S-Type Posterolateral Approach for Open Reduction and Internal Fixation of Pronation External Rotation Ankle Fractures: Improved Visualisation of the Posterior Joint and the Lateral Malleolus

MALLEOLAR ANKLE FRACTURES IN ADULTS: FUNCTIONAL OUTCOME AND COMPLICATIONS AFTER OPEN DECREASE AND INTERNAL FIXATION

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i3.1443 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Chetan Laljibhai Rathod

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

External Rotation ◽

Ankle Fractures ◽

Ankle Injuries ◽

Excellent Outcome ◽

Malleolar Fractures ◽

Supination External Rotation ◽

Type Of Injury

Background: Ankle injuries may result from high energy as well as low energy rotational forces sustained during sports or a misstep during routine daily activities.3 Young and middle aged are more prone for this type of injury. Population-based studies suggest that the incidence of the ankle fractures has increased dramatically since the early 1960s. Objective: To evaluate the functional outcome and complications following open reduction and internal fixation of malleolar fractures of ankle in adults. Methodology: The study was a descriptive observational study conducted involving all the adult patients of malleolar fractures. Total of 35 subjects of malleolar fractures undergoing open reduction and internal fixation and fulfilling the eligibility criteria were selected for the study. Results: 31.4% subjects each were from 31-40 and 41-50 years age group with mean age of 39.32 +/- 4.16 years. 37.1% patients had Supination External Rotation and 34.3% patients had Pronation External Rotation type of injury. 82.9% patients had Bi-malleolar fracture. 11(31.4%) patients had excellent outcome. Post-operative complications included superficial skin infections in 17.1% and Ankle stiffness in 5.7% cases. Conclusion: At the end of 6 months, 11(31.4%) patients had excellent outcome, 19(54.3%) had good results, 3 (8.6%) patients had fair outcome while 2 (5.7%) had poor results according to Baird and Jackson score. Weber type B was the commonest type of fracture while supination external rotation injury was the most common mechanism of injury. Keywords: Malleolar fractures, ankle, adults, functional outcome, complications, open reduction and internal fixation.

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Superficial Peroneal Nerve Incarceration in the Fibular Fracture Site of a Pronation External Rotation Type Ankle Fracture

The Open Orthopaedics Journal ◽

10.2174/1874325001509010214 ◽

2015 ◽

Vol 9 (1) ◽

pp. 214-217 ◽

Cited By ~ 1

Author(s):

P Ellanti ◽

K.M.S Mohamed ◽

K O’Shea

Keyword(s):

Ankle Fracture ◽

Peroneal Nerve ◽

External Rotation ◽

Fracture Site ◽

Ankle Fractures ◽

Posterolateral Approach ◽

Unexpected Finding ◽

Superficial Peroneal Nerve ◽

Fibular Fracture ◽

Pronation External Rotation

Ankle fractures are common representing up to 10% of all fractures with an incidence that is rising. Both conservative treatment and operative management of ankle fractures can lead to excellent outcomes. Neurovascular injuries are uncommon but can be a source of significant morbidity and associated poor outcome. The superficial peroneal nerve (SPN) in the lateral approach and the sural nerve in the posterolateral approach are at risk of injury. We report an unexpected finding of a superficial peroneal nerve incarcerated in the fibular fracture site of pronation external rotation type/ Weber-C ankle fracture. To the best of our knowledge we believe this to be the first English language report of an incarcerated SPN at a fibular ankle fracture site.

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Study on functional outcome of bimalleolar ankle fractures treated by open reduction and internal fixation

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211604 ◽

2021 ◽

Vol 7 (3) ◽

pp. 518

Author(s):

Nithin Gangadhran ◽

Manju G. Pillai

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

External Rotation ◽

Outcome Measurement ◽

Weight Bearing ◽

Ankle Fractures ◽

Cortical Screw ◽

Articular Fractures ◽

Prospective Longitudinal

Background: Ankle injury is the most common weight bearing orthopaedic musculoskeletal trauma encountered in emergency medicine and practice. Ankle joint is highly congruous and any disturbance of normal articular relationship may result in some progressive arthrosis of biomechanical dysfunction. As with all intra-articular fractures it necessitates accurate reduction and stable internal fixation. The objectives were to study the functional outcome of surgical treatment of bimalleolar ankle fractures and to know the complications of open reduction internal fixation of bimalleolar fractures.Methods: 45 patients with malleolar fractures were included in this prospective longitudinal interventional study. Patients who underwent operative treatment were followed up regularly for 6 months with OPD visits and X-ray imaging at each stage. Patient parameters were recorded at immediate post op period, 6 weeks, 12 weeks and 24 weeks. Baird and Jackson scoring system for ankle were used for the functional outcome measurement.Results: Most common type of injury pattern was supination-external rotation with 21 cases (47% of cases). The results are excellent to good in 65% of patients, 27% of patients had fair and 8% had poor result. Syndesmotic screw fixation was done with 4.5 mm cortical screw in 7 cases. Most common complication was surgical site infection in 3 cases (6.67%). 2 patients underwent implant removal due to unresolved infection at 3 months.Conclusions: The results of operative fixation were satisfactory in 90% of patients. Most of the complications were minor and resolved within three weeks.

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