle injuries, predominantly resulting from road traffic accidents and falls, affect a diverse demographic across all ages and occupations, with a majority being male and often involving previous trauma, with closed injuries being the most common and effectively treated primarily through ORIF.

show abstract

“…Pokud se týká pohlaví, byla v našem souboru nalezena převaha mužů, což se shoduje s literárními údaji, kde nacházíme většinou stejné poměrné zastoupení nebo mírnou převahu mužů (1,8). Ahmad a spol.…”

Section: /unclassified

Injury of Medial Structures in Ankle Fractures - Epidemiological Aspects and Outcomes of Treatment

Ježek¹,

Skála-Rosenbaum²,

Čech³

et al. 2019

Acta Chir. orthop. Traum. Cech.

View full text Add to dashboard Cite

PURPOSE OF THE STUDYAnkle fractures are characterised by a high variability of damage to bone and ligament structures which leads to diverse clinical conditions.This study aims to analyse a group of patients with surgically treated ankle fractures, with a focus on evaluating the outcomes of treatment of ankle joint medial structure injuries (medial malleolar fracture, ligament lesions). MATERIAL AND METHODSThe analysed group included 186 patients (102 men and 84 women), in whom an ankle fracture surgery was performed in 2015 and 2016. The outcomes of the treatment were evaluated in 111 patients with type B and type C fractures, who underwent a follow-up examination at one year after the surgery consisting in subjective and objective assessment of the condition and an ankle radiograph.The obtained outcomes were processed using the techniques of descriptive statistics and subsequently evaluated through the Pearson´s chi-square test at 5% significance level, or the Fisher´s exact test for low frequencies. RESULTSThe mean age of patients in the group was 48.6 years, while it was lower in men than in women (42.8 years compared to 53.9 years).According to Weber classification, 1 % of fractures were classified as a type A fracture, 68 % as a type B, 27 % as a type C. The group of isolated medial malleolar fractures represented 4 % of cases. The medial side of the ankle joint more frequently suffered a ligament lesion (56 %) than a medial malleolar fracture (44 %). The mean age of the patients with a medial malleolar fracture was 51.9 years, whereas the mean age of the patients with a ligament lesion on the medial side of the ankle was 44.2 years. When evaluating the outcomes using the OMA score at one year postoperatively, a statistically significant difference was found (p = 0.002) between the patients with a medial malleolar fracture (OMA 79.9) and the patients with a ligament lesion at the medial side of the ankle joint (OMA 91.2). DISCUSSIONThe aim of the study was to add more information on medial structures of ankle joint that are of major importance for ensuring stability of ankle fractures. In agreement with the literature, when managing the ankle fractures with an injury suffered on the medial side there is obviously a more uniform approach in cases with medial malleolar fractures. The situation is different in case of the deltoid ligament lesion, when historically there is a certain level of non-uniformity in indications for revision surgeries and treatment of the injured ligament structures.In our group, in the case of ligament lesion on the medial side of the ankle joint an emphasis is put on the fluoroscopy control of the symmetry of tibiotalar joint space before the beginning of the surgery and also after the fibular fracture stabilisation. The revision surgery was indicated in cases where asymmetry of ankle fork was found.The patients considered the treatment outcome better in cases with a ligament lesion than in cases with a medial malleolar fracture. CONCLUSIONSProper treatment of medial structures of t...

show abstract

Ankle Fractures: The Operative Outcome

Cited by 9 publications

References 7 publications

Operative outcome of ankle fractures: a prospective and retrospective study of 142 cases

Operative outcome of ankle fractures: a prospective and retrospective study of 142 cases

Ankle presentations in Awka, Nigeria; Treatment methods and outcome

Injury of Medial Structures in Ankle Fractures - Epidemiological Aspects and Outcomes of Treatment

Contact Info

Product

Resources

About