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Management of Malleolar Fractures of Ankle

Kukale Shashikant Bhalchandrarao, Assistant Professor, Department of Orthopaedic, Government Medical College, Latur, Maharashtra 413512, India. , Kukale Shashikant Bhalchandrarao1 , Ghule Prashant Mahadev2

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Journal of Orthopedic Education 3(2):p 163-170, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.6

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Abstract

Malleolar fractures of ankle are ususually complex injury as they are associated with significant ligament and soft tissue injury The aim of treatment is to restore normal anatomy and provide sufficient stability for early movements. Malleolar fractures require open reduction more often than any other type of ankle fracture. Our study aimed to know efficacy and outcome of operative management of it and follow then prospectively. Clinical and radiological outcome were studied and clinical indications and efficacy of procedure reviewed. Method: from April 2014 to March 2016, 30 patients of malleolar fractures admitted in Govt. Medical College and hospital, Latur were operated and followed up prospectively. 20% of patients acheived excellent, 73% good and 6% patients acheived poor resultsWe conclude that malleolar fractures encountered in clinical practice needs thorough assessment and meticulous surgical intervention as it is associated with injury to ligament complex. Abduction and external rotation types of injuries are the most common type to be seen. We can achieve stable fixation and early mobilization of the ankle joint, which limits the complications of pseudek’s osteodystrophy and ankle stiffness. Proper assesment and meticulous surgical technique to treat all above injuries is of vital importance to avoid complications and to yield good results. And by mentioned technique, we achieved good to excellent results of 90 percent.

Keywords: Tri Malleolar Fracture; Abduction; Lauge Hansen’s; Baird and Jackson Score.

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DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.6

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