Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
Ankle fractures are the most commonly encountered by most of the orthopaedic surgeons. According to the lauge Hansen’s classification five different types can be seen. The surgical treatment of adduction, abduction and supination external rotation type of injuries leading to bimalleolar fractures can be fixed with either tension band technique or cancellous screws. Here we are done a study to evaluate the benefits of tension band wiring technique in the management of bimalleolar fractures of the ankle. In our study, 40 cases of bimalleolar fracture of ankle joint of above mentioned types were admitted in Department of Orthopaedics, between February 2009 and November 2013 was included. We included patients above 20 and below 58 years. We excluded patients with pronation external rotation, vertical compression and trimalleolar fractures, pathological fractures, compound fractures and who are medically unfit and at extremely high anaesthesia risk. All the patients, operated by open reduction and internal fixation using tension band wiring technique. And follow up done at intervals of 4, 8, 12 and 24 weeks. And the clinic radiological outcome was assessed at 24 weeks using Baird and Jackson scoring system. And we conclude that bimalleolar fractures are the most commonly encountered by orthopaedic surgeon in his practice. Abduction types of injuries are the most common type to be seen. By Tension band wiring technique, we can achieve stable fixation and early mobilization of the ankle joint, which limits the complications of pseudecks osteodystrophy and ankle stiffness. And by the above mentioned technique, we achieved good to excellent results of 90 percent. Keywords: Bimalleolar fracture, Tension band wiring, Abduction, Lauge Hansen’s, Baird and Jackson score
Authors and Affiliations
Dr. Maruthi CV, Dr. Venugopal N, Dr. Nanjundappa HC, Dr. Siddalinga swamy MK
Keywords
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