Functional outcome of conservative management of acute soft tissue injury of ankle joint in adults

ABSTRACT Background Malleolar fractures of ankle are usually complex injuries, as they are associated with significant ligament and soft tissue injury—injury to syndesmosis and injury to medial and lateral collateral ligaments. The open reduction and internal fixation is not feasible until recovery of significant soft tissue injury and subsidence of edema. Malleolar fractures are articular fractures and have associated subluxation and dislocation of talus. The aims of treatment are to restore normal anatomy and provide sufficient stability for early movements. Malleolar fractures more often require open reduction. Our study aimed to know efficacy and outcome of operative management of them. Materials and methods From January 2013 to March 2015, 35 patients with syndesmotic ankle injury and trimalleolar ankle fractures admitted to the Government Medical College, Latur, India, were operated and followed up prospectively. Results Mean age of patients is 35 years (25–60 years). Fracture union was seen radiologically in 3 to 4 months depending on fracture geometry. We achieved good to excellent results of 90%. Conclusion We conclude that malleolar fractures encountered in clinical practice need thorough assessment and meticulous surgical intervention, as they are associated with injury to ligament complex, i.e., ligament is a key structure in the stability of ankle mortise. Abduction and external rotation types of injuries are the most common types to be seen. We achieved stable fixation and performed early mobilization of the ankle joint, which limits the complications of mainly ankle stiffness. Each malleolus has got its inherent associated complications and calls for special attention for identifying associated conditions, such as syndesmotic injury, talus dislocation in posterior malleolar fractures, irreducible ankle dislocation with trimalleolar fracture, and entrapped fibula behind tibia with irreducible dislocation. How to cite this article Gawali SR, Kukale SB, Nirvane PV, Toshniwal RO. Management of Fracture of Posterior Malleolus, Trimalleolar Fracture, Fracture Dislocations, and Syndesmosis Injury of Ankle Joint. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):90-96.

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Challenges encountered during the management of pediatric facial soft tissue injury from a mobile battery blast: A case report

10.22541/au.162071916.61726947/v1 ◽

2021 ◽

Author(s):

Rikta Pande ◽

Bandana Koirala ◽

Mehul Jaisani ◽

Chandrakant Pasvan

Keyword(s):

Case Report ◽

Soft Tissue ◽

Conservative Management ◽

Tissue Injury ◽

Case Reports ◽

Soft Tissue Injury ◽

Facial Soft Tissue ◽

Aesthetic Unit ◽

Parotid Duct

The present case reports facial soft tissue injury involving the lateral aesthetic unit of the cheek on a 10-year-old boy from the disposed mobile battery blast on a roadside campfire. This case highlights one of the challenges encountered from injury to parotid duct and its conservative management.

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An Overview of Maxillofacial Trauma in Oral and Maxillofacial Tertiary Trauma Centre, Queen Elizabeth Hospital, Kota Kinabalu, Sabah

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0036-1584893 ◽

2017 ◽

Vol 10 (1) ◽

pp. 16-21 ◽

Cited By ~ 1

Author(s):

CheeWei Lee ◽

QiChao Foo ◽

LingVuan Wong ◽

YiuYan Leung

Keyword(s):

Soft Tissue ◽

Alcohol Consumption ◽

Conservative Management ◽

Tissue Injury ◽

Demographic Data ◽

Soft Tissue Injury ◽

Maxillofacial Trauma ◽

Queen Elizabeth Hospital ◽

Maxillofacial Injury ◽

Treatment Indications

The aims of this study were to provide an overview of maxillofacial trauma and its relationship to patient's demographic data and alcohol consumption within the state of Sabah. It was a retrospective study of maxillofacial trauma cases treated by Oral and Maxillofacial Surgery Department, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, from January 1, 2009, until December 31, 2013. A total of 630 maxillofacial trauma cases were included. Details of the trauma were collected from patients’ record, including patients’ cause of injuries, injuries suffered, treatment indications, and treatment received. Patients’ demographic data (age, gender), alcohol consumption in relation to causes, and type of maxillofacial injury were analyzed. There were 538 male (85.4%) and 92 female (14.6%) patients (ratio: 5.8:1), with mean age of 31.0 years. Most common causes of maxillofacial injury were motor vehicle accident (MVA; 66.3%), followed by fall (12.4%) and assault (11.6%). Motorcyclists made up more than half of the total cases (53.1%). Cases referred were primarily due to soft-tissue injury (458 cases). Other cases were dentoalveolar and maxillofacial bone fractures. Treatment provided for the fractures included open reduction and internal fixation (22.9%), closed reduction (28.7%), and conservative management (48.4%). Toilet and suturing were done for all patients with soft-tissue injury. Maxillofacial trauma is a major problem in Sabah. It affects mostly males in the age group of 21 to 30 years. Most of the MVA patients were motorcyclists. Mandibular fracture with parasymphysis involvement recorded the highest number. Most of the patients preferred conservative management, probably due to financial and logistic issue.

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