Management of trimalleolar fracture in Sanglah hospital: a case series
Keywords:Management, Sanglah hospital, Trimalleolar fracture
Trimalleolar fractures are one of the most complex fracture around ankle. This study aims to assess the functional outcome and result of the surgical treatment for trimalleolar fracture. Case 1: A 49-years-old male experience closed fracture left ankle Lauge-Hansen PER type IV caused by traffic accident. Patient present with swollen and painful around ankle with an inability to bear weight on the affected extremity. Case 2: A 36-years-old female sustained closed fracture at right trimalleolar ankle, closed fracture at right talus nondisplace Hawkins I, and closed fracture at second, third, and fourth metatarsal. Case 3: A 57-years-old female came with history the left ankle twisted after got slipped and fell down at the yard. Patient was diagnosed by closed fracture left ankle Lauge Hansen SER type IV. Ankle fracture mostly happen in young men and older women during sporting activities or even bicycle or car accidents. The Lauge-Hansen system classify the fracture based on the postion and the direction of the ankle when trauma happen. The AOFAS was use for evaluation patient-relevant outcomes in patients operated on with anatomical ankle injury. In or present study of 3 patients with ankle fractures that were unstable, displaced or both treated surgically by open reduction with internal fixation in accordance with Lauge-Hansen classification. The result in our series confirm that all of 3 patients have a good result based on AOFAS scoring for evaluation the treatment and it means the management approve the good functional outcomes for the patients with ankle fractures.
Verhage SM, Schipper IB, Hoogendoorn JM. Long-term functional and radiographic outcomes in 243 operated ankle fractures. J Food Ankle Res. 2015 Dec;8(1):45.
Sipahioglu S, Zehir S, Isikan E. Weber C Ankle Fractures with tibiofibular diastasis: Syndesmosis-Only Fixation. Acta Ortop Bras. (online). 2017;25(3):67-70.
Srivastava DC, Yadav S, Singh A, Gupta A. The Functional Outcome of Fixation of Trimalleolar Fracture, through Fixation of Lateral Malleolus by Plating, Medial Malleolus by Tension Band Wiring and Percutaneous Screw Fixation of Posterior Malleolus: A Prospective Study. J Bon Joi Dis. 2016;31(2):30-32.
Briet JP, Houwert RM, Smeeing DP, Pawiroredjo JS, Kelder JC, Lansink KW, et al. Weight bearing or non-weight bearing after surgically fixed ankle fractures, the WOW! Study. study protocol for a randomized controlled trial. Trials. 2015 Dec;16(1):175.
Van Lieshout EM, De Boer AS, Meuffels DE, Den Hoed PT, Van der Vlies CH, Tuinebreijer WE, et al. American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score: a study protocol for the translation and validation of the Dutch language version. BMJ open. 2017 Feb 1;7(2):e012884.
Fonseca LL, Nunes IG, Nogueira RR, Martins GE, Mesencio AC, Kobata SI. Reproducibility of the Lauge-Hansen, Danis-Weber, and AO classifications for ankle fractures. Revista Brasileira de Ortopedia. 2018 Feb;53(1):101-6.
Rammelt S. Management of Ankle Fracture in the Elderly. EFORT Open Rev. 2016;1:239-46.
Alazzawi S, Sukeik M, King D, Vamulapalli K. Foot and Ankle History and Clinical Examination. A Guide to Everyday Practice. World J Orthopaed. 2017;8(1):21-9.
Büker N, Şavkın R, Gökalp O, Ök N. Validity and reliability of Turkish version of Olerud-Molander ankle score in patients with malleolar fracture. The Journal of Foot and Ankle Surgery. 2017 Nov 1;56(6):1209-12.
Mehta SS, Rees K, Kulter L, Mangwani J. Understanding Risks and Complications in the Management of Ankle Fractures. Ind J Orthopa. 2014;48:445-52.
Litrenta J, Saper D, Tornetta III P, Phieffer L, Jones CB, Mullis BH, et al. Does syndesmotic injury have a negative effect on functional outcome? A multicenter prospective evaluation. J Orthopa Tra. 2015 Sep 1;29(9):410-3.
Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot & Ankle International. 2001 Oct;22(10):788-94.
Rao SS, Naidu MC, Rao VD, Kumar VA, Teja PS. Study of functional outcome of surgical management of unstable malleolar fractures in adults: a case report. J Evo Med Dent Scienc. 2015 Sep 24;4(77):13526-30.
Segal G, Elbaz A, Parsi A, Heller Z, Palmanovich E, Nyska M, et al. Clinical outcomes following ankle fracture: a cross-sectional observational study. J Foot Ank Res. 2014 Dec;7(1):50.