Prospective study of functional outcome of open reduction and internal fixation of trimalleolar fracture

Dr. Manish Patel, Dr. Kishan Patel, Dr. Swati Kapadiya, Dr. Rahul Patel
2021 International Journal of Orthopaedics Sciences  
Ankle injuries gain importance because body weight is transmitted through it and locomotion depends upon the stability of this joint. Trimalleolar fractures are one of the most complex fracture around ankle. As with all intra articular fractures, Trimalleolar fractures necessitate reduction and stable internal fixation [2] . The purpose of this study is to assess the functional outcome and results of surgical treatment of Trimalleolar fractures to attain a proper anatomical alignment and
more » ... ty of ankle joint [2] . Material and Methods: A Prospective study was conducted for 30 patients with trimalleolar ankle fracture. Open reduction and internal fixation was done. Patients were evaluated with functional scoring by Biard and Jackson. The functional outcome of ORIF by subjective, objective and radiological assessment were recorded. Results: In the present study of 30 patients with trimalleolar ankle fractures treated by open reduction and internal fixation. Excellent results were achieved in 17 (56.67%) patients, good in 8 (26.67%), fair in 3 (10%) and poor in 2 (6.67%) patient. Excellent results were observed young patients with close trimalleoluar fractures. More severe injuries, compound fracture and severely osteoporotic fractures were followed by least satisfactory results. The patient with poor result had mild pain with activities of daily living, diminution in the abilities to run and to do work, reduced motion of ankle and narrowing of joint space. Conclusion: This fracture pattern was classified under Lauge-Hansens on basis of different injury mechanisms, and were treated according to it. After anatomic reduction and stable fixation through the specific operative approach and methods, the short-term outcome was good and complications were reduced to minimum. The operative results were eminently satisfactory in 83.33% of patients.
doi:10.22271/ortho.2021.v7.i3c.2748 fatcat:bzrwsr4gpfdghbazqyi43lklce