TO STUDY THE OUTCOME OF SURGICALLY MANAGED MEDIAL MALLEOLAR FRACTURES OF ANKLE BY SCREW FIXATION VS. TENSION BAND WIRING IN ADULTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 11
Abstract
BACKGROUND Fractures involving the ankle mortise are one of the most common injuries in lower extremity. It has an incidence rate of 137 fractures per 1, 00,000 people each year. There is an increase in incidence in males in the younger age groups, whereas the incidence for women increases from middle age. Surgical reduction and internal fixation has become the mainstay of treatment for most of the unstable medial malleoli fractures. The various surgical modalities include fixation with cancellous lag screws, malleolar screw, and tension band wiring. MATERIALS AND METHODS Patients of both the sexes belonging to the adult age group presenting with ankle fractures and satisfying the inclusion criteria, presenting to Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram during the period of (September 2014 to October 2016) are included. DISCUSSION The average age was 40.1 years (screw fixation) and 42.6 Years (TBW) with a range of 18 to 80 years. Majority of the cases had Supination-external rotation injury, followed by supination-adduction injury. Most of the patients were discharged after 10-11 days of operation after suture removal. They were kept in a below knee slab and advised not to bear weight and to come for follow up after 4 weeks. CONCLUSION Although our study period is short, and number of cases taken were less, with in the time frame the present study had encouraging results. We conclude that both screw fixation and TBW can be used for treating fractures of medial malleolus.
Authors and Affiliations
Ratna Kanth C. H. , Gautham Varma K. V. N.
Keywords
Related Articles
- EP ID EP537927
- DOI 10.18410/jebmh/2018/196
- Views 83
- Downloads 0
DEXTROCARDIA WITH SITUS INVERSUS TOTALIS IN NEONATE: CASE REPORT
Dextrocardia with situs inversus are rare congenital anomalies which can be asymptomatic and compatible with normal life. They are characterized by mirror images of all intra-thoracic and intra-abdominal viscera. Our aim...
CLOSED REDUCTION AND PERCUTANEOUS PINNING OF GARTLAND TYPE II AND TYPE III SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN
BACKGROUND Supracondylar fractures of humerus in children are common injuries next only to clavicle and both bone forearm fracture in paediatric age group. They have a male predominance accounting for 16% of all paediatr...
A STUDY OF SPECTRUM OF BENIGN BREAST DISEASE IN A TERTIARY CARE INSTITUTE OF CENTRAL INDIA
AIMS AND OBJECTIVES: The presence of a lump in the breast is a great cause of anxiety and apprehension, to the female patients. This may be accrued to the increasing public awareness of breast cancer which is presently t...
EPIDEMIOLOGY OF BURNOUT AND STRESS AMONG MEDICAL STUDENTS OF UNDERGRADUATE SCHOOL AND ITS ASSOCIATED FACTORS
BACKGROUND Medical undergraduate training is long and emotionally taxing. Several studies have revealed high rates of psychological morbidity in medical students at various stages of their training. We wanted to determin...
TO STUDY THE EFFECT OF HYPERGLYCAEMIA IN TRAUMATIC BRAIN INJURY
BACKGROUND Traumatic brain injury (TBI) is the most common cause of mortality in the young- and middle-aged group in developing countries. As there is an increasing incident of type 2 diabetes mellitus, it plays an impor...