ISSN: 2638-6003
Dharmesh Patel*, Avtar Singh, Rajeev Vohra, Sandeep Chauhan and Babaji Thorat
Received:November 25, 2020; Published:December 08, 2020
Corresponding author:Dharmesh Bharatbhai Patel, Senior Resident, MBBS, DNB (Ortho) Amandeep Hospital, Amandeep Hospital, G.T road, Model Town, Amritsar, Punjab, India
DOI: 10.32474/OSMOAJ.2020.04.000197
To view the Full Article Peer-reviewed Article PDF
Background: 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 fractures around ankle. As with all intra articular fractures, Trimalleolar fractures necessitate reduction and stable internal fixation. The purpose of this study is to assess the functional and radiographic outcome and results of surgical treatment of Trimalleolar fractures by specific modalities. To attain a proper anatomical alignment and stability of ankle joint and further applying a syndesmotic screw if needed.
Materials And Methods: A Prospective review was conducted for 28 patients between January 2018 to December 2019 with closed trimalleolar fracture. Open reduction and internal fixation was done with specific modalities. Patients were evaluated with Subjective and objective assessments of the patients’ ankles were done using a modification of the scoring system proposed by Olerud and Molander and radiologically by Kristenson criteria. The functional and radiographic outcome of ORIF and advantages of the procedures were recorded. Functional and radiographic evaluations were performed at immediate post op, 6 weeks, 3 months and 6 months, 1 year after surgery. At each follow up, patients were assessed for syndesmotic reduction, loss of fixation, and implant failure and any arthritis changes. The reduction in quality was evaluated on immediate postoperative radiography.
Results: In the present study of 28 patients with trimalleolar fractures treated by open reduction and internal fixation. Excellent results were achieved in 23 (82.1%) patients, good in 4 (14.3%), and poor in 1 (3.6%) patient. 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.
Conclusions: Operative treatment for trimalleolar fractures results in good functional and radiographic outcome postoperatively. Anatomical reduction of the fracture is associated with better functional outcome. Early treatment without delay, anatomic reduction and fracture fixation, stringent postoperative mobilization and rehabilitation should help improve outcome in an operated trimalleolar fracture.
Keywords: Trimalleolar fracture; posterior malleolus fracture; plating; tension band wiring
Abstract| Introduction| Materials and Methods| Operative Methods| Results| Discussion| Conclusion| References|
Bio chemistry
University of Texas Medical Branch, USADepartment of Criminal Justice
Liberty University, USADepartment of Psychiatry
University of Kentucky, USADepartment of Medicine
Gally International Biomedical Research & Consulting LLC, USADepartment of Urbanisation and Agricultural
Montreal university, USAOral & Maxillofacial Pathology
New York University, USAGastroenterology and Hepatology
University of Alabama, UKDepartment of Medicine
Universities of Bradford, UKOncology
Circulogene Theranostics, EnglandRadiation Chemistry
National University of Mexico, USAAnalytical Chemistry
Wentworth Institute of Technology, USAMinimally Invasive Surgery
Mercer University school of Medicine, USAPediatric Dentistry
University of Athens , GreeceThe annual scholar awards from Lupine Publishers honor a selected number Read More...